Literature DB >> 29685549

Accuracy of iodine quantification in dual-layer spectral CT: Influence of iterative reconstruction, patient habitus and tube parameters.

Andreas P Sauter1, Felix K Kopp2, Daniela Münzel2, Julia Dangelmaier2, Martin Renz2, Bernhard Renger2, Rickmer Braren2, Alexander A Fingerle2, Ernst J Rummeny2, Peter B Noël2.   

Abstract

PURPOSE: Evaluation of the influence of iterative reconstruction, tube settings and patient habitus on the accuracy of iodine quantification with dual-layer spectral CT (DL-CT).
MATERIAL AND METHODS: A CT abdomen phantom with different extension rings and four iodine inserts (1, 2, 5 and 10 mg/ml) was scanned on a DL-CT. The phantom was scanned with tube-voltages of 120 and 140 kVp and CTDIvol of 2.5, 5, 10 and 20 mGy. Reconstructions were performed for eight levels of iterative reconstruction (i0-i7). Diagnostic dose levels are classified depending on patient-size and radiation dose.
RESULTS: Measurements of iodine concentration showed accurate and reliable results. Taking all CTDIvol-levels into account, the mean absolute percentage difference (MAPD) showed less accuracy for low CTDIvol-levels (2.5 mGy: 34.72%) than for high CTDIvol-levels (20 mGy: 5.89%). At diagnostic dose levels, accurate quantification of iodine was possible (MAPD 3.38%). Level of iterative reconstruction did not significantly influence iodine measurements. Iodine quantification worked more accurately at a tube voltage of 140 kVp. Phantom size had a considerable effect only at low-dose-levels; at diagnostic dose levels the effect of phantom size decreased (MAPD <5% for all phantom sizes).
CONCLUSION: With DL-CT, even low iodine concentrations can be accurately quantified. Accuracies are higher when diagnostic radiation doses are employed.
Copyright © 2018 Elsevier B.V. All rights reserved.

Entities:  

Keywords:  CT; Dual-Layer CT; Iodine quantification; Material decomposition; Phantom study; Spectral CT

Mesh:

Substances:

Year:  2018        PMID: 29685549     DOI: 10.1016/j.ejrad.2018.03.009

Source DB:  PubMed          Journal:  Eur J Radiol        ISSN: 0720-048X            Impact factor:   3.528


  12 in total

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Authors:  André Euler; Justin Solomon; Maciej A Mazurowski; Ehsan Samei; Rendon C Nelson
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7.  Effects of radiation dose levels and spectral iterative reconstruction levels on the accuracy of iodine quantification and virtual monochromatic CT numbers in dual-layer spectral detector CT: an iodine phantom study.

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Journal:  Sci Rep       Date:  2019-04-09       Impact factor: 4.379

10.  CTPA with a conventional CT at 100 kVp vs. a spectral-detector CT at 120 kVp: Comparison of radiation exposure, diagnostic performance and image quality.

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Journal:  Eur J Radiol Open       Date:  2020-05-07
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