Model based iterative reconstruction has a distinct correlation characteristic between image noise and radiation dose compared to conventinal CT reconstruction methods: a phantom study Poster No.: C-1218 Congress: ECR 2012 Type: Scientific Exhibit Authors: I. Matsuda, M. Katsura, M. Akahane, J. Sato, K. Yasaka, A. Kunimatsu, K. Ohtomo; Tokyo/JP Keywords: Artifacts, Technology assessment, Experimental investigations, Computer Applications-Teleradiology, Image manipulation / Reconstruction, CT, Computer applications DOI: 10.1594/ecr2012/C-1218 Any information contained in this pdf file is automatically generated from digital material submitted to EPOS by third parties in the form of scientific presentations. 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Please note: Links to movies, ppt slideshows and any other multimedia files are not available in the pdf version of presentations. www.myESR.org Page 1 of 11 Purpose 1. Filtered back projection (FBP), which is widely used reconstruction method, has intrinsic problem on trade-off between image quality and radiation exposure. This basic relationship is expressed in a simple formula; • image noise is inversely proportional to square root of radiation dose. 2. Iterative reconstruction methods, such as adaptive statistical iterative reconstruction (ASIR), have been recently increasingly known as means for reducing radiation dose. But their noise-to-dose relationships are not well known. Model based iterative reconstruction (MBIR) is a newly introduced reconstruction method for CT that incorporates optical models in its iteration process to enable more accurate image reconstruction than other conventional methods. We tried to demonstrate fundamental relationships between radiation dose and image noise in the three reconstruction methods; MBIR, ASIR and FBP. 3. The purpose of our study is to investigate relationships between image noise and radiation dose with a phantom in MBIR, ASIR and FBP. Methods and Materials A phantom (PH-9, Kyoto-Kagaku, Kyoto, Japan) was scanned with a 64-detector CT scanner (Discovery CT750HD, GE healthcare, Tokyo, Japan). Scanning were performed at 400, 200, 100, 50, 10, 5 mAs in tube current-time product. The other scanning parameters were, tube peak voltage, 120 kVp; detector coverage, 40 mm; beam pitch, 0.984; rotation speed, 0.5 sec. The scanned images were reconstructed with MBIR, ASIR and FBP. Then blended images of ASIR and FBP at blending ratio 50% were made, which were named ASIR50. Images reconstructed with ASIR were named ASIR100. Regions of interest were placed on homogenous part of the images to measure standard deviation (SD) of CT value as image noise. An example of ROI placement is demonstrated in Fig. 1 on page 2. We measured SD 1 time for each reconstructed image. Correlation between image noise and radiation dose was investigated on a double logarithmic plot with regression coefficient because the coefficient represents mathhmatical order of the proportional relationship between image noise and radiation dose. Images for this section: Page 2 of 11 Fig. 1: An image of the phantom. 400 mAs, reconstructed with FBP. ROI was placed in homogenous part of the phantom. Page 3 of 11 Results SD of the images were 11, 15.13, 21.42, 32.33, 71.01 and 101.18 with FBP; 8.18, 10.95, 15.15, 22.24, 50.40 and 76.47 with ASIR50; 5.36, 7.39, 10.41, 14.55, 33.78 and 50.23 with ASIR100; and 5.77, 6.76, 7.71. 9.65, 13.31, 17.75 with MBIR for 400, 200, 100, 50, 10, 5 mAs, respectively. The double logarithmic plot of the SDs was shown in Fig. 2 on page 4. The regression coefficients in the double logarithmic plot were -0.51, -0.51, -0.51, -0.25 for FBP, ASIR50, ASIR100 and MBIR, respectively. For illustration purposes, images at 50 mAs reconstructed with FBP, ASIR and MBIR are demonstrated in Fig. 3 on page 4, Fig. 4 on page 5 and Fig. 5 on page 6. Images for this section: Fig. 2: The bilogarithmic plot of the results. FBP, ASIR50 and ASIR100 seem to be parallel on the graph and thier regression coefficients are approximately -1/2. MBIR is not parallel to the others and its regression coefficients is approximately -1/4. MBIR reduces more image noise than the others, especially in lower radiation dose range. Page 4 of 11 Fig. 3: An image reconstructed with FBP at 50 mAs. Image SD was 32.33. Low contrast structure of the phantom is hardly recognizable. Compare with Fig 4 and Fig 5 for reference. Page 5 of 11 Fig. 4: An image reconstructed with ASIR at 50 mAs. Image SD was 14.55. Low contrast structure of the phantom is better perceived than in the image reconstructed with FBP (Fig 3). Compare with Fig 3 and Fig 5 for reference. Page 6 of 11 Fig. 5: An image reconstructed with MBIR at 50 mAs. Image SD was 9.65. Low contrast structure of the phantom is depicted well. Compare with Fig 3 and Fig 4 for reference. Page 7 of 11 Conclusion MBIR and ASIR reduced image noise substantially than FBP. ASIR100 reduced image noise to one-half of FBP. ASIR50 showed intermediate reduction of image noise between FBP and ASIR100 as expected because it is an average image of FBP and ASIR100. MBIR showed best noise reduction among them (Fig. 2 on page 8). Regression coefficient of FBP approximated -1/2, which is expected by the rule mentioned in the purpose section "image noise is inversely proportional to square root of radiation dose". In this figure '-1/2', minus means inversely and 1/2 means mathematical order of square root. ASIR50 and ASIR100 seems parallel to FBP on the graph and their regression coefficients are near -1/2. This result implies that the basic rule of image noise and radiation dose is applicable to ASIR as well as FBP. Unlike the other reconstruction methods, MBIR has a different characteristic of noiseto-dose relation. The regression coefficient is near -1/4, which implies the basic rule is not applicable to MBIR. As a result, noise reduction by MBIR is relatively larger with lower radiation dose. The basic rule that states image noise is inversely proportional to square root of radiation dose comes from Poisson distribution of detected X-ray photon. MBIR is considered to escape from this statistical effect by employing more correct and intricate physical model in its iteration process. In conclusion, with FBP and ASIR, our results were nearly consistent with classical theory that states image noise is inversely proportional to square root of radiation dose. With MBIR, however, the results were essentially different in that image noise was inversely proportional to biquadratic root of radiation dose. As a result, MBIR achieved much more noise reduction especially in lower radiation dose range. Images for this section: Page 8 of 11 Fig. 2: The bilogarithmic plot of the results. FBP, ASIR50 and ASIR100 seem to be parallel on the graph and thier regression coefficients are approximately -1/2. MBIR is not parallel to the others and its regression coefficients is approximately -1/4. MBIR reduces more image noise than the others, especially in lower radiation dose range. Page 9 of 11 References Primak AN, McCollough CH, Bruesewitz MR, Zhang J, Fletcher JG. Relationship between Noise, Dose, and Pitch in Cardiac Muti-Detector Row CT. Radiographics 2006; 26:1785-1794. Thibault JB, Sauer KD, Bouman CA, Hsieh J. A three-dimensional statistical approach to improved image quality for multislice helical CT. Med Phys 2007; 34:4526-4544. 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Abdominal CT: comparison of low-dose CT with adaptive statistical iterative reconstruction and routine-dose CT with filtered back projection in 53 patients. AJR Am J Roentgenol 2010; 195: 713-19. Singh S, Kalra MK, Hsieh J, et al. Abdominal CT: comparison of adaptive statistical iterative and filtered back projection reconstruction techniques. Radiology 2010;257(2):373-383. Marin D, Nelson RC, Schindera ST, et al. Low-tube-voltage, high-tube-current multidetector abdominal CT: improved image quality and decreased radiation dose with adaptive statistical iterative reconstruction algorithm?initial clinical experience. Radiology 2010; 254: 145-53. Page 10 of 11 Yadava G, Kulkarni S, Colon ZR, Thibault J, Hsieh J. TU#A#201B#03: Dose Reduction and Image Quality Benefits Using Model Based Iterative Reconstruction (MBIR) Technique for Computed Tomography. Med Phys 2010; 37:3372. Personal Information Izuru Matsuda, MD. Department of radiology, Graduate school of medicine, the university of Tokyo, Tokyo, Japan. imatsuda-tky@umin.ac.jp Page 11 of 11