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Computed Tomography in Cystic Fibrosis: Combining Low-Dose Techniques and Iterative Reconstruction
Johannes Kahn1, David Kaul, Ulrich Grupp
1From the Departments of *Radiology, and †Radiation Oncology and Radiotheraphy Charité - Universitätsmedizin Berlin, Berlin; ‡Department of Radiology, University of Jena, Jena; and §Department of Pediatrics, Charité - Universitätsmedizin Berlin, Berlin, Germany.
Objective:
The aim of the study was to evaluate the impact of iterative reconstruction (IR) and low-kilovolt technique on dose reduction and image quality of chest computed tomography scans obtained in patients with cystic fibrosis (CF).
Methods:
A total of 124 CF patients were examined; group A (n = 63) was examined with a dose reduction protocol using IR and group B (n = 61) with a standard protocol using filtered back projection. Further subgroups with tube voltage modulations were established. Quantitative and qualitative image quality was assessed.
Results:
The radiation dose in groups with comparable image quality was approximately 40% lower using IR compared with filtered back projection. The IR protocol combined with 80-kV tube voltage showed adequate image quality with a mean effective dose of only 0.47 mSv.
Conclusions:
Iterative reconstruction helps extensively reduce radiation dose by improving image quality. It permits the use of low-kilovolt protocols without significantly degrading image reading ability in the monitoring of the predominantly young patients with CF.
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