Abstract
BackgroundLower tube voltage has advantages for CT angiography, such as improved contrastObjectiveTo evaluate the image quality of low-voltage (70 kV) CT for congenital heart disease and the ability of sinogram-affirmed iterative reconstruction to improve image quality.Materials and methodsForty-six children with congenital heart disease (median age: 109 days) were examined using dual-source CT. Scans were performed at 80 kV and 70 kV in 21 and 25 children, respectively. A nonionic iodinated contrast medium (300 mg I/ml) was used for the 80-kV protocol. The contrast medium was diluted to 75% (225 mgI/mL) with saline for the 70-kV protocol. Image noise was measured in the two protocols for each group by extracting the standard deviations of a region of interest placed on the descending aorta. We then determined whether sinogram-affirmed iterative reconstruction reduced the image noise at 70 kV.ResultsThere was more noise at 70 kV than at 80 kV (29 ± 12 vs 20 ± 4.8; P < 0.01). Sinogram-affirmed iterative reconstruction with grade 4 strength settings improved the noise (20 ± 5.9; P < 0.01) for the 70-kV group.ConclusionSinogram-affirmed iterative reconstruction improved the image quality of CT in congenital heart disease.
Highlights
ResultsThere was more noise at 70 kV than at 80 kV (29±12 vs 20±4.8; P
Due to recent technological advances in computed tomography (CT), the morphological features of vessels and cardiac chambers in children with congenital heart disease can be noninvasively evaluated in a short time [1]
We investigated whether sinogram-affirmed iterative reconstruction could reduce the image noise of 70-kV image data
Summary
There was more noise at 70 kV than at 80 kV (29±12 vs 20±4.8; P
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