Evaluation of the image quality and dose reduction in digital radiography with an advanced spatial noise reduction algorithm in pediatric patients
- Authors
- Oh, Saelin; Kim, Ji Hye; Yoo, So-Young; Jeon, Tae Yeon; Kim, Yu Jin
- Issue Date
- Dec-2021
- Publisher
- SPRINGER
- Keywords
- Digital radiography; Algorithm; Pediatric patients; Dose reduction; Phantoms
- Citation
- European Radiology, v.31, no.12, pp 8937 - 8946
- Pages
- 10
- Indexed
- SCIE
SCOPUS
- Journal Title
- European Radiology
- Volume
- 31
- Number
- 12
- Start Page
- 8937
- End Page
- 8946
- URI
- https://scholarworks.korea.ac.kr/kumedicine/handle/2020.sw.kumedicine/53355
- DOI
- 10.1007/s00330-021-07942-6
- ISSN
- 0938-7994
1432-1084
- Abstract
- Objectives
To evaluate whether the advanced spatial noise reduction (ASNR) algorithm installed in a digital radiography system generates acceptable images at a lower dose than a conventional denoising algorithm in pediatric patients.
Methods
Nine sets of 30 images of pediatric patients, classified under three protocols and three age groups, were retrospectively selected. Different levels of low-dose image sets of these 270 images were generated by a noise simulation tool after validation testing using phantoms. Each image set was obtained with both the ASNR and conventional algorithm, and grouped randomly and blinded. Three experienced pediatric radiologists were asked to pick the “image with optimum dose” among images of different dose levels with an ALARA (as low as reasonably achievable) perspective. Dose reduction rates for each protocol and age group were calculated, and entrance skin exposure (ESE) was calculated using the values of kVp and mAs, assuming a standard body depth for each age group.
Results
With the ASNR algorithm, estimated dose reduction rates were highest for abdominal radiographs (45.0%, 27.3%, and 24.3% in infants, children, and adolescents, respectively, p < 0.001). The mean dose reductions for all age groups in the abdominal, chest, and skull radiographs were 32.8%, 12.9%, and 23.2%, respectively (p < 0.001). Average of the calculated ESE was lower with the ASNR algorithm than with the conventional algorithm group (p < 0.001).
Conclusions
The ASNR algorithm facilitated optimization of image quality with a higher reduction in radiation dose than the conventional algorithm, making it more acceptable for use in pediatric patients.
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- Appears in
Collections - 2. Clinical Science > Department of Radiology > 1. Journal Articles
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