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Radiation Dose During CT Scans Significantly Reduced by Iterative Reconstruction Technique

By MedImaging International staff writers
Posted on 11 Sep 2009

Computed tomography (CT) scans are responsible for more than two-thirds of the total radiation dose associated with medical imaging exams. More...

However, a newly adapted low-dose technique, called adaptive statistical iterative reconstruction (ASIR), may enable radiologists to reduce patient radiation resulting from CT scanning up to 65%, according to a recent study.

Iterative reconstruction is a technique that allows radiologists to reduce the noise in an image and improve image quality (similar to adjusting a television antenna to make a "fuzzy” image sharper) while considerably reducing the radiation dose.

CT scans using the newly adapted low-dose ASIR method and the standard dose method without ASIR were performed on both a phantom and 12 patients. "We found nearly identical image quality using the reduced dose CT method with ASIR compared with the standard dose CT method without ASIR,” said Amy Hara, M.D., lead author of the study, performed at the Mayo Clinic Arizona (Scottsdale, USA). "In our study, patient radiation doses were reduced up to 65% using the low-dose IR method. The average radiation dose delivered during the low-dose CT with IR was 470 mGy; the average dose delivered using the standard dose CT without IR was 894 mGy,” she said.

The research was published in the September 2009 issue of the American Journal of Roentgenology (AJR).

"Finding a way to reduce radiation dose for routine body CT imaging has been an ongoing concern for many. Our study is significant because it shows that the low-dose ASIR method can significantly decrease the radiation dose along with the many risks associated with radiation exposure. In future studies, it will be important to not only evaluate image quality but to assess diagnostic accuracy. ASIR is new to CT but in our practice it has been very successful,” said Dr. Hara.

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65 (72.956085205078): select jos_twitters.link from jos_twitters where cat=10

66 (46.968460083008): select jos_facebook.link from jos_facebook where cat=10

67 (41.961669921875): select jos_google_plus.link from jos_google_plus where cat=10

68 (42.915344238281): select jos_linkedin.link from jos_linkedin where cat=10

69 (53.882598876953): SELECT fid FROM jos_deeppockets WHERE id=294725363 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294725363 AND published='1' LIMIT 1

70 (48.87580871582): SELECT id,name,sponsor_text FROM jos_deeppockets dp left outer join jos_channel_sponsor cs on dp.id=cs.fid WHERE cat=10 AND TYPE='file_folder' AND published=1 AND id=211 ORDER BY `ordering`

71 (507.83157348633): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294725363 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

72 (393.15223693848): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294725363 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

73 (53.882598876953): SELECT id,name,title FROM jos_deeppockets WHERE cat=10 AND TYPE='file_folder' AND published=1 AND id != 294743300 AND id != 294743301 AND id != 294743302 AND id != 294743303 AND id != 294743304 AND id != 294743305 AND id != 294743306 AND id != 294743307 AND id != 294743308 AND id != 294743309 AND id != 294743310 AND metakey != 'aacc' ORDER BY `ordering`

74 (60.081481933594): SELECT show_live FROM jos_com_show_setting LIMIT 1

75 (31.948089599609): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (38.14697265625): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (32.901763916016): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (35.04753112793): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (30.994415283203): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (60.081481933594): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (28.848648071289): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

88 (45.061111450195): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294725363 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

89 (30.040740966797): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294725363 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

90 (32.901763916016): SELECT id,name,title FROM jos_deeppockets WHERE cat=10 AND TYPE='file_folder' AND published=1 AND id != 294743300 AND id != 294743301 AND id != 294743302 AND id != 294743303 AND id != 294743304 AND id != 294743305 AND id != 294743306 AND id != 294743307 AND id != 294743308 AND id != 294743309 AND id != 294743310 AND metakey != 'aacc' ORDER BY `ordering`

91 (60.081481933594): SELECT show_live FROM jos_com_show_setting LIMIT 1

92 (31.948089599609): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (41.007995605469): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (46.968460083008): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (38.14697265625): SELECT show_live FROM jos_com_show_setting LIMIT 1

105 (101.08947753906): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294725363 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294725363 AND published='1' LIMIT 1

106 (59.843063354492): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294725363 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294725363 AND published='1' LIMIT 1

107 (70.095062255859): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294725363 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

108 (66.995620727539): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets_archive as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294725363 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

109 (92.983245849609): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294725363 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294725363 AND published='1' LIMIT 1

110 (61.988830566406): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294725363 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294725363 AND published='1' LIMIT 1

111 (48.160552978516): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.id=294725363 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

112 (610.1131439209): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets_archive as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.id=294725363 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

113 (631.09397888184): SELECT dp.name, dp.id, dp2.name as channel, ex.name as author_name, ex.specialization, ex.images FROM jos_deeppockets as dp LEFT JOIN jos_experts as ex ON ex.id = dp.author LEFT JOIN jos_deeppockets as dp2 ON dp2.id = dp.fid WHERE dp.author != 0 AND dp.cat = 10 AND dp.published = 1 AND ( (dp.fid = 294743300) OR (dp.fid = 294743301) OR (dp.fid = 294743302) OR (dp.fid = 294743303) OR (dp.fid = 294743304) OR (dp.fid = 294743305) OR (dp.fid = 294743306) OR (dp.fid = 294743307) OR (dp.fid = 294743308) OR (dp.fid = 294743309) OR (dp.fid = 294743310) ) ORDER BY RAND() LIMIT 1

114 (411.9873046875): SELECT dp.name, dp.id, dp2.name as channel, ex.name as author_name, ex.specialization, ex.images FROM jos_deeppockets as dp LEFT JOIN jos_experts as ex ON ex.id = dp.author LEFT JOIN jos_deeppockets as dp2 ON dp2.id = dp.fid WHERE dp.author != 0 AND dp.cat = 10 AND dp.published = 1 AND ( (dp.fid = 294743300) OR (dp.fid = 294743301) OR (dp.fid = 294743302) OR (dp.fid = 294743303) OR (dp.fid = 294743304) OR (dp.fid = 294743305) OR (dp.fid = 294743306) OR (dp.fid = 294743307) OR (dp.fid = 294743308) OR (dp.fid = 294743309) OR (dp.fid = 294743310) ) ORDER BY RAND() LIMIT 1

115 (83.208084106445): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294725363 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294725363 AND published='1' LIMIT 1

116 (46.014785766602): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294725363 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294725363 AND published='1' LIMIT 1

117 (61.03515625): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294725363 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294725363 AND published='1' LIMIT 1

118 (79.154968261719): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294725363 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294725363 AND published='1' LIMIT 1

119 (48.160552978516): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294725363 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294725363 AND published='1' LIMIT 1

120 (36.954879760742): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294725363 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294725363 AND published='1' LIMIT 1

121 (59.127807617188): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294725363 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294725363 AND published='1' LIMIT 1

122 (56.982040405273): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294725363 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294725363 AND published='1' LIMIT 1

123 (312.80517578125): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

124 (!!!!! 22495.985031128): SELECT * FROM jos_deeppockets WHERE jos_deeppockets.cat = 10 AND jos_deeppockets.type = 'deeppockets_item' AND jos_deeppockets.published = 1 AND jos_deeppockets.created + INTERVAL 14 DAY >= NOW() ORDER BY jos_deeppockets.hits DESC LIMIT 7

125 (516.17622375488): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294725363 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294725363 AND type='deeppockets_item' AND published='1' LIMIT 1

126 (!!!!! 7709.9800109863): ( SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.video != '' AND dp.video_source != '' AND dp.cat = 10 AND dp.published = 1 AND dp.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) UNION ( SELECT dpa.id, dpa.name, dpa.title, dpa.video, dpa.video_source, dpa.created FROM jos_deeppockets_archive AS dpa WHERE dpa.video != '' AND dpa.video_source != '' AND dpa.cat = 10 AND dpa.published = 1 AND dpa.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) ORDER BY created DESC LIMIT 3

127 (82.015991210938): ( SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.video != '' AND dp.video_source != '' AND dp.cat = 10 AND dp.published = 1 AND dp.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) UNION ( SELECT dpa.id, dpa.name, dpa.title, dpa.video, dpa.video_source, dpa.created FROM jos_deeppockets_archive AS dpa WHERE dpa.video != '' AND dpa.video_source != '' AND dpa.cat = 10 AND dpa.published = 1 AND dpa.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) ORDER BY created DESC LIMIT 3

128 (36.001205444336): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294803337 LIMIT 1

129 (33.855438232422): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294803337 LIMIT 1

130 (51.021575927734): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294803276 LIMIT 1

131 (28.848648071289): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294803276 LIMIT 1

132 (375.03242492676): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets_archive AS dp WHERE dp.id = 294803276 LIMIT 1

133 (64.849853515625): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets_archive AS dp WHERE dp.id = 294803276 LIMIT 1

134 (66.995620727539): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294802958 LIMIT 1

135 (36.954879760742): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294802958 LIMIT 1

136 (538.82598876953): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294725363 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

137 (348.09112548828): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294725363 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

138 (45.061111450195): SELECT name FROM jos_deeppockets WHERE id=211

139 (31.948089599609): SELECT name FROM jos_deeppockets WHERE id=211

140 (550.98533630371): SELECT *, DATE_FORMAT(publish_up,'%d %b %Y') AS date_publish_up, DATE_FORMAT(publish_down,'%d %b %Y') AS date_publish_down FROM jos_events WHERE state=1 AND publish_up > NOW() and extra_info REGEXP '((;)|(^))211((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3

141 (468.01567077637): SELECT *, DATE_FORMAT(publish_up,'%d %b %Y') AS date_publish_up, DATE_FORMAT(publish_down,'%d %b %Y') AS date_publish_down FROM jos_events WHERE state=1 AND publish_up > NOW() and extra_info REGEXP '((;)|(^))211((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3

142 (71.048736572266): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294725363 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294725363 AND published='1' LIMIT 1

143 (61.988830566406): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294725363 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294725363 AND published='1' LIMIT 1

144 (!!!!! 7878.0651092529): TRUNCATE TABLE jos_trademed_module

145 (97.990036010742): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294725363 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

146 (51.975250244141): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets_archive as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294725363 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

147 (482.08236694336): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294725363 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

148 (87.976455688477): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294725363 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

149 (69.856643676758): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294725363 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294725363 AND published='1' LIMIT 1

150 (43.869018554688): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294725363 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294725363 AND published='1' LIMIT 1

151 (!!!!! 1470.0889587402): SELECT jos_item.* FROM jos_item INNER JOIN jos_number ON jos_item.numberID=jos_number.id WHERE 1=1 AND (jos_item.imgMini<>'') AND jos_item.type='L' AND jos_item.numberID= ( SELECT jos_number.id FROM jos_number WHERE jos_number.journalID IN (10) and jos_number.id in (select distinct jos_number.id from jos_number join jos_item on jos_item.numberid=jos_number.id where jos_item.type='P') ORDER BY (CONVERT(SUBSTRING(issue,1,2),SIGNED) + (CONVERT(SUBSTRING(issue,3,2),SIGNED)*100)) DESC LIMIT 0,1 ) ORDER BY RAND() DESC LIMIT 6

152 (77.009201049805): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294725363 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294725363 AND published='1' LIMIT 1

153 (71.048736572266): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294725363 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294725363 AND published='1' LIMIT 1

154 (55.074691772461): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294725363 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294725363 AND type='deeppockets_item' AND published='1' LIMIT 1

155 (50.067901611328): select distinct links.* from jos_textlinks links join jos_textlinks_placement placement on links.id=placement.link_id where journal_id=(10) and (channel_id=211 or channel_id is null)

156 (46.014785766602): select distinct links.* from jos_textlinks links join jos_textlinks_placement placement on links.id=placement.link_id where journal_id=(10) and (channel_id=211 or channel_id is null)

157 (51.975250244141): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

158 (97.036361694336): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294725363 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294725363 AND published='1' LIMIT 1

159 (68.902969360352): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294725363 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294725363 AND published='1' LIMIT 1

160 (41.961669921875): select jos_twitters.link from jos_twitters where cat=10

161 (29.087066650391): select jos_facebook.link from jos_facebook where cat=10

162 (27.894973754883): select jos_google_plus.link from jos_google_plus where cat=10

163 (30.040740966797): select jos_linkedin.link from jos_linkedin where cat=10

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