Iterative reconstruction does not substantially delay CT imaging in an emergency setting

OBJECTIVES To evaluate the effects of iterative reconstruction (IR) on reconstruction time and speed in two commonly encountered acquisition protocols in an emergency setting: pulmonary CT angiography (CTA) and total body trauma CT. METHODS Twenty-five patients underwent a pulmonary CTA for evaluation of pulmonary embolisms and 15 patients underwent a total body CT after a traumatic event on a 256-slice CT. Images were reconstructed with filtered back-projection (FBP) and two IR levels. Reconstruction time and speed were quantified using custom written software. RESULTS Mean reconstruction time delays for pulmonary CTAs were 10 ± 10 s and 12 ± 12 s for IR levels 2 and 4, respectively, and 44 ± 8 s and 45 ± 7 s for total body trauma CTs for IR levels 1 and 6, respectively. Mean reconstruction times and speeds for pulmonary CTAs were 26 ± 7 s, 36 ± 9 s and 38 ± 12 s, and 26.7 ± 5.6 slices/s, 18.7 ± 2.3 slices/s and 18.0 ± 2.8 slices/s for FBP, IR levels 2 and 4, respectively. For total body trauma CTs these values were 87 ± 15 s, 132 ± 17 s and 132 ± 18 s, and 20.1 ± 1.6 slices/s, 13.2 ± 0.8 slices/s and 13.2 ± 0.6 slices/s for FBP, IR levels 1 and 6, respectively. CONCLUSIONS IR does not result in clinically important CT image reconstruction delays in an emergency setting. No substantial differences in reconstruction time and speed were found between different IR levels. MAIN MESSAGES • IR delayed total pulmonary CTA reconstruction with 10-12 s and total-body trauma CT with 44-45 s • IR is not substantially delaying reconstruction in emergency CT imaging • Reconstruction time and speed are similar for different levels of IR.