Novel X-ray image noise reduction technology reduces patient radiation dose while maintaining image quality in coronary angiography
نویسندگان
چکیده
AIMS The consequences of high radiation dose for patient and staff demand constant improvements in X-ray dose reduction technology. This study assessed non-inferiority of image quality and quantified patient dose reduction in interventional cardiology for an anatomy-specific optimised cine acquisition chain combined with advanced real-time image noise reduction algorithms referred to as 'study cine', compared with conventional angiography. METHODS Fifty patients underwent two coronary angiographic acquisitions: one with advanced image processing and optimised exposure system settings to enable dose reduction (study cine) and one with standard image processing and exposure settings (reference cine). The image sets of 39 patients (18 females, 21 males) were rated by six experienced independent reviewers, blinded to the patient and image characteristics. The image pairs were randomly presented. Overall 85 % of the study cine images were rated as better or equal quality compared with the reference cine (95 % CI 0.81-0.90). The median dose area product per frame decreased from 55 to 26 mGy.cm(2)/frame (53 % reduction, p < 0.001). CONCLUSION This study demonstrates that the novel X-ray imaging technology provides non-inferior image quality compared with conventional angiographic systems for interventional cardiology with a 53 % patient dose reduction.
منابع مشابه
Novel X-ray image noise reduction technology reduces patient radiation dose while maintaining image quality in coronary angiography
متن کامل
Reducing Radiation Dose in Coronary Angiography and Angioplasty Using Image Noise Reduction Technology.
This study sought to quantitatively evaluate the reduction of radiation dose in coronary angiography and angioplasty with the use of image noise reduction technology in a routine clinical setting. Radiation dose data from consecutive 605 coronary procedures (397 consecutive coronary angiograms and 208 consecutive coronary interventions) performed from October 2014 to April 2015 on a coronary an...
متن کاملProspective-triggered high-pitch spiral versus sequential dual-source CT coronary angiography: comparison of image quality and radiation dose
Background: Prospectively electrocardiography (ECG)-triggered high-pitch spiral coronary computed tomography angiography (CCTA) is a unique scan mode for dual-source CT (DSCT). Our reports aim to compare image quality and radiation dose of CCTA using high-pitch spiral or sequential acquisition mode in patients with low and stable heart rates. Materials and Methods: Patients with low and stable ...
متن کاملLow kilovolt “prospective ECG-triggering” vs. “retrospective ECG-gating” coronary CTA: comparison of image quality and radiation dose
Background: To compare image quality and radiation doses of low kilovolt (kV) “prospective ECG-triggering” (PT) and standard “retrospective ECG-gating” (RG) coronary computed tomography (CT) angiography. Materials and Methods: A total of 101 consecutive patients (76 males, 25 females; mean age: 55.44 ± 8.28 years) with low-to-intermediate risk status for coronary artery disease and with a body ...
متن کاملAssessment the effect of CT localizer parameter on radiation dose and image quality of GE CT spiral images, A phantom study
Introduction: Using computed tomography (CT) is increasing significantly in Iran and worldwide. Reduction of CT's radiation dose is a critical concern. The aim of this study was evaluating the effect of localizer kVp on spiral CT images when the tube current modulation (TCM) is activated. Materials and Methods: A special wedding cake phantom with circular in...
متن کامل