Ces radiol. 2011, 65(3):169-176

Iterative reconstruction of CT image - a revolutionary milestone in computed tomography?Review article

Jan Žižka
Radiologická klinika Lékařské fakulty Univerzity Karlovy a Fakultní nemocnice, Hradec Králové

The average radiation dose resulting from medical exposure continuously rises in the population. It has increased several times within the last three decades and reached the level of natural radiation background in some developed countries. Computed tomography is the major contributor, comprising two thirds of the entire cumulative medical exposure. To reverse this unfavourable trend attributed mainly to continuously increasing number of CT procedures, it is necessary to adopt adequate precautions. Among these, the most promising seems to be the technique of iterative reconstruction of CT image which significantly reduces image noise and therefore allows radiation exposure reduction by tens of percent.
The article deals with basic principles and types of iterative reconstruction which are already available on recent CT scanners, commenting on their advantages and disadvantages. Differences between iterative reconstruction and filtered back projection considered as "gold standard" on all CT scanners for more than three decades are also discussed.

Keywords: computed tomography, filtered back projection, iterative reconstruction, radiation dose

Accepted: June 15, 2011; Published: September 1, 2011  Show citation

ACS AIP APA ASA Harvard Chicago Chicago Notes IEEE ISO690 MLA NLM Turabian Vancouver
Žižka J. Iterative reconstruction of CT image - a revolutionary milestone in computed tomography? Ces radiol. 2011;65(3):169-176.
Download citation

References

  1. Berrington de Gonzalez A, Mahesh M, Kim KP, et al. Projected cancer risks from computed tomographic scans performed in the United States in 2007. Arch Intern Med 2009; 169: 2071-2077. Go to original source... Go to PubMed...
  2. Kalra MK, Maher MM, Toth TL, et al. Strategies for CT radiation dose optimization. Radiology 2004; 230: 619-628. Go to original source... Go to PubMed...
  3. Mettler FA Jr, Bhargavan M, Faulkner K, et al. Radiologic and nuclear medicine studies in the United States and worldwide: frequency, radiation dose, and comparison with other radiation sources 1950-2007. Radiology 2009; 253: 520-531. Go to original source... Go to PubMed...
  4. National Council on Radiation Protection and Measurements (NCRP). Ionizing radiation exposure of the population of the United States: recommendations of the National Council on Radiation Protection and Measurements. Report No. 160. Bethesda, USA: 2009.
  5. http://www.sujb.cz/?c_id=1089
  6. Ambrose J, Hounsfield G. Computerized transverse axial tomography. Br J Radiol 1973; 46: 148-149. Go to original source... Go to PubMed...
  7. http://www.oecd.org/document/16/0,3343,en_2649_34631_2085200_1_1_1_1,00.html
  8. Cormack AM. Representation of a function by its line integrals with some radiological applications. J Appl Phys 1963; 34: 2722-2727. Go to original source...
  9. Wang G, Yu H, De Man B. An outlook on X-ray CT research and development. Med Phys 2008; 35: 1051-1064. Go to original source... Go to PubMed...
  10. Radon J. Über die Bestimmung von Funktionen durch ihre Integralwerte längs gewisser Mannigfaltigkeiten. Berichte Sächsische Academie der Wissenschaften 1917; 69: 262.
  11. Rockmore AJ, Macovski A. A maximum likelihood approach to emission image reconstruction from projections. IEEE Trans Nucl Sci 1976; 23: 1428-1432. Go to original source...
  12. Shepp LA, Vardi Y. Maximum likelihood reconstruction for emission tomography. IEEE Trans Med Imaging 1982; 1(2): 113-122. Go to original source... Go to PubMed...
  13. Leipsic J, Labounty T, Heilbron B, et al. Estimated radiation dose reduction using adaptive statistical iterative reconstruction in coronary CT angiography: the ERASIR study. Am J Roentgenol 2010; 195: 655-660. Go to original source... Go to PubMed...
  14. Pontana F, Pagniez J, Flohr T, et al. Chest computed tomography using iterative reconstruction vs filtered back projection (Part 1): evaluation of image noise reduction in 32 patients. Eur Radiol 2011; 21: 636-643. Go to original source... Go to PubMed...
  15. Yadava G, Kulkarni S, Colon ZR, Thibault J, Hsieh J. Dose reduction and image quality benefits using model based iterative reconstruction (MBIR) technique for computed tomography. AAPM Annual Meeting, Philadelphia 2010, TUA-201B-03, 3372. Go to original source...
  16. Leipsic J, Heilbron BG, Hague C. Iterative reconstruction for coronary CT angiography: finding its way. Int J Cardiovasc Imaging 2011 [Epub ahead of print] DOI 10.1007/s10554-011-9832-3. Go to original source... Go to PubMed...
  17. Singh S, Kalra MK, Hsieh J, et al. Abdominal CT: comparison of adaptive statistical iterative and filtered back projection reconstruction techniques. Radiology 2010; 257(2): 373-383. Go to original source... Go to PubMed...
  18. Singh S, Kalra MK, Gilman MD, et al. Adaptive Statistical Iterative Reconstruction Technique for Radiation Dose Reduction in Chest CT: A Pilot Study. Radiology 2011; 259(2): 565-573. Go to original source... Go to PubMed...
  19. Cornfeld D, Israel G, Detroy E, Bokhari J, Mojibian H. Impact of Adaptive Statistical Iterative Reconstruction (ASIR) on radiation dose and image quality in aortic dissection studies: a qualitative and quantitative analysis. AJR Am J Roentgenol 2011; 196(3): W336-340. Go to original source... Go to PubMed...
  20. Bittencourt MS, Schmidt B, Seltmann M, et al. Iterative reconstruction in image space (IRIS) in cardiac computed tomography: initial experience. Int J Cardiovasc Imaging 2010 [Epub ahead of print] PubMed PMID: 21120612. Go to original source... Go to PubMed...
  21. Sagara Y, Hara AK, Pavlicek W, et al. Abdominal CT: comparison of low-dose CT with adaptive statistical iterative reconstruction and routine-dose CT with filtered back projection in 53 patients. AJR Am J Roentgenol 2010; 195(3): 713-719. Go to original source... Go to PubMed...
  22. Hara AK, Paden RG, Silva AC, et al. Iterative reconstruction technique for reducing body radiation dose at CT: feasibility study. AJR Am J Roentgenol 2009; 193(3): 764-771. Go to original source... Go to PubMed...
  23. Silva AC, Lawder HJ, Hara A, Kujak J, Pavlicek W. Innovations in CT dose reduction strategy: application of the adaptive statistical iterative reconstruction algorithm. AJR Am J Roentgenol 2010; 194(1): 191-199. Go to original source... Go to PubMed...
  24. Boas FE, Fleischmann D. Evaluation of Two Iterative Techniques for Reducing Metal Artifacts in Computed Tomography. Radiology 2011; 259(3): 894-902. Go to original source... Go to PubMed...
  25. Fleischmann D, Boas FE. Computed tomography - old ideas and new technology. Eur Radiol 2011; 21(3): 510-517. Go to original source... Go to PubMed...
  26. Pontana F, Duhamel A, Pagniez J, et al. Chest computed tomography using iterative reconstruction vs filtered back projection (Part 2): image quality of low-dose CT examinations in 80 patients. Eur Radiol 2011; 21(3): 636-643. Go to original source... Go to PubMed...

This is an open access article distributed under the terms of the Creative Commons Attribution 4.0 International License (CC BY 4.0), which permits use, distribution, and reproduction in any medium, provided the original publication is properly cited. No use, distribution or reproduction is permitted which does not comply with these terms.