Effect of ultra-low doses, ASIR and MBIR on density and noise levels of MDCT images of dental implant sites

Journal Article
Widmann, Gerlig, . 2016
Tags: 
Algorithms, Iterative reconstruction techniques, Dental implants, MDCT, Radiation dose
Magazine \ Newspaper: 
European Radiology
Volume Number: 
Online publication
Pages: 
1-10
Publication Abstract: 

Objectives

Differences in noise and density values in MDCT images obtained using ultra-low doses with FBP, ASIR, and MBIR may possibly affect implant site density analysis. The aim of this study was to compare density and noise measurements recorded from dental implant sites using ultra-low doses combined with FBP, ASIR, and MBIR.

Methods

Cadavers were scanned using a standard protocol and four low-dose protocols. Scans were reconstructed using FBP, ASIR-50, ASIR-100, and MBIR, and either a bone or standard reconstruction kernel. Density (mean Hounsfield units [HUs]) of alveolar bone and noise levels (mean standard deviation of HUs) was recorded from all datasets and measurements were compared by paired t tests and two-way ANOVA with repeated measures.

Results

Significant differences in density and noise were found between the reference dose/FBP protocol and almost all test combinations. Maximum mean differences in HU were 178.35 (bone kernel) and 273.74 (standard kernel), and in noise, were 243.73 (bone kernel) and 153.88 (standard kernel).

Conclusions

Decreasing radiation dose increased density and noise regardless of reconstruction technique and kernel. The effect of reconstruction technique on density and noise depends on the reconstruction kernel used.