Image quality assessment of artificial intelligence iterative reconstruction for low dose unenhanced abdomen: comparison with hybrid iterative reconstruction.

Objectives: To assess the impact of artificial intelligence iterative reconstruction algorithms (AIIR) on image quality with phantom and clinical studies. Methods: The phantom images were reconstructed with the hybrid iterative algorithm (HIR: Karl 3D-3, 5, 7, 9) and AIIR (grades 1–5) algorithm. Noi...

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Publicado en:Abdominal Radiology Vol. 50; no. 7; pp. 3353 - 3363
Autores principales: Qi, Hui, Cui, Dingye, Xu, Shijie, Li, Wei, Zeng, Qingshi
Formato: Journal Article
Publicado: Springer Nature Jul2025
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jul2025
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      pub: Springer Nature
      place: New York, New York
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        10.1007/s00261-024-04760-4
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        atl: Image quality assessment of artificial intelligence iterative reconstruction for low dose unenhanced abdomen: comparison with hybrid iterative reconstruction.
      aug:
        au:
          Qi, Hui
          Cui, Dingye
          Xu, Shijie
          Li, Wei
          Zeng, Qingshi
        affil: https://ror.org/03wnrsb51 Department of Radiology, The First Affiliated Hospital of Shandong First Medical University & Shandong Provincial Qianfoshan Hospital, Shandong Lung Cancer Institute, Shandong Institute of Neuroimmunology, Jinan, China
      sug:
      ab: Objectives: To assess the impact of artificial intelligence iterative reconstruction algorithms (AIIR) on image quality with phantom and clinical studies. Methods: The phantom images were reconstructed with the hybrid iterative algorithm (HIR: Karl 3D-3, 5, 7, 9) and AIIR (grades 1–5) algorithm. Noise power spectra (NPS), task transfer functions (TTF) were measured, and additionally sharpness was assessed using a "blur metric" procedure. Sixty-two consecutive patients underwent standard-dose and low-dose unenhanced abdominal computed tomography (CT) scans, i.e., SDCT and LDCT groups, respectively. The SDCT images reconstructed using the Karl 3D-5, and the LDCT images reconstructed using the Karl 3D-5 and the AIIR-3 and 5, respectively. CT values, standard deviation (SD), signal-to-noise ratio (SNR), and contrast-to-noise ratio (CNR) were assessed for hepatic parenchyma and paravertebral muscles. Images were independently evaluated by two radiologists for image-quality, noise, sharpness, and lesion diagnostic confidence. Results: In the phantom study, AIIR algorithm provided higher TTF50% and NPS average spatial frequency compared to HIR. In the clinical study, there was no statistically significant difference in CT values among the four reconstruction images (p > 0.05). The LDCT group AIIR-3 obtained the lowest SD values and the highest mean CNR and SNR values compared to the other three groups (p < 0.05). For qualitative assessment, the image subjective characteristic scores of AIIR-5 in the LDCT group, compared with the SDCT group, were not statistically significant (p > 0.05). Conclusions: AIIR reduces radiation dose levels by approximately 78% and still maintains the image quality of unenhanced abdominal CT compared to HIR with SDCT. The trial registration number: NCT06142539.
      pubtype: Academic Journal
      doctype: Journal Article
      ougenre: Article
    language: English
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