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Research of low-kV CT examination protocol in pediatric congenital heart disease patients

Research Project

Project/Area Number 17K10364
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Radiation science
Research InstitutionKawasaki University of Medical Welfare

Principal Investigator

Sato Shuhei  川崎医療福祉大学, 医療福祉マネジメント学部, 教授 (30325104)

Project Period (FY) 2017-04-01 – 2020-03-31
Project Status Completed (Fiscal Year 2019)
Budget Amount *help
¥2,080,000 (Direct Cost: ¥1,600,000、Indirect Cost: ¥480,000)
Fiscal Year 2019: ¥780,000 (Direct Cost: ¥600,000、Indirect Cost: ¥180,000)
Fiscal Year 2018: ¥260,000 (Direct Cost: ¥200,000、Indirect Cost: ¥60,000)
Fiscal Year 2017: ¥1,040,000 (Direct Cost: ¥800,000、Indirect Cost: ¥240,000)
Keywords先天性心疾患 / 心臓CT / 放射線医学
Outline of Final Research Achievements

The purpose of this study was to evaluate the qualities of pediatric cardiovascular dual-source computed tomography (DSCT) images reconstructed by sinogram-affirmed iterative reconstruction (SAFIRE) and filtered back projection (FBP). We enrolled 287 children below 5 years of age with congenital heart diseases (CHD), referred to our department between August 2013 and March 2015. All images were reconstructed by FBP and SAFIRE. Attenuation, noise, and signal-to-noise ratio (SNR) at each region of the heart and great vessels were measured. Compared to FBP, reconstruction by SAFIRE showed that attenuation volume was lower by 0.4% except for ascending aorta (P < 0.05), noise value was lower by about 20% (P < 0.05) and SNR was higher by about 25% (P < 0.05). The radiation dose in the 70 kVp group was significantly lower compared to that in the 80 kVp group. No significant differences in SNR were observed between the 70 kVp and 80 kVp groups.

Academic Significance and Societal Importance of the Research Achievements

逐次近似再構成法を用いることで低線量でもノイズの少ないCT画像を得ることができる。今回我々は、従来使用されているfiltered back projection (FBP) と、逐次近似再構成法の一つであるsinogram-affirmed iterative reconstruction (SAFIRE) それぞれで再構成された小児心臓CT画像を後向きに検討した。その結果、SAFIREによってノイズは低減し、画質は向上した。これによって被曝線量の低減が可能である。この撮像法は、手術の前後で複数回のCTを撮影しなければならない先天性心疾患患児にとって有益であると考えられる。

Report

(4 results)
  • 2019 Annual Research Report   Final Research Report ( PDF )
  • 2018 Research-status Report
  • 2017 Research-status Report
  • Research Products

    (5 results)

All 2018 2017

All Journal Article (3 results) (of which Peer Reviewed: 3 results) Presentation (2 results) (of which Invited: 1 results)

  • [Journal Article] Image Evaluation of Free-breathing Navigator Echo and Triggered Cardiac-gated Delayed Myocardial Enhancement Magnetic Resonance Imaging in Sedated Infants2018

    • Author(s)
      Ryutaro Matsuura, Sachiko Goto, Shuhei Sato, Noriaki Akagi, Seiji Tahara
    • Journal Title

      Acta Medica Okayama

      Volume: 72 Issue: 3 Pages: 267-273

    • DOI

      10.18926/AMO/56072

    • NAID

      120006482821

    • URL

      https://ousar.lib.okayama-u.ac.jp/56072

    • Related Report
      2018 Research-status Report
    • Peer Reviewed
  • [Journal Article] Image Quality of Coronary Arteries on Non-electrocardiography-gated High-Pitch Dual-Source Computed Tomography in Children with Congenital Heart Disease2017

    • Author(s)
      Yuichiro Kanie, Shuhei Sato, Akihiro Tada, Susumu Kanazawa
    • Journal Title

      Pediatric Cardiology

      Volume: 38 Issue: 7 Pages: 1393-1399

    • DOI

      10.1007/s00246-017-1675-9

    • Related Report
      2017 Research-status Report
    • Peer Reviewed
  • [Journal Article] Evaluating Low-kV Dual-source CT Angiography by High-pitch Spiral Acquisition and Iterative Reconstruction in Pediatric Congenital Heart Disease Patients2017

    • Author(s)
      Yohei Marukawa, Shuhei Sato, Takashi Tanaka, Akihiro Tada, Yuichiro Kanie, Susumu Kanazawa
    • Journal Title

      Acta Medica Okayama

      Volume: 71 Issue: 5 Pages: 407-412

    • DOI

      10.18926/AMO/55438

    • NAID

      120006352360

    • URL

      https://ousar.lib.okayama-u.ac.jp/55438

    • Related Report
      2017 Research-status Report
    • Peer Reviewed
  • [Presentation] Evaluation of low-kV dual-source CT angiography by high-pitch spiral acquisition and iterative reconstruction in children with congenital heart diseases2017

    • Author(s)
      Yohei Marukawa, Shuhei Sato, Takashi Tanaka, Akihiro Tada, Yuichiro Kanie, Susumu Kanazawa
    • Organizer
      第76回日本医学放射線学会総会
    • Related Report
      2017 Research-status Report
  • [Presentation] 心臓CTー基礎から最新情報までー2017

    • Author(s)
      佐藤修平
    • Organizer
      日本小児循環器学会 第9回教育セミナー
    • Related Report
      2017 Research-status Report
    • Invited

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Published: 2017-04-28   Modified: 2021-02-19  

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