Evaluation of a noise reduction imaging technology in iliac digital subtraction angiography: noninferior clinical image quality with lower patient and scatter dose

Journal of Vascular and Interventional Radiology : JVIR
Marco J van StrijenMarc van Leersum

Abstract

To determine whether equivalent-quality images can be obtained from digital subtraction angiography (DSA) of the iliac artery after implementation of a novel imaging technology that reduces patient and scatter x-ray dose. Imaging using two randomly ordered DSA runs was performed in 51 adults scheduled for iliac artery angiography or intervention or both. One DSA run used standard acquisition chain and image processing algorithms (referred to as " reference DSA"), and the other DSA run used dose-reduction and real-time advanced image noise reduction technology (referred to as "study DSA"). The quality of each pair of runs, consecutively performed without changes in working projection or injection parameters, was independently rated by five radiologists blinded to the imaging technology used. Patient radiation dose was evaluated using air kerma and dose area product, and scatter dose was evaluated using three dosimeters (DoseAware, Philips Healthcare, Best, The Netherlands), located at fixed positions. Comparable image pairs were available in 48 patients. There were 44 patients undergoing treatment involving the common (n = 33) or external (n = 29) iliac arteries. Study DSA images were rated as equal to or better than reference D...Continue Reading

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Citations

Jan 9, 2016·The American Journal of Cardiology·Michael Lauterbach, Karl Eugen Hauptmann
Oct 26, 2016·Journal of Vascular Surgery·Melissa L KirkwoodCarlos Timaran
Oct 28, 2016·Journal of Interventional Cardiac Electrophysiology : an International Journal of Arrhythmias and Pacing·Joris D van DijkPieter L Jager
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Jan 15, 2016·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Quirina M B de RuiterJoost A van Herwaarden
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Apr 21, 2017·Vascular and Endovascular Surgery·Frederic BaumannJames B Benenati
Dec 25, 2019·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·Fiona RohlffsTilo Kölbel
Oct 16, 2021·Journal of Vascular and Interventional Radiology : JVIR·Rohit P ThomasAndreas H Mahnken

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