Application of deep learning image reconstruction in low-dose chest CT scan

Objective: Deep learning image reconstruction (DLIR) is a new reconstruction method for maintaining image quality at reduced radiation dose. The purpose of this study was to compare image quality of reduced-dose DLIR images with the standard-dose adaptive statistical iterative reconstruction (ASIR-V) images in chest CT. Methods: Our prospective study included 48 adult patients (30women and 18 men, mean age +/- SD, 49.8 +/- 14.3 years) who underwent both the standard-dose CT (SDCT) and low-dose CT (LDCT) on a GE Revolution CT scanner. All patients gave written informed consent. All scans were reconstructed with ASIR-V40%. Additionally, LDCT scans were reconstructed with DLIR with high-setting (DLIR-H) and medium-setting (DLIR-M). Image noise and contrast-noise-ratio (CNR) of thoracic aorta with different reconstruction modes were measured and compared. Results: LDCT reduced radiation dose by 96% compared with SDCT (CTDIvol: 0.54mGy vs 12.46mGy). In LDCT, DLIR significantly reduced image noise compared with the state-of-the-art ASIR-V40% with DLIR-H provided the lowest image noise and highest image quality score. In addition, the image noise, CNR of aorta and overall image quality of the low-dose DLIR-H images did not have significant difference compared with the SDCT ASIR-V40% images (all p > 0.05). Conclusion: DLIR significantly reduces image noise in LDCT chest scans and provides similar image quality as the SDCT ASIR-V images at 4% of the radiation dose. Advances in knowledge: DLIR uses high-quality FBP data to train deep neural networks to learn how to distinguish between signal and noise, and effectively suppresses noise without affecting anatomical and pathological structures. It opens a new era of CT image reconstruction. DLIR significantly reduces image noise and improves image quality compared with ASIR-V40% under same radiation dose condition. DLIR-H achieves similar image quality at 4% radiation dose as ASIR-V40% at standard-dose level in non-contrast chest CT.