ABSTRACT
OBJECTIVES: Our aim was to assess the effect of adaptive statistical iterative reconstruction (ASIR) on pediatric head computed tomography (CT) examinations. METHODS: We retrospectively reviewed 305 pediatric head CT examinations. The study population consisted of standard dose (STD, n = 152) examinations reconstructed with filtered back projection and low dose (LD, n = 153) examinations reconstructed with 30% (LD30) and 0% (LD0) ASIR. We compared groups by means of radiation dose, noise measures, and visual grading. Student t test, 1-way analysis of variance test, and Mann-Whitney U test were used for statistical analysis. RESULTS: The dose in the LD30 group was significantly lower (29%) than that in the STD group (P < 0.001). The noise in the white matter (P < 0.001), SNR (P < 0.001), and subjective image noise (P = 0.044) was significantly better in the STD group than those in the LD30 group. There was no significant difference between LD30 and STD groups in the sharpness (P = 0.141), diagnostic acceptability (P = 0.079), and artifacts (P = 0.750) and contrast-to-noise ratio (P = 0.718). CONCLUSIONS: In conclusion, we found that a blend of 30% ASIR in a 16-slice multidetector CT produces diagnostically acceptable pediatric head CT examinations with a 29% less dose.
Subject(s)
Head/diagnostic imaging , Tomography, X-Ray Computed/methods , Adolescent , Analysis of Variance , Child , Child, Preschool , Female , Humans , Infant , Infant, Newborn , Male , Radiation Dosage , Radiographic Image Interpretation, Computer-Assisted , Retrospective Studies , Statistics, NonparametricABSTRACT
Complex composite odontoma is a rare benign odontogenic hamartoma seen in association with a primary tooth. Although it is seen most frequently between 10-19 years of age, here we present a lesion of unusual size in the mandible of a 6-year-old boy and report its clinical, radiographic, CT and histologic findings. Also, we discuss the value of three dimensional images.
