Dose reduction with adaptive statistical iterative reconstruction for paediatric CT: phantom study and clinical experience on chest and abdomen CT.

OBJECTIVES: To assess the benefit and limits of iterative reconstruction of paediatric chest and abdominal computed tomography (CT). METHODS: The study compared adaptive statistical iterative reconstruction (ASIR) with filtered back projection (FBP) on 64-channel MDCT. A phantom study was first performed using variable tube potential, tube current and ASIR settings. The assessed image quality indices were the signal-to-noise ratio (SNR), the noise power spectrum, low contrast detectability (LCD) and spatial resolution. A clinical retrospective study of 26 children (M:F = 14/12, mean age: 4 years, range: 1-9 years) was secondarily performed allowing comparison of 18 chest and 14 abdominal CT pairs, one with a routine CT dose and FBP reconstruction, and the other with 30 % lower dose and 40 % ASIR reconstruction. Two radiologists independently compared the images for overall image quality, noise, sharpness and artefacts, and measured image noise. RESULTS: The phantom study demonstrated a significant increase in SNR without impairment of the LCD or spatial resolution, except for tube current values below 30-50 mA. On clinical images, no significant difference was observed between FBP and reduced dose ASIR images. CONCLUSION: Iterative reconstruction allows at least 30 % dose reduction in paediatric chest and abdominal CT, without impairment of image quality. KEY POINTS: • Iterative reconstruction helps lower radiation exposure levels in children undergoing CT. • Adaptive statistical iterative reconstruction (ASIR) significantly increases SNR without impairing spatial resolution. • For abdomen and chest CT, ASIR allows at least a 30 % dose reduction.

First Report of Phytophthora capsici Causing Wilt on Hydropronically Grown Cucumber in Mexico.

During August 2005, wilted cucumber (Cucumis sativus cv. Tasty Green) plants were observed in a commercial greenhouse with a closed hydroponic system in the state of Mexico. Disease incidence was 50%. Diseased plants were detected 15 days after transplanting, when plants were overwatered. Yield was severely reduced when disease affected mature plants. Wilted plants showed basal stem lesions and root rot. Phytophthora capsici was consistently isolated from diseased tissue on corn meal agar (CMA) with tartaric acid. Oomycete identification was based on sporangial and gametangial characteristics (2). Sporangia produced on blocks of CMA at 25°C were spherical, broadly ellipsoid or obovoid with one papillae, and deciduous with a long pedicel (1). The isolates were heterothallic, and oogonia with amphigynous antheridia were observed in pairings with an A1 isolate of P. capsici, therefore, the isolates were determined to be an A2. Pathogenicity tests were conducted on 2-month-old cucumber seedlings under controlled conditions (25°C). Inoculation was performed by placing small pieces of agar with mycelium of 5- to 7-day-old cultures on the stem base and wrapping with Parafilm. Control plants were inoculated with CMA agar. No symptoms were observed on the control. Plants inoculated with the P. capsici isolated from the diseased cucumbers showed a basal stem lesion, followed by wilting and death 7 to 14 days after inoculation. The isolate was also pathogenic on tomato and eggplant that were grown at the same time in the commercial greenhouse sharing the nutrient solution. P. capsici sporangia were observed on the roots of both hosts. To our knowledge, this is the first report of P. capsici affecting cucumber in a hydroponics system in Mexico. References: (1) M. Aragaki and J. Y. Uchida. Mycologia 93:137, 2001. (2) D. C. Erwin and O. K. Ribeiro. Phytophthora Diseases Worldwide. The American Phytopathological Society. St. Paul MN, 1996.