We present an iterative transmission reconstruction algorithm based on prin
ciples used for block-iterative emission reconstruction. Filtered backproje
ction (FBP) is adequate for transmission CT image reconstruction under idea
l conditions. In cases where insufficient count rates are obtained, FBP suf
fers from significant biases. Our block-iterative transmission algorithm is
developed by analogy to ordered-subset emission CT algorithms. We, show si
milarities between our algorithm and a previously-proposed Ordered-Subset C
onvex (OSC) algorithm. Under ideal conditions, our block-iterative transmis
sion algorithm generates estimates of attenuation line integrals that are n
ot significantly different from those from FBP or OSC. In the case of very
low count-rate data, our block-iterative algorithm produces line integral e
stimates that are less biased than those from FBP and nearly identical to t
hose from OSC. We show that our algorithm is more computationally efficient
than OSC. We conclude that our block-iterative method is a viable alternat
ive to FBP and other iterative algorithms, especially under poor imaging co
nditions.