First-generation clinical dual-source photon-counting CT: ultra-low-dose quantitative spectral imaging
Objective Evaluation of image characteristics at ultra-low radiation dose levels of a first-generation dual-source photon-counting computed tomography (PCCT) compared to a dual-source dual-energy CT (DECT) scanner. Methods A multi-energy CT phantom was imaged with and without an extension ring on bo...
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| Vydáno v: | European radiology Ročník 32; číslo 12; s. 8579 - 8587 |
|---|---|
| Hlavní autoři: | , , , , , , , |
| Médium: | Journal Article |
| Jazyk: | angličtina |
| Vydáno: |
Berlin/Heidelberg
Springer Berlin Heidelberg
01.12.2022
Springer Nature B.V |
| Témata: | |
| ISSN: | 1432-1084, 0938-7994, 1432-1084 |
| On-line přístup: | Získat plný text |
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| Shrnutí: | Objective
Evaluation of image characteristics at ultra-low radiation dose levels of a first-generation dual-source photon-counting computed tomography (PCCT) compared to a dual-source dual-energy CT (DECT) scanner.
Methods
A multi-energy CT phantom was imaged with and without an extension ring on both scanners over a range of radiation dose levels (CTDI
vol
0.4–15.0 mGy). Scans were performed in different modes of acquisition for PCCT with 120 kVp and DECT with 70/Sn150 kVp and 100/Sn150 kVp. Various tissue inserts were used to characterize the precision and repeatability of Hounsfield units (HUs) on virtual mono-energetic images between 40 and 190 keV. Image noise was additionally investigated at an ultra-low radiation dose to illustrate PCCT’s ability to remove electronic background noise.
Results
Our results demonstrate the high precision of HU measurements for a wide range of inserts and radiation exposure levels with PCCT. We report high performance for both scanners across a wide range of radiation exposure levels, with PCCT outperforming at low exposures compared to DECT. PCCT scans at the lowest radiation exposures illustrate significant reduction in electronic background noise, with a mean percent reduction of 74% (
p
value ~ 10
−8
) compared to DECT 70/Sn150 kVp and 60% (
p
value ~ 10
−6
) compared to DECT 100/Sn150 kVp.
Conclusions
This paper reports the first experiences with a clinical dual-source PCCT. PCCT provides reliable HUs without disruption from electronic background noise for a wide range of dose values. Diagnostic benefits are not only for quantification at an ultra-low dose but also for imaging of obese patients.
Key Points
PCCT scanners provide precise and reliable Hounsfield units at ultra-low dose levels.
The influence of electronic background noise can be removed at ultra-low-dose acquisitions with PCCT.
Both spectral platforms have high performance along a wide range of radiation exposure levels, with PCCT outperforming at low radiation exposures. |
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| Bibliografie: | ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 14 content type line 23 |
| ISSN: | 1432-1084 0938-7994 1432-1084 |
| DOI: | 10.1007/s00330-022-08933-x |