Photon-counting computed tomography in radiology


ALGIN O., Tokgoz N., Cademartiri F.

Polish Journal of Radiology, cilt.89, ss.433-442, 2024 (ESCI, Scopus)

  • Yayın Türü: Makale / Derleme
  • Cilt numarası: 89
  • Basım Tarihi: 2024
  • Doi Numarası: 10.5114/pjr/191743
  • Dergi Adı: Polish Journal of Radiology
  • Derginin Tarandığı İndeksler: Emerging Sources Citation Index (ESCI), Scopus, Academic Search Premier
  • Sayfa Sayıları: ss.433-442
  • Anahtar Kelimeler: artifact, computed tomography (CT), dose reduction, multi-contrast imaging, photon counting detector (PCD)
  • Ankara Yıldırım Beyazıt Üniversitesi Adresli: Evet

Özet

Photon-counting detector computed tomography (PCD-CT) devices have recently been introduced into practice, despite photon-counting detector technology having been studied for many years. PCD-CT devices are expected to provide advantages in dose reduction, tissue specificity, artifact-free imaging, and multi-contrast demonstration capacity. Noise reduction and increased spatial resolution are expected using PCD-CT, even under challenging scanning conditions. Some experimental or preliminary studies support this hypothesis. This pictorial review illustrates the features of PCD-CT systems, particularly in the interventional field. PCD-CT offers superior image quality and better lesion discrimination than conventional CT techniques for various conditions. PCD-CT shows significant improvements in many aspects of vascular imaging. It is still in its early stages, and several challenges have been identified. Also, PCD-CT devices have some important caveats. The average cost of these devices is 3 to 4 times higher than conventional CT units. This additional cost must be justified by improved clinical benefits or reduced clinical harms. Further investigations will be needed to resolve these issues.