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Training Collections
Library Memberships
On-demand course library with video lectures, expert case reviews, and more
Fellowship Certificate™ Programs
Practice-focused training programs designed to help you gain experience in a specific subspecialty area.
Ultimate Learning Pass
Unlock access to our full Course Library and all self-paced Fellowships.
Continuing Medical Education (State CME)
Complete all of your state CME requirements in one convenient place.
Noon Conference (Free)
Get access to free live lectures, every week, from top radiologists.
Case of the Week (Free)
Get a free weekly case delivered right to your inbox.
Case Crunch: Rapid Case Review (Free)
Register for free live board reviews.
Dr. Resnick's MSK Conference
Learn directly from the MSK Master himself.
Lower Extremities MRI Conference
Musculoskeletal Imaging
For Training Programs
Supplement your training program with case-based learning for residents, registrars, fellows, and more.
For Private Practices
Upskill in high growth, advanced imaging areas.
Compliance
NewTrack, fulfill, and report on all your radiologists' credentialing and licensing requirements.
Emergency Call Prep
Prepare trainees to be on call for the emergency department with this specialized training series.
5 topics, 33 min.
10 topics, 57 min.
Fundamentals of CT Image Quality
4 m.Scan Parameters Impacting Radiation Dose and Image Quality - Tube Current (mA)
9 m.Scan Parameters Impacting Radiation Dose and Image Quality - Tube Voltage (kV)
11 m.Scan Parameters Impacting Radiation Dose and Image Quality - Scan Time
4 m.Scan Parameters Impacting Radiation Dose and Image Quality - Pitch
7 m.Scan Parameters Impacting Radiation Dose and Image Quality - Scanner Fundamentals
3 m.Scan Parameters Impacting Radiation Dose and Image Quality - Reconstruction Algorithms
4 m.Measures of Image Quality - Spatial Resolution
8 m.Measures of Image Quality - Contrast Resolution and Noise
5 m.Measures of Image Quality - Trade Offs
7 m.3 topics, 11 min.
4 topics, 19 min.
9 topics, 33 min.
Overview of CT Perfusion
4 m.Applications for CT Perfusion
2 m.How to Do CT Perfusion Safely
8 m.Overview of Dual Energy CT (DECT)
2 m.Techniques for Obtaining DECT
5 m.Advantages of DECT
5 m.Overview of Photon Counting CT (PCCT)
3 m.Energy Integrating Detector (EID) vs Photon Counting Detector (PCD)
7 m.Key Takeaways
3 m.1 topic, 1 min.
0:00
With the photon-counting detector, it's also bringing excitement with new
0:04
possibilities.
0:06
The possibilities such as beam hardening reduction is
0:10
dramatically positive with the photon-counting detector.
0:14
This is a mandible image with low energy and
0:18
with high energy, and the total energy, the image quality
0:22
is quite dramatically improved.
0:25
What about the radiation dose?
0:27
Because with the image noise level lower, it provides an
0:31
opportunity to reduce radiation dose further.
0:34
Compared to conventional CT, smaller detector element size in
0:38
photon can be used two ways.
0:41
Either you can increase the spatial resolution at similar
0:44
radiation dose and noise,
0:47
or I can lower the radiation dose at similar spatial
0:50
resolution and noise level as in energy detector.
0:55
Depending on the task, the photon-counting detector has a
0:59
potential to reduce radiation dose by nearly
1:03
30% to 60%, which is further
1:06
advantage of using CTs in our
1:10
clinic. Here's an example of a spatial
1:14
resolution of a stent or a calcification.
1:17
As shown with the photon-counting detector, there are
1:21
different modes. One is a standard mode, and here's the sharp mode, which
1:25
clearly shows the distinction of the plaque or
1:28
the other objects in the body.
1:32
There is also new possibility of introducing new agent because many new agents have
1:35
been examined, because historically, the only contrast
1:39
agents used in X-rays or CT is barium and iodine.
1:44
With photon-counting CTs, there are other new contrast agents have been
1:48
considered and examined as we are
1:52
watching with the photon-counting CT systems.
1:56
Another major advantage is the metal artifact reduction.
2:00
As you can see here, this is the streak artifact produced by the energy
2:04
detector on the left-hand side.
2:07
On the right-hand side, the same images obtained with the photon-counting
2:11
detector see a dramatic decrease in the particular screw,
2:15
therefore, further enabling the radiologist to do the diagnosis in the right
2:19
way.
2:21
In summary, what we see in the photon-counting
2:24
CT is it will allow for reduced radiation exposure,
2:29
increased spatial resolution, correction of beam hardening artifact,
2:33
and alternate contrast agent protocol while creating
2:36
opportunities for quantitative imaging.
Interactive Transcript
0:00
With the photon-counting detector, it's also bringing excitement with new
0:04
possibilities.
0:06
The possibilities such as beam hardening reduction is
0:10
dramatically positive with the photon-counting detector.
0:14
This is a mandible image with low energy and
0:18
with high energy, and the total energy, the image quality
0:22
is quite dramatically improved.
0:25
What about the radiation dose?
0:27
Because with the image noise level lower, it provides an
0:31
opportunity to reduce radiation dose further.
0:34
Compared to conventional CT, smaller detector element size in
0:38
photon can be used two ways.
0:41
Either you can increase the spatial resolution at similar
0:44
radiation dose and noise,
0:47
or I can lower the radiation dose at similar spatial
0:50
resolution and noise level as in energy detector.
0:55
Depending on the task, the photon-counting detector has a
0:59
potential to reduce radiation dose by nearly
1:03
30% to 60%, which is further
1:06
advantage of using CTs in our
1:10
clinic. Here's an example of a spatial
1:14
resolution of a stent or a calcification.
1:17
As shown with the photon-counting detector, there are
1:21
different modes. One is a standard mode, and here's the sharp mode, which
1:25
clearly shows the distinction of the plaque or
1:28
the other objects in the body.
1:32
There is also new possibility of introducing new agent because many new agents have
1:35
been examined, because historically, the only contrast
1:39
agents used in X-rays or CT is barium and iodine.
1:44
With photon-counting CTs, there are other new contrast agents have been
1:48
considered and examined as we are
1:52
watching with the photon-counting CT systems.
1:56
Another major advantage is the metal artifact reduction.
2:00
As you can see here, this is the streak artifact produced by the energy
2:04
detector on the left-hand side.
2:07
On the right-hand side, the same images obtained with the photon-counting
2:11
detector see a dramatic decrease in the particular screw,
2:15
therefore, further enabling the radiologist to do the diagnosis in the right
2:19
way.
2:21
In summary, what we see in the photon-counting
2:24
CT is it will allow for reduced radiation exposure,
2:29
increased spatial resolution, correction of beam hardening artifact,
2:33
and alternate contrast agent protocol while creating
2:36
opportunities for quantitative imaging.
Report
Faculty
Mahadevappa Mahesh, PhD, FACR, MS, FAAPM, FACMP, FSCCT, FIOMP
Professor of Radiology and Cardiology
Johns Hopkins University School of Medicine
Tags
Physics and Basic Science
Nuclear Medicine
CT
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