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With the photon-counting detector, it's also bringing excitement with new

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possibilities.

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The possibilities such as beam hardening reduction is

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dramatically positive with the photon-counting detector.

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This is a mandible image with low energy and

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with high energy, and the total energy, the image quality

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is quite dramatically improved.

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What about the radiation dose?

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Because with the image noise level lower, it provides an

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opportunity to reduce radiation dose further.

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Compared to conventional CT, smaller detector element size in

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photon can be used two ways.

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Either you can increase the spatial resolution at similar

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radiation dose and noise,

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or I can lower the radiation dose at similar spatial

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resolution and noise level as in energy detector.

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Depending on the task, the photon-counting detector has a

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potential to reduce radiation dose by nearly

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30% to 60%, which is further

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advantage of using CTs in our

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clinic. Here's an example of a spatial

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resolution of a stent or a calcification.

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As shown with the photon-counting detector, there are

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different modes. One is a standard mode, and here's the sharp mode, which

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clearly shows the distinction of the plaque or

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the other objects in the body.

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There is also new possibility of introducing new agent because many new agents have

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been examined, because historically, the only contrast

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agents used in X-rays or CT is barium and iodine.

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With photon-counting CTs, there are other new contrast agents have been

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considered and examined as we are

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watching with the photon-counting CT systems.

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Another major advantage is the metal artifact reduction.

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As you can see here, this is the streak artifact produced by the energy

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detector on the left-hand side.

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On the right-hand side, the same images obtained with the photon-counting

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detector see a dramatic decrease in the particular screw,

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therefore, further enabling the radiologist to do the diagnosis in the right

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way.

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In summary, what we see in the photon-counting

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CT is it will allow for reduced radiation exposure,

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increased spatial resolution, correction of beam hardening artifact,

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and alternate contrast agent protocol while creating

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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