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光子计数探测器和多能量 CT 的方法、优势和挑战。

Approaches, advantages, and challenges to photon counting detector and multi-energy CT.

机构信息

Departments of Radiology and Medical Physics, University of Wisconsin School of Medicine and Public Health, 600 Highland Ave, Madison, WI, 53792, USA.

Department of Radiology, University of Washington, Seattle, WA, USA.

出版信息

Abdom Radiol (NY). 2024 Sep;49(9):3251-3260. doi: 10.1007/s00261-024-04357-x. Epub 2024 May 15.

DOI:10.1007/s00261-024-04357-x
PMID:38744702
Abstract

Photon counting detector CT (PCD-CT) is the newest major development in CT technology and has been commercially available since 2021. It offers major technological advantages over current standard-of-care energy integrating detector CT (EID-CT) including improved spatial resolution, improved iodine contrast to noise ratio, multi-energy imaging, and reduced noise. This article serves as a foundational basis to the technical approaches and concepts of PCD-CT technology with primary emphasis on detector technology in direct comparison to EID-CT. The article also addresses current technological challenges to PCD-CT with particular attention to cross talk and its causes (e.g., Compton scattering, fluorescence, charge sharing, K-escape) as well as pile-up.

摘要

光子计数探测器 CT(PCD-CT)是 CT 技术的最新重大进展,自 2021 年以来已商业化。与当前的标准护理能量积分探测器 CT(EID-CT)相比,它具有重大的技术优势,包括提高空间分辨率、提高碘对比噪声比、多能量成像和降低噪声。本文为 PCD-CT 技术的技术方法和概念提供了基础,主要侧重于与 EID-CT 的直接比较的探测器技术。本文还讨论了 PCD-CT 的当前技术挑战,特别关注串扰及其原因(例如康普顿散射、荧光、电荷共享、K 逃逸)以及堆积。

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本文引用的文献

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Med Phys. 2024 Apr;51(4):2924-2932. doi: 10.1002/mp.16992. Epub 2024 Feb 15.
2
Photon-counting CT urogram: optimal acquisition potential (kV) determination for virtual noncontrast creation.光子计数 CT 尿路造影:虚拟非对比创建的最佳采集潜能 (kV) 确定。
Abdom Radiol (NY). 2024 Mar;49(3):868-874. doi: 10.1007/s00261-023-04113-7. Epub 2023 Nov 25.
3
Photon-Counting CT Material Decomposition in Bone Imaging.
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J Imaging. 2023 Oct 2;9(10):209. doi: 10.3390/jimaging9100209.
4
Crohn's disease inflammation severity assessment with iodine density from photon counting CT enterography: comparison with endoscopic histopathology.基于能谱 CT 肠造影碘密度对克罗恩病炎症严重程度的评估:与内镜组织病理学的比较。
Abdom Radiol (NY). 2024 Jan;49(1):271-278. doi: 10.1007/s00261-023-04060-3. Epub 2023 Oct 9.
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Jpn J Radiol. 2024 Feb;42(2):158-164. doi: 10.1007/s11604-023-01485-0. Epub 2023 Aug 27.
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Insights Imaging. 2023 Jul 3;14(1):112. doi: 10.1186/s13244-023-01467-w.
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