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

  • Giuseppe V. Toia,
  • Achille Mileto,
  • Amir A. Borhani,
  • Guang-Hong Chen,
  • Liqiang Ren,
  • Jennifer W. Uyeda,
  • Daniele Marin

摘要

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.