Elisabeth Shanblatt, Kishore Rajendran, Joseph Robert Swicklik, Thomas Allmendinger, Bernhard Schmidt, Thomas Flohr, Cynthia H McCollough, Shuai Leng
{"title":"Simultaneous ultra-high resolution multi-energy cardiac imaging in a dual-source photon counting detector CT system.","authors":"Elisabeth Shanblatt, Kishore Rajendran, Joseph Robert Swicklik, Thomas Allmendinger, Bernhard Schmidt, Thomas Flohr, Cynthia H McCollough, Shuai Leng","doi":"10.1093/bjr/tqaf069","DOIUrl":null,"url":null,"abstract":"<p><strong>Objectives: </strong>To assess quantitative and qualitative image characteristics in phantoms and patients using a simultaneous ultra-high resolution (UHR) and multi-energy (ME) dual-source cardiac scan mode in a photon counting detector (PCD) CT scanner.</p><p><strong>Methods: </strong>UHR-ME cardiac scans were performed to determine the spatial resolution and multi-energy performance. UHR reconstructions were completed to measure transverse and axial spatial resolution in terms of modulation transfer function (MTF) and slice sensitivity profile (SSP). Virtual monoenergetic images (VMIs), virtual non-contrast (VNC) images, and iodine concentration images were created using moderately sharp reconstruction kernels to assess ME performance. With IRB approval, coronary CT angiograms were acquired in 19 patients using the UHR-ME mode, from which iodine contrast-to-noise ratio (CNR) was measured. Various ME post-processing tasks were performed to show the utility of the spectral capabilities.</p><p><strong>Results: </strong>VMIs showed a mean CT number error of 5.9%, while iodine accuracy was 0.75 mg/cc (root-mean-square-error). Spatial resolution matched well with a standard UHR mode. Patient images showed a trend of higher CNR at lower keV, while higher keV images showed decreased calcium blooming. ME techniques to separate iodine and calcium were used successfully.</p><p><strong>Conclusions: </strong>The combination of UHR-ME cardiac mode retains UHR image quality while providing flexibility for ME post-processing.</p><p><strong>Advances in knowledge: </strong>Cardiac UHR-ME scanning offers simultaneous ultra-high-resolution and ME imaging without loss of spatial or temporal resolution or quantitative accuracy.</p>","PeriodicalId":9306,"journal":{"name":"British Journal of Radiology","volume":" ","pages":""},"PeriodicalIF":1.8000,"publicationDate":"2025-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"British Journal of Radiology","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1093/bjr/tqaf069","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING","Score":null,"Total":0}
引用次数: 0
Abstract
Objectives: To assess quantitative and qualitative image characteristics in phantoms and patients using a simultaneous ultra-high resolution (UHR) and multi-energy (ME) dual-source cardiac scan mode in a photon counting detector (PCD) CT scanner.
Methods: UHR-ME cardiac scans were performed to determine the spatial resolution and multi-energy performance. UHR reconstructions were completed to measure transverse and axial spatial resolution in terms of modulation transfer function (MTF) and slice sensitivity profile (SSP). Virtual monoenergetic images (VMIs), virtual non-contrast (VNC) images, and iodine concentration images were created using moderately sharp reconstruction kernels to assess ME performance. With IRB approval, coronary CT angiograms were acquired in 19 patients using the UHR-ME mode, from which iodine contrast-to-noise ratio (CNR) was measured. Various ME post-processing tasks were performed to show the utility of the spectral capabilities.
Results: VMIs showed a mean CT number error of 5.9%, while iodine accuracy was 0.75 mg/cc (root-mean-square-error). Spatial resolution matched well with a standard UHR mode. Patient images showed a trend of higher CNR at lower keV, while higher keV images showed decreased calcium blooming. ME techniques to separate iodine and calcium were used successfully.
Conclusions: The combination of UHR-ME cardiac mode retains UHR image quality while providing flexibility for ME post-processing.
Advances in knowledge: Cardiac UHR-ME scanning offers simultaneous ultra-high-resolution and ME imaging without loss of spatial or temporal resolution or quantitative accuracy.
期刊介绍:
BJR is the international research journal of the British Institute of Radiology and is the oldest scientific journal in the field of radiology and related sciences.
Dating back to 1896, BJR’s history is radiology’s history, and the journal has featured some landmark papers such as the first description of Computed Tomography "Computerized transverse axial tomography" by Godfrey Hounsfield in 1973. A valuable historical resource, the complete BJR archive has been digitized from 1896.
Quick Facts:
- 2015 Impact Factor – 1.840
- Receipt to first decision – average of 6 weeks
- Acceptance to online publication – average of 3 weeks
- ISSN: 0007-1285
- eISSN: 1748-880X
Open Access option