Feasibility of lung imaging with a large field-of-view spectral photon-counting CT system

Copyright © 2021. Published by Elsevier Masson SAS..

PURPOSE: The purpose of this study was to characterize the technical capabilities and feasibility of a large field-of-view clinical spectral photon-counting computed tomography (SPCCT) prototype for high-resolution (HR) lung imaging.

MATERIALS AND METHODS: Measurement of modulation transfer function (MTF) and acquisition of a line pairs phantom were performed. An anthropomorphic lung nodule phantom was scanned with standard (120kVp, 62mAs), low (120kVp, 11mAs), and ultra-low (80kVp, 3mAs) radiation doses. A human volunteer underwent standard (120kVp, 63mAs) and low (120kVp, 11mAs) dose scans after approval by the ethics committee. HR images were reconstructed with 1024 matrix, 300mm field of view and 0.25mm slice thickness using a filtered-back projection (FBP) and two levels of iterative reconstruction (iDose 5 and 9). The conspicuity and sharpness of various lung structures (distal airways, vessels, fissures and proximal bronchial wall), image noise, and overall image quality were independently analyzed by three radiologists and compared to a previous HR lung CT examination of the same volunteer performed with a conventional CT equipped with energy integrating detectors (120kVp, 10mAs, FBP).

RESULTS: Ten percent MTF was measured at 22.3lp/cm with a cut-off at 31lp/cm. Up to 28lp/cm were depicted. While mixed and solid nodules were easily depicted on standard and low-dose phantom images, higher iDose levels and slice thicknesses (1mm) were needed to visualize ground-glass components on ultra-low-dose images. Standard dose SPCCT images of in vivo lung structures were of greater conspicuity and sharpness, with greater overall image quality, and similar image noise (despite a flux reduction of 23%) to conventional CT images. Low-dose SPCCT images were of greater or similar conspicuity and sharpness, similar overall image quality, and lower but acceptable image noise (despite a flux reduction of 89%).

CONCLUSIONS: A large field-of-view SPCCT prototype demonstrates HR technical capabilities and high image quality for high resolution lung CT in human.

Errataetall:

CommentIn: Diagn Interv Imaging. 2021 May;102(5):271-272. - PMID 33610504

Medienart:

E-Artikel

Erscheinungsjahr:

2021

Erschienen:

2021

Enthalten in:

Zur Gesamtaufnahme - volume:102

Enthalten in:

Diagnostic and interventional imaging - 102(2021), 5 vom: 18. Mai, Seite 305-312

Sprache:

Englisch

Beteiligte Personen:

Si-Mohamed, Salim [VerfasserIn]
Boccalini, Sara [VerfasserIn]
Rodesch, Pierre-Antoine [VerfasserIn]
Dessouky, Riham [VerfasserIn]
Lahoud, Elias [VerfasserIn]
Broussaud, Thomas [VerfasserIn]
Sigovan, Monica [VerfasserIn]
Gamondes, Delphine [VerfasserIn]
Coulon, Philippe [VerfasserIn]
Yagil, Yoad [VerfasserIn]
Boussel, Loïc [VerfasserIn]
Douek, Philippe [VerfasserIn]

Links:

Volltext

Themen:

IDose
Journal Article
Lung
Phantoms
Photon-counting detector
Tomography, X-ray computed

Anmerkungen:

Date Completed 20.07.2021

Date Revised 23.07.2021

published: Print-Electronic

CommentIn: Diagn Interv Imaging. 2021 May;102(5):271-272. - PMID 33610504

Citation Status MEDLINE

doi:

10.1016/j.diii.2021.01.001

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM321691849