Technical challenges and benefits of photon counting detector computed tomography

Abstract

X-ray detector is the essential part of a computed tomography (CT) system that controls dose efficiency and image quality. All clinical CT scanners utilized scintillating detectors up until the first clinical photon-counting-detector (PCD) system was approved in 2021. These detectors do not record information about individual photons during the two-step detection process. PCDs, on the other hand, employ a single step process that transforms X-ray radiation straight into an electrical signal. This retains information on individual photons, allowing one to count the quantity of X-rays in various energy ranges. Better spatial resolution, reduced dosages of iodinated contrast material, enhanced iodine signal, enhanced radiation dose efficiency, and the lack of electronic noise are the main benefits of PCDs. PCDs with multiple energy thresholds are able to separate detected photons into two or more energy bins, allowing for the availability of energy-resolved data for each record. In the event of dual-source CT, this permits high pitch or high temporal resolution acquisitions in addition to high spatial resolution for tasks involving material quantification or classification. PCDCT imaging of anatomy, where excellent spatial resolution provides clinical benefit, is one of the most promising uses of the technology. Inner ear, bone, small blood artery, heart, and lung imaging are among them. Photon-counting CT will become the wave of the future for workhorse CT imaging systems. An overview of the PCDCT principle, possible clinical benefits, and limitations of conventional CT is provided in this review paper, along with potential future developments for this CT imaging technology.