Photon-counting computed tomography (PCCT) has been attracting attention recently, as a potential alternative to the conventional computed tomography (CT). With PCCT, the photon energy can be obtained, and the amount of exposure can be reduced compared with the conventional CT. We developed a detector system composed of a scintillator and multi-pixel photon counter (MPPC). This makes the system simple and inexpensive compared with the semiconductor-based PCCT, like CdTe and CZT. In this study, we propose estimating electron density for radiation therapy planning using a six-threshold MPPC-based photon-counting detector. Electron density is an essential information for determining beam energy in radiation therapy planning. Therefore, accurate electron density estimation is required. The estimation method used in this study is based on the method proposed by Saito et al. (2012) PCCT images of electron-density-known phantoms were acquired, and information of the two out of the six energy bands was used for estimation. As a result, we succeeded in estimating the electron density with an accuracy of 4.59% root-mean-square error. However, the lung phantoms, which had a relatively low electron density, still had a large deviation from the true value. In addition, dual-energy CT and PCCT estimation results were compared. PCCT results has not yet surpassed the accuracy of dual-energy CT (DECT) results; however, the high electron density materials were obtained almost at the same level of accuracy. In future, we will continue to work on more accurate electron density estimation using multiple energy band information.
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