Photon Counting CT - A New Era in CT Scanning.

imhotep

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    Photon Counting CT's are increasingly being used in many countries across the World. Photon-Counting Computed Tomography (PCCT) is a new technology that enables higher spatial resolution compared to conventional CT techniques, energy resolved imaging and spectral post-processing. This leads to improved contrast-to-noise ratio, artifact and potential dose reduction as well as elimination of electronic noise. Since the introduction of clinical PCCT in 2021, a shift has been observed from solely pre-clinical studies, clinical research to clinical use.

    It's a Quantum Leap in Computed Tomography. The purest Cadmium Telluride crystal in the world laid the basis for this technology. (Also note that CdTe in thin film can be used in flexible Solar Panels and the US leads the research & production on these)

    All medical CT systems today are equipped with solid‐state scintillation detectors. In a two‐step conversion process, the absorbed X‐rays are first converted into visible light in the scintillation crystal. The light is then converted into an electrical signal by a photodiode attached to the backside of each detector cell.

    The low‐level analog electric signal of the photodiodes is susceptible to electronic noise, which sets an ultimate limit to potential further radiation dose reduction.
    At the same time, it is problematic to significantly increase the spatial resolution of solid‐state scintillation detectors beyond today’s performance levels.
    As part of this two‐step conversion process, the light created by thousands of X-ray photons is accumulated over the integration time and measured as a whole, thereby losing the spectral information of the incoming signal.

    Photon-counting detectors, by contrast, can directly transform X‐ray photons into electrical signals.

    In a direct conversion process, the absorbed X‐rays create electron‐hole pairs in the semiconductor. The charges are separated in a strong electric field between cathode on top and pixelated anode electrodes at the bottom of the detector.
    Compared to solid‐state scintillation detectors, photon-counting detectors have several advantages. The individual detector cells are defined by the strong electric field between common cathode and pixelated anodes (Fig. 2), and there is no need for additional septa between the detector pixels to avoid optical cross talk inherent to scintillation detectors. The geometrical dose efficiency is, therefore, better than that of scintillation detectors and only reduced by the anti‐scatter collimator blades or grids that are also present in scintillation detectors. Furthermore, each “macro” detector pixel confined by collimator blades may be divided into smaller detector sub‐pixels which are read‐out separately to significantly increase spatial resolution.
    With a photon-counting detector being able to count the charges created by individual x‐Ray photons as well as measuring their energy level, we now have a detector that has intrinsic spectral sensitivity in every scan.

    Many major manufacturers like Siemens, Philips, Canon, GE & Toshiba have their own models available. Canon uses Cadmium Zinc Telluride (CZT). The addition of Zinc to Cadmium Telluride increases the detector’s ability to effectively capture photons, for greater dose efficiency.
    Perhaps it's easily explained by these short videos by Siemens.

    Part 1


    Part 2
     
    Last edited:

    Stimulus mind

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  • Feb 27, 2021
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    TFS සහෝ. :)👍

    වෙන රටවල අලුත් CT scan technologies හොයාගෙන ඒවා වැඩිදියුණු කරනවා. ඒකට මෙහෙ හොස්පිටල්වල තියෙන කැඩිච්ච CT,MRI machines ටිකවත් හදාගන්න බැරුව දගලනවා. :dull:😐😑
     

    imhotep

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    Yup, we can't afford this..
    Haven't got a clue on the price. Siemens invested quite heavily in the technology on their Naeotom Alpha, and it's relatively new. These will go down in cost later. Mount Elizabeth Hospital in Singapore recently upgraded with Naeotom units in their Radiology unit.

    Just a sample of a clinical image....




    Dual-source ultra-high resolution PCCT scans of a 73-year-old patient suspected of obstructive coronary artery disease A.
    Demonstrate calcifications in circumflex coronary artery with no significant stenosis as confirmed by angiography. B/C.
    Depiction of a stent in the left anterior descending with calcification outside of the stent is compressing the lumen. Mid-LAD a suspected stenosis was observed.

    TFS සහෝ. :)👍

    වෙන රටවල අලුත් CT scan technologies හොයාගෙන ඒවා වැඩිදියුණු කරනවා. ඒකට මෙහෙ හොස්පිටල්වල තියෙන කැඩිච්ච CT,MRI machines ටිකවත් හදාගන්න බැරුව දගලනවා. :dull:😐😑
    "According to the Government Radiological Technologists' Association, there are a total of 44 CT scan machines in government hospitals.

    Accordingly, twelve CT scan machines in the emergency unit of the National Hospital in Colombo, the others in the Kurunegala, Karapitiya, Trincomalee, Hambantota, Badulla, Ratnapura, Kalutara, Horana, National Dental Hospital, Sirimavo Bandaranaike Specialized Children's Hospital and Matara Hospital are not functioning, thus causing major inconveniences to patients and doctors as well.

    Some of these machines have not been in operation for months. All in all, it is the poor who have to bear the brunt of this issue as they cannot afford to go to private hospitals."
    ------ Post added on Jul 13, 2023 at 5:56 AM
     

    shenat

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  • May 13, 2007
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    ආශ්චර්යමත් රටක
    TFS සහෝ. :)👍

    වෙන රටවල අලුත් CT scan technologies හොයාගෙන ඒවා වැඩිදියුණු කරනවා. ඒකට මෙහෙ හොස්පිටල්වල තියෙන කැඩිච්ච CT,MRI machines ටිකවත් හදාගන්න බැරුව දගලනවා. :dull:😐😑

    MRI, CT scanners රටේ තියෙන්නෙ කීයෙන් කීයද බලපන්කො. මුලු රටටම MRI machines(CT ද කියල මතක නෑ) 5ක් වත් නැද්ද කොහෙද. දකුණු පලාතෙන්ම තියෙන්නෙ කරාපිටියෙ විතරයි. බහුතර පළාත් වලට වත් එකක් වත් නෑ දන්න තරමට.

    හැබැයි ඊට වඩා වියදම් කරනවා මන්ත්‍රීලට වාහන ගේන්න ජනතාවගෙ බදු සල්ලි.
     

    imhotep

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    CT Scan hoda nahalu neda ban. 5k withara podi kale karoth baduma thamai cancer or lukemia lu
    Yes.. There's a certain associated risk, but not very high. The higest significant risk is for thyroid cancer and leukemia. Also note that modern ultra-low dose CTs use very low radiation levels.
    Of course the exposure depends on the imaging protocol but typically 0.2 mSv (millisieverts) to 0.6 mSv. Note that environmental radiation in our daily lives, totals to about 2 millisieverts per year.
    Always better to avoid unnecessary X-rays & CTs.
     

    kandahar

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  • Mar 19, 2011
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    Yes.. There's a certain associated risk, but not very high. The higest significant risk is for thyroid cancer and leukemia. Also note that modern ultra-low dose CTs use very low radiation levels.
    Of course the exposure depends on the imaging protocol but typically 0.2 mSv (millisieverts) to 0.6 mSv. Note that environmental radiation in our daily lives, totals to about 2 millisieverts per year.
    Always better to avoid unnecessary X-rays & CTs.
    Ow Hama demakama side effects thiyenawane. Aduma CT 10k wath karanna oni athi sure Karala cancer ekak hadaganna
     
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    Emios

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    Yes.. There's a certain associated risk, but not very high. The higest significant risk is for thyroid cancer and leukemia. Also note that modern ultra-low dose CTs use very low radiation levels.
    Of course the exposure depends on the imaging protocol but typically 0.2 mSv (millisieverts) to 0.6 mSv. Note that environmental radiation in our daily lives, totals to about 2 millisieverts per year.
    Always better to avoid unnecessary X-rays & CTs.
    Asiri eke un nan dose balanne ne.hariyata image eka enakan hithe hatiyata karakawanawa:lol:

    CT Scan hoda nahalu neda ban. 5k withara podi kale karoth baduma thamai cancer or lukemia lu
    Pissuda ban ita wada radiation enawa flight attendentlata.
    ------ Post added on Oct 27, 2023 at 5:25 PM
     

    warwickuni

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  • May 21, 2008
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    TFS සහෝ. :)👍

    වෙන රටවල අලුත් CT scan technologies හොයාගෙන ඒවා වැඩිදියුණු කරනවා. ඒකට මෙහෙ හොස්පිටල්වල තියෙන කැඩිච්ච CT,MRI machines ටිකවත් හදාගන්න බැරුව දගලනවා. :dull:😐😑
    This is not a new phenomenon. These are prices we pay due to free health service. Our one and only Gama Ray Scintillator was one of the oldest in the world of that type two decades ago. Even Siemens who manufactured it gave lot to credit to its maintenance.
    When I asked about this from a Radiologist few years ago he said it is still working! Credit to technical officer who maintains it.
    another ex UOC got the first electron microscope from JAICA in 90s but now it is no more . we could not repair it and sold it for Rs 4000 I was told !
    So having everything free has its own price too!
     
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