Stent appearance in a novel silicon-based photon-counting CT prototype: ex vivo phantom study in head-to-head comparison with conventional energy-integrating CT.

Phantoms (imaging) Semiconductors Stents Tomography (x-ray computed) Vascular diseases

Journal

European radiology experimental
ISSN: 2509-9280
Titre abrégé: Eur Radiol Exp
Pays: England
ID NLM: 101721752

Informations de publication

Date de publication:
25 04 2023
Historique:
received: 31 01 2023
accepted: 23 02 2023
medline: 27 4 2023
pubmed: 25 4 2023
entrez: 25 4 2023
Statut: epublish

Résumé

In this study, stent appearance in a novel silicon-based photon-counting computed tomography (Si-PCCT) prototype was compared with a conventional energy-integrating detector CT (EIDCT) system. An ex vivo phantom was created, consisting of a 2% agar-water mixture, in which human-resected and stented arteries were individually embedded. Using similar technique parameters, helical scan data was acquired using a novel prototype Si-PCCT and a conventional EIDCT system at a volumetric CT dose index (CTDI Qualitatively, Si-PCCT images were rated higher than EIDCT images at 150-mm FOV, based on stent appearance (p = 0.026) and blooming (p = 0.015), with a moderate inter- (ICC = 0.50) and intra-reader (ICC = 0.60) agreement. Quantitatively, Si-PCCT yielded more accurate diameter measurements (p = 0.001), reduced blooming (p < 0.001) and improved inter-stent distinction (p < 0.001). Similar trends were observed for the images reconstructed at 50-mm FOV. When compared to EIDCT, the improved spatial resolution of Si-PCCT yields enhanced stent appearance, more accurate diameter measurements, reduced blooming and improved inter-stent distinction. • This study evaluated stent appearance in a novel silicon-based photon-counting computed tomography (Si-PCCT) prototype. • Compared to standard CT, Si-PCCT resulted in more accurate stent diameter measurements. • Si-PCCT also reduced blooming artefacts and improved inter-stent visibility.

Sections du résumé

BACKGROUND
In this study, stent appearance in a novel silicon-based photon-counting computed tomography (Si-PCCT) prototype was compared with a conventional energy-integrating detector CT (EIDCT) system.
METHODS
An ex vivo phantom was created, consisting of a 2% agar-water mixture, in which human-resected and stented arteries were individually embedded. Using similar technique parameters, helical scan data was acquired using a novel prototype Si-PCCT and a conventional EIDCT system at a volumetric CT dose index (CTDI
RESULTS
Qualitatively, Si-PCCT images were rated higher than EIDCT images at 150-mm FOV, based on stent appearance (p = 0.026) and blooming (p = 0.015), with a moderate inter- (ICC = 0.50) and intra-reader (ICC = 0.60) agreement. Quantitatively, Si-PCCT yielded more accurate diameter measurements (p = 0.001), reduced blooming (p < 0.001) and improved inter-stent distinction (p < 0.001). Similar trends were observed for the images reconstructed at 50-mm FOV.
CONCLUSIONS
When compared to EIDCT, the improved spatial resolution of Si-PCCT yields enhanced stent appearance, more accurate diameter measurements, reduced blooming and improved inter-stent distinction.
KEY POINTS
• This study evaluated stent appearance in a novel silicon-based photon-counting computed tomography (Si-PCCT) prototype. • Compared to standard CT, Si-PCCT resulted in more accurate stent diameter measurements. • Si-PCCT also reduced blooming artefacts and improved inter-stent visibility.

Identifiants

pubmed: 37097376
doi: 10.1186/s41747-023-00333-0
pii: 10.1186/s41747-023-00333-0
pmc: PMC10130245
doi:

Substances chimiques

Silicon Z4152N8IUI

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

23

Informations de copyright

© 2023. The Author(s).

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Auteurs

Emma Verelst (E)

Department of Radiology, Vrije Universiteit Brussel (VUB), Universitair Ziekenhuis Brussel (UZB), Laarbeeklaan 101, 1090, Brussels, Belgium. emma.verelst@vub.be.

Nico Buls (N)

Department of Radiology, Vrije Universiteit Brussel (VUB), Universitair Ziekenhuis Brussel (UZB), Laarbeeklaan 101, 1090, Brussels, Belgium.

Johan De Mey (J)

Department of Radiology, Vrije Universiteit Brussel (VUB), Universitair Ziekenhuis Brussel (UZB), Laarbeeklaan 101, 1090, Brussels, Belgium.

Koenraad Hans Nieboer (KH)

Department of Radiology, Vrije Universiteit Brussel (VUB), Universitair Ziekenhuis Brussel (UZB), Laarbeeklaan 101, 1090, Brussels, Belgium.

Frans Vandenbergh (F)

Department of Radiology, Vrije Universiteit Brussel (VUB), Universitair Ziekenhuis Brussel (UZB), Laarbeeklaan 101, 1090, Brussels, Belgium.

Dominic Crotty (D)

GE Healthcare, Waukesha, WI, 53188, USA.

Paul Deak (P)

GE Healthcare, Waukesha, WI, 53188, USA.

Albert Sundvall (A)

Department of Medical Radiation Physics and Nuclear Medicine, Karolinska University Hospital, 171 76, Stockholm, Sweden.

Staffan Holmin (S)

Department of Clinical Neuroscience, Karolinska Institutet and Department of Neuroradiology, 171 74, Stockholm, Sweden.

Aron De Smet (A)

Anatomical Research Training and Education, Vrije Universiteit Brussel, 1090, Brussels, Belgium.

Steven Provyn (S)

Anatomical Research Training and Education, Vrije Universiteit Brussel, 1090, Brussels, Belgium.

Gert Van Gompel (G)

Department of Radiology, Vrije Universiteit Brussel (VUB), Universitair Ziekenhuis Brussel (UZB), Laarbeeklaan 101, 1090, Brussels, Belgium.

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Classifications MeSH