Impact of energy threshold on material quantification of contrast agents in photon-counting CT

Jayasai R. Rajagopal, Pooyan Sahbaee, Ehsan Abadi, Ayele H. Negussie, William F. Pritchard, Brad J. Wood, Elizabeth C. Jones, Ehsan Samei

Research output: Chapter in Book/Report/Conference proceedingConference contributionpeer-review

2 Scopus citations

Abstract

The purpose of this study was to examine the effect of energy threshold selection on the quantification of contrast agents in photon-counting CT (PCCT). A phantom was devised consisting of vials of iodine (4, 8, 16 mg/mL), gadolinium (4, 8, 16 mg/mL), and bismuth (5, 10, 15 mg/mL) within a cylindrical water container. The phantom was scanned on a prototype photon-counting CT scanner. The detected photons were binned into two energy bins using a fixed lower threshold of 20 keV and an upper threshold that varied between 50 to 90 keV. An image containing all the spectral information (threshold 1) was examined along with both binned images. Images were evaluated for the mean and standard deviation of CT number in each vial and contrast-to-noise ratio (CNR) for each concentration. CT number values in the threshold 1 image remained mostly unchanged as energy threshold was increased. Vials of iodine and gadolinium had slightly higher CT numbers in lower energy bin images than the threshold 1 images, but the percentage difference varied slightly (6-37% for iodine and 5-22% for gadolinium) with energy threshold. In higher energy bin images, CT numbers were lower (20-68% for iodine and 10-59% for gadolinium) than threshold 1 and the difference decreased with increasing energy threshold. For bismuth, the percentage difference in the lower bin decreased (by 11-19%) with energy level while it increased (by 18-23%) in the upper bin. CNR varied only slightly in the lower energy bins and decreased with increasing energy threshold for all materials.

Original languageEnglish
Title of host publicationMedical Imaging 2019
Subtitle of host publicationPhysics of Medical Imaging
EditorsTaly Gilat Schmidt, Guang-Hong Chen, Hilde Bosmans
PublisherSPIE
ISBN (Electronic)9781510625433
DOIs
StatePublished - 2019
Externally publishedYes
EventMedical Imaging 2019: Physics of Medical Imaging - San Diego, United States
Duration: Feb 17 2019Feb 20 2019

Publication series

NameProgress in Biomedical Optics and Imaging - Proceedings of SPIE
Volume10948
ISSN (Print)1605-7422

Conference

ConferenceMedical Imaging 2019: Physics of Medical Imaging
Country/TerritoryUnited States
CitySan Diego
Period02/17/1902/20/19

Funding

This study was supported by the National Institutes of Health (NIH) Clinical Center Radiology and Imaging Sciences (RADIS), the National Institute of Biomedical Imaging and Bioengineering (NIBIB) and the NIH Intramural Research Program (NIH Z01 1ZID BC011242, and CL040015). The NIH and Siemens Medical Solutions have a Cooperative Research and Development Agreement providing financial and material support including the photon-counting CT system. The content of this manuscript does not necessarily reflect the views or policies of the Department of Health and Human Services, nor do mention of trade names, commercial products, or organizations imply endorsement by the United States Government.

Keywords

  • Computed tomography
  • Contrast agent
  • Material quantification
  • Photon-counting

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