Multienergy photon-counting K-edge imaging: potential for improved luminal depiction in vascular imaging.
The purpose of this study was to investigate whether spectral computed tomography (CT) has the potential to improve luminal depiction by differentiating among intravascular gadolinium-based contrast agent, calcified plaque, and stent material by using the characteristic k edge of gadolinium. A preclinical spectral CT scanner with a photon-counting detector and six energy threshold levels was used to scan a phantom vessel. A partially occluded stent was simulated by using a calcified plaque isoattenuated to a surrounding gadolinium chelate solution. The reconstructed images showed an effective isolation of the gadolinium with subsequent clear depiction of the perfused vessel lumen. The calcified plaque and the stent material are suppressed.
Feuerlein
Sebastian
S
Department of Diagnostic and Interventional Radiology, University of Ulm, Steinhoevelstrasse 9, 89075 Ulm, Germany. sfeuerlein@yahoo.com
Roessl
Ewald
E
Proksa
Roland
R
Martens
Gerhard
G
Klass
Oliver
O
Jeltsch
Martin
M
Rasche
Volker
V
Brambs
Hans-Juergen
HJ
Hoffmann
Martin H K
MH
Schlomka
Jens-Peter
JP
D017023:Coronary Angiography / Q000379:methods*; D005682:Gadolinium; D019047:Phantoms, Imaging; D017785:Photons; D015607:Stents; D014057:Tomography, X-Ray Computed / Q000295:instrumentation / Q000379:methods*
D005682:Gadolinium