Feasibility of multi‐contrast imaging on dual‐source photon counting detector (PCD) CT: An initial phantom study
Authors: Tao Shengzhen , Rajendran Kishore , McCollough Cynthia H. , Leng Shuai 
Published: June 2019

PurposePhoton‐counting‐detector‐computed tomography (PCD‐CT) allows separation of multiple, simultaneously imaged contrast agents, such as iodine (I), gadolinium (Gd), and bismuth (Bi). However, PCDs suffer from several technical limitations such as charge sharing, K‐edge escape, and pulse pile‐up, which compromise spectral separation of multi‐energy data and degrade multi‐contrast imaging performance. The purpose of this work was to determine the performance of a dual‐source (DS) PCD‐CT relative to a single‐source (SS) PCD‐CT for the separation of simultaneously imaged I, Gd, and Bi contrast agents.MethodsPhantom experiments were performed using a research whole‐body PCD‐CT and head/abdomen‐sized phantoms containing vials of different I, Gd, Bi concentrations. To emulate a DS‐PCD‐CT, the phantoms were scanned twice on the SS‐PCD‐CT using different tube potentials for each scan. A tube potential of 80 kV (energy thresholds = 25/50 keV) was used for low‐energy tube, while the high‐energy tube used Sn140 kV (Sn indicates tin filter) and thresholds of 25/90 keV. The same phantoms were scanned also on the SS‐PCD‐CT using the chess acquisition mode. In chess mode, the 4 × 4 subpixels within a macro detector pixel are split into two sets based on a chess‐board pattern. With each subpixel set having two energy thresholds, chess mode allows four energy‐bin data sets, which permits simultaneous multi‐contrast imaging. Because of this design, only 50% area of each detector pixel is configured to receive photons of a pre‐defined threshold, leading to 50% dose utilization efficiency. To compensate for this dose inefficiency, the radiation dose for this scan was doubled compared to DS‐PCD‐CT. A 140 kV tube potential and thresholds = 25/50/75/90 keV were used. These settings were determined based on the K‐edges of Gd, and Bi, and were found to yield good differentiation of I/Gd/Bi based on phantom experiments and other literature. The energy‐bin images obtained from each scan (scan pair) were used to generate I‐, Gd‐, Bi‐specific image via material decomposition. Root‐mean‐square‐error (RMSE) between the known and measured concentrations was calculated for each scenario. A 20‐cm water cylinder phantom was scanned on both systems, which was used for evaluating the magnitude of noise, and noise power spectra (NPS) of I/Gd/Bi‐specific images.ResultsPhantom results showed that DS‐PCD‐CT reduced noise in material‐specific images for both head and body phantoms compared to SS‐PCD‐CT. The noise level of SS‐PCD was reduced from 2.55 to 0.90 mg/mL (I), 1.97 to 0.78 mg/mL (Gd), and 0.85 to 0.74 mg/mL (Bi) using DS‐PCD. NPS analysis showed that the noise texture of images acquired on both systems is similar. For the body phantom, the RMSE for SS‐PCD‐CT was reduced relative to DS‐PCD‐CT from 10.52 to 2.76 mg/mL (I), 7.90 to 2.01 mg/mL (Gd), and 1.91 to 1.16 mg/mL (Bi). A similar trend was observed for the head phantom: RMSE reduced from 2.59 (SS‐PCD) to 0.72 (DS‐PCD) mg/mL (I), 2.02 to 0.58 mg/mL (Gd), and 0.85 to 0.57 mg/mL (Bi).ConclusionWe demonstrate the feasibility of performing simultaneous imaging of I, Gd, and Bi materials on DS‐PCD‐CT. Under the condition without cross scattering, DS‐PCD reduced the RMSE for quantification of material concentration in relative to a SS‐PCD‐CT system using chess mode.