Journal: Diagnostics
Article Title: Photon-Counting Computed Tomography Angiography of Carotid Arteries: A Topical Narrative Review with Case Examples
doi: 10.3390/diagnostics14182012
Figure Lengend Snippet: Spectral PCCT angiography of the carotid arteries; spectral capabilities. The figure shows 3 different modalities for the visualization performed with spectral PCCT angiography of the right and left carotid artery bifurcations; the vessels are automatically segmented and displayed in longitudinal orthogonal multiplanar views. The spectral imaging modalities are directly reconstructed as such from the scanner or switchable on the workstation; in the figure, the first row ( A ) represents the IODINE image, the middle row ( B ) represents the virtual non-contrast (VNC) image, and the lower row ( C ) represents the PureLumen image. The scan was performed on a commercial whole-body dual-source photon-counting CT scanner (NAEOTOM Alpha, Siemens Healthineers, Erlangen, Germany) with 0.2/0.4 mm slice thickness, 0.1/0.2 mm reconstruction increment, FOV 140–160 mm, resolution matrix of 512 × 512/1024 × 1024 pixels on the source axial reconstructions with a kernel filtering of Bv48-60 (vascular kernel medium-sharp) and with maximum intensity of Quantum Iterative Reconstruction (QIR 4). Abbreviations: CT = computed tomography; PCCT = photon-counting CT; KeV = Kilo-electron-Volt; FOV = field of view; ICA = internal carotid arteries; IOD = spectral mode with iodine image visualization; VNC = spectral mode with virtual non-contrast (elimination of iodine signal within the images; similar to a pre-contrast scan derived from a contrast enhanced scan); pure lumen = spectral mode with sole visualization luminal content/Iodine (more pure visualization that ignores calcifications as well).
Article Snippet: The clinically adopted reconstruction method is known as Quantum Iterative Reconstruction (QIR), developed by Siemens Healthineers (Erlangen, Germany).
Techniques: Imaging, Computed Tomography, Derivative Assay