Preprint Review Version 1 Preserved in Portico This version is not peer-reviewed

Photon-counting Detector CT in Vascular Imaging

Version 1 : Received: 19 October 2023 / Approved: 25 October 2023 / Online: 25 October 2023 (12:36:34 CEST)

A peer-reviewed article of this Preprint also exists.

Zanon, C.; Cademartiri, F.; Toniolo, A.; Bini, C.; Clemente, A.; Colacchio, E.C.; Cabrelle, G.; Mastro, F.; Antonello, M.; Quaia, E.; Pepe, A. Advantages of Photon-Counting Detector CT in Aortic Imaging. Tomography 2024, 10, 1-13. Zanon, C.; Cademartiri, F.; Toniolo, A.; Bini, C.; Clemente, A.; Colacchio, E.C.; Cabrelle, G.; Mastro, F.; Antonello, M.; Quaia, E.; Pepe, A. Advantages of Photon-Counting Detector CT in Aortic Imaging. Tomography 2024, 10, 1-13.

Abstract

Photon-counting Computed Tomography (PCCT) is a promising cardiovascular-imaging technique. Using detectors that count the number and energy of photons in multiple bins, PCCT offers several advantages over conventional CT, including a higher image quality, reduced contrast agent volume, radiation doses, and artifacts. Although PCCT is well established for cardiac imaging in assessing coronary artery disease, its application in vascular imaging remains limited. This review summarizes the available literature and provides an overview of the current use of PCCT for the diagnosis of vascular conditions. Of the 13 records selected in the initial search, 7 articles were included in the present review: 6 cohort studies and 1 case report. This review synthesized the available literature on PCCT in vascular imaging, focusing mainly on endoleaks detection and characterization after endovascular aneurysm repair (EVAR), contrast dose volume, and radiation exposure reduction, particularly in patients with chronic kidney disease and in those requiring follow-up CT.

Keywords

Vascular; Photon-counting; CT Angiography; Dose Exposure; Contrast Agents; EVAR; Aorta; Endoleaks

Subject

Medicine and Pharmacology, Cardiac and Cardiovascular Systems

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