Advances in application of photon-counting CT for pancreatic imaging

Photon-counting computed tomography (PCCT) is an advanced CT imaging technology based on novel photon-counting detectors. Compared to traditional energy-integrating detector CT (EID-CT), PCCT demonstrates significant advantages in radiation dose utilization efficiency, image spatial resolution, and...

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Main Author: HUANG Ruikun, YANG Yanzhao, CHAI Weimin
Format: Article
Language:zho
Published: Editorial Office of Journal of Diagnostics Concepts & Practice 2025-04-01
Series:Zhenduanxue lilun yu shijian
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Online Access:https://www.qk.sjtu.edu.cn/jdcp/fileup/1671-2870/PDF/1752188718535-407677225.pdf
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author HUANG Ruikun, YANG Yanzhao, CHAI Weimin
author_facet HUANG Ruikun, YANG Yanzhao, CHAI Weimin
author_sort HUANG Ruikun, YANG Yanzhao, CHAI Weimin
collection DOAJ
description Photon-counting computed tomography (PCCT) is an advanced CT imaging technology based on novel photon-counting detectors. Compared to traditional energy-integrating detector CT (EID-CT), PCCT demonstrates significant advantages in radiation dose utilization efficiency, image spatial resolution, and spectral resolution, and is expected to revolutionize imaging diagnostic paradigms for pancreatic diseases. This study systematically reviews the latest research advances in PCCT for pancreatic imaging, with a focus on its clinical application value in displaying fine pancreatic anatomical structures, visualizing the pancreas, surrounding vascular networks, and pancreaticobiliary systems, evaluating benign and malignant lesions, and quantitatively assessing tumor heterogeneity. The core technical principles of PCCT include physical characteristics such as high photon-flux processing by photon-counting detectors, K-edge imaging, and multi-energy threshold data acquisition modes. On this basis, this study summarizes optimization strategies for pancreatic imaging, including scan parameter settings and the clinical application of multimodal post-processing techniques. PCCT can effectively reduce radiation dose while overcoming the spatial resolution bottleneck, thereby improving the detection rate of cystic lesions. The low-energy monoenergetic reconstruction mode of PCCT can enhance the contrast of solid tumors and optimize the visualization of branching and tumor-feeding vessels. By integrating representative clinical studies and preliminary validation trials in recent years, this study further analyzes key challenges and corresponding strategies during the clinical translation of PCCT. Additionally, it explores the future directions of this technology in the precise diagnosis of pancreatic diseases, personalized treatment decision support, and the development of AI-big data models, aiming to provide a theoretical foundation and practical reference for promoting PCCT applications in the field of pancreatic imaging.
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spelling doaj-art-099c071b9a6d4c4a95b03a5b60e552f22025-08-20T03:44:08ZzhoEditorial Office of Journal of Diagnostics Concepts & PracticeZhenduanxue lilun yu shijian1671-28702025-04-01240211111710.16150/j.1671-2870.2025.02.001Advances in application of photon-counting CT for pancreatic imagingHUANG Ruikun, YANG Yanzhao, CHAI Weimin0Department of Radiology, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200025, ChinaPhoton-counting computed tomography (PCCT) is an advanced CT imaging technology based on novel photon-counting detectors. Compared to traditional energy-integrating detector CT (EID-CT), PCCT demonstrates significant advantages in radiation dose utilization efficiency, image spatial resolution, and spectral resolution, and is expected to revolutionize imaging diagnostic paradigms for pancreatic diseases. This study systematically reviews the latest research advances in PCCT for pancreatic imaging, with a focus on its clinical application value in displaying fine pancreatic anatomical structures, visualizing the pancreas, surrounding vascular networks, and pancreaticobiliary systems, evaluating benign and malignant lesions, and quantitatively assessing tumor heterogeneity. The core technical principles of PCCT include physical characteristics such as high photon-flux processing by photon-counting detectors, K-edge imaging, and multi-energy threshold data acquisition modes. On this basis, this study summarizes optimization strategies for pancreatic imaging, including scan parameter settings and the clinical application of multimodal post-processing techniques. PCCT can effectively reduce radiation dose while overcoming the spatial resolution bottleneck, thereby improving the detection rate of cystic lesions. The low-energy monoenergetic reconstruction mode of PCCT can enhance the contrast of solid tumors and optimize the visualization of branching and tumor-feeding vessels. By integrating representative clinical studies and preliminary validation trials in recent years, this study further analyzes key challenges and corresponding strategies during the clinical translation of PCCT. Additionally, it explores the future directions of this technology in the precise diagnosis of pancreatic diseases, personalized treatment decision support, and the development of AI-big data models, aiming to provide a theoretical foundation and practical reference for promoting PCCT applications in the field of pancreatic imaging.https://www.qk.sjtu.edu.cn/jdcp/fileup/1671-2870/PDF/1752188718535-407677225.pdf|x-ray computed tomography|photon-counting ct|pancreatic imaging
spellingShingle HUANG Ruikun, YANG Yanzhao, CHAI Weimin
Advances in application of photon-counting CT for pancreatic imaging
Zhenduanxue lilun yu shijian
|x-ray computed tomography|photon-counting ct|pancreatic imaging
title Advances in application of photon-counting CT for pancreatic imaging
title_full Advances in application of photon-counting CT for pancreatic imaging
title_fullStr Advances in application of photon-counting CT for pancreatic imaging
title_full_unstemmed Advances in application of photon-counting CT for pancreatic imaging
title_short Advances in application of photon-counting CT for pancreatic imaging
title_sort advances in application of photon counting ct for pancreatic imaging
topic |x-ray computed tomography|photon-counting ct|pancreatic imaging
url https://www.qk.sjtu.edu.cn/jdcp/fileup/1671-2870/PDF/1752188718535-407677225.pdf
work_keys_str_mv AT huangruikunyangyanzhaochaiweimin advancesinapplicationofphotoncountingctforpancreaticimaging