E-ISSN 1305-3612
Modality-based (US, CT, MRI, PET-CT) Imaging-Technical Note
Technical background of a novel detector-based approach to dual-energy computed tomography
1 Department of Diagnostic and Interventional Radiology, University Hospital Cologne, Institute for Diagnostic and Interventional Radiology, Cologne, Germany  
2 Philips Healthcare, R&D CT Innovation, Haifa, Israel  
3 Department of Radiology, University Hospital of Heidelberg, Heidelberg, Germany  
4 Department of Radiology, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA, USA  
Diagn Interv Radiol ; : -



Dual-energy information in computed tomography can be obtained through different technical approaches. Most available scanner designs acquire examination with two different X-ray spectra. Recently, the first detector-based approach became clinically available. Upfront, physical principles of dual-energy CT are reviewed, including the interaction of photons with matter in terms of the Photoelectric effect and Compton scattering. In addition, available concepts to dual energy computed tomography are described. Afterwards, the spectral detector CT system is described in detail. The design of the of the stacked detector design and its inherent technical advantages and disadvantages are discussed. Further, the principles of image reconstruction, their possibilities and limitations are referred. The increase in reconstructions and data pose some challenges to both, clinical and technological workflow which are hereafter addressed. Finally, the detector-based approach is discussed in light of other, emission-based DECT approaches.

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