Korean J Radiol.  2021 Jan;22(1):86-96. 10.3348/kjr.2020.0144.

Spectral Computed Tomography: Fundamental Principles and Recent Developments

Affiliations
  • 1Imaging Program, Lawson Health Research Institute, London, Canada
  • 2Department of Medical Biophysics, University of Western Ontario, London, Canada
  • 3Department of Emergency and Trauma Imaging, Vancouver General Hospital, Vancouver, Canada
  • 4Department of Radiology, University of British Columbia, Vancouver, Canada

Abstract

CT is a diagnostic tool with many clinical applications. The CT voxel intensity is related to the magnitude of X-ray attenuation, which is not unique to a given material. Substances with different chemical compositions can be represented by similar voxel intensities, making the classification of different tissue types challenging. Compared to the conventional singleenergy CT, spectral CT is an emerging technology offering superior material differentiation, which is achieved using the energy dependence of X-ray attenuation in any material. A specific form of spectral CT is dual-energy imaging, in which an additional X-ray attenuation measurement is obtained at a second X-ray energy. Dual-energy CT has been implemented in clinical settings with great success. This paper reviews the theoretical basis and practical implementation of spectral/dualenergy CT.

Keyword

X-rays; Computed tomography; Spectral; Dual energy
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