TY - JOUR
T1 - Photon-counting detector computed tomography in cardiac imaging
AU - Sharma, Simran P
AU - Lemmens, Marie-Julie D K
AU - Smulders, Martijn W
AU - Budde, Ricardo P J
AU - Hirsch, Alexander
AU - Mihl, Casper
N1 - Publisher Copyright:
© The Author(s) 2024.
PY - 2024/10/2
Y1 - 2024/10/2
N2 - Photon-counting detector computed tomography (PCD-CT) has emerged as a revolutionary technology in CT imaging. PCD-CT offers significant advancements over conventional energy-integrating detector CT, including increased spatial resolution, artefact reduction and inherent spectral imaging capabilities. In cardiac imaging, PCD-CT can offer a more accurate assessment of coronary artery disease, plaque characterisation and the in-stent lumen. Additionally, it might improve the visualisation of myocardial fibrosis through qualitative late enhancement imaging and quantitative extracellular volume measurements. The use of PCD-CT in cardiac imaging holds significant potential, positioning itself as a valuable modality that could serve as a one-stop-shop by integrating both angiography and tissue characterisation into a single examination. Despite its potential, large-scale clinical trials, standardisation of protocols and cost-effectiveness considerations are required for its broader integration into clinical practice. This narrative review provides an overview of the current literature on PCD-CT regarding the possibilities and limitations of cardiac imaging.
AB - Photon-counting detector computed tomography (PCD-CT) has emerged as a revolutionary technology in CT imaging. PCD-CT offers significant advancements over conventional energy-integrating detector CT, including increased spatial resolution, artefact reduction and inherent spectral imaging capabilities. In cardiac imaging, PCD-CT can offer a more accurate assessment of coronary artery disease, plaque characterisation and the in-stent lumen. Additionally, it might improve the visualisation of myocardial fibrosis through qualitative late enhancement imaging and quantitative extracellular volume measurements. The use of PCD-CT in cardiac imaging holds significant potential, positioning itself as a valuable modality that could serve as a one-stop-shop by integrating both angiography and tissue characterisation into a single examination. Despite its potential, large-scale clinical trials, standardisation of protocols and cost-effectiveness considerations are required for its broader integration into clinical practice. This narrative review provides an overview of the current literature on PCD-CT regarding the possibilities and limitations of cardiac imaging.
UR - http://www.scopus.com/inward/record.url?scp=85205374707&partnerID=8YFLogxK
U2 - 10.1007/s12471-024-01904-5
DO - 10.1007/s12471-024-01904-5
M3 - Review article
C2 - 39356451
SN - 1568-5888
JO - Netherlands Heart Journal
JF - Netherlands Heart Journal
ER -