Spectral Computed Tomography Essay

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One might ask, what is Spectral Computed Tomography (CT)? Spectral CT is a way for us as health professionals to add diagnostic value to our exams by using the full spectrum of an x-ray beam. To summarize, “Spectral CT acquires data sets at both low- and high-kVp settings” (Lentz 2014). Spectral CT was first studied back in the 1980’s, but Stefan Ulzheimer, PhD, said, “Because of various hurdles, it never made it into clinical practice” (Lentz 2014). John W. Steidley, PhD, states in his article Exploring the Spectrum, “While these exercises were of academic interest, CT detector technology at the time wasn’t yet advanced enough to separate the x-ray beam into its component spectrum” (Steidley 2008).
At the moment we have four ways of acquiring Spectral CT imaging. The four ways are; Sequential single-source multi-scan, sequential dual source scan, single-source dual-layer detector, and single-source photon counting. Sequential single-source multi-scan and sequential dual-source CT scanners focus on using two kVp energies with conventional detectors, where as the single-source dual-layer and single-source photon counting CT scanners focus on using a single kVp energy and use innovative spectral CT detectors to separate the x-ray beam spectrum (Steidley 2008).
Sequential single-source, multi-scan imaging is our simplest and oldest form of spectral imaging. An example of this method is to, “…simply acquire two scans-one at a low kVp and one at a high kVp setting.”(Steidley 2008). A benefit to this method is it requires nothing other than a standard CT scanner, giving no added cost to the facility. As always there are disadvantages with everything, we find quite a significant one with this method. Lentz states, “…it presents significa...

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...d a more accurate material and tissue representation and decomposition”(Altman, Ami).
Spectral CT imaging has a lot of potential in the future; it is only a matter of developing the current ideas into better methods than they are now. The Dual-layer detector method is showing promise in its investigative trials. Olszewski says, “With the IQon Spectral CT, there is potential to identify the iodinated contrast within the image and allow for its selective visualization, thus allowing the elimination of the first step” (Lentz 2014), the first step being the non-contrast exam before hand. He goes on to say, “you have the ability to remove the contrast agent after the scan…”(Lentz 2014). If the claims Olszewski is making are true, it could cause large reductions in radiation doses to patients, shorter exam times for patient, and increased work efficiency for departments.

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