Abstract
Photon-counting computed tomography (PCCT) is an emerging technology based on new energy-resolving X-ray detectors (photon-counting detectors (PCDs)) that provide promising image performance compared to the conventional energy-integrating CT (EICT). It has the potential to provide higher resolution and contrast, lower radiation dose, and fewer artifacts, which has led to significant research interest. This study proposes a method to further improve the image performance of the PCCT using an X-ray spectrum filtration technique. We conducted a feasibility study via simulations using aluminum (Al), beryllium (Be), sodium (Na), nickel (Ni), tin (Sn), neodymium (Nd), and tantalum (Ta) incorporating varying thicknesses using a PCD simulation toolkit (PcTK). The PCCT system used in this simulation was modeled to have a cadmium telluride-based PCD with four multi-energy thresholds of E = 40, 60, 80, 100 keV, assuming that the object received the same number of photons. Using the PCCT images obtained with the highest threshold (i.e., E4 = 100 keV), the image quality was evaluated quantitatively in terms of the signal difference-to-noise ratio (SDNR) and structural similarity (SSIM). Among the filtrations selected in this simulation, a filtration of 2.0 mmAl (inherent) and 1.5 mmSn (added) showed the best image quality. The SDNR and SSIM values measured in the PCCT image obtained with an added filtration of 1.5 mmSn were 3.73 and 0.81, approximately 1.9 and 1.8 times higher than those with no added filtration, respectively. Consequently, the X-ray spectrum filtration technique in PCCT is useful to further improve image performance.