2022 AAPM 64th Annual Meeting
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Session Title: Photon-counting CT: Image Quality Optimization, Novel Algorithms, and Emerging Clinical Applications
Question 1: What are the causes of metal artifacts in FBP images of CT?
Reference:Yiannis Kyriakou, Esther Meyer, Daniel Prell, and Marc Kachelrieß, Empirical beam hardening correction (EBHC) for CT, Med. Phys., 37:5179-5187, 2010
Choice A:The FBP’s lack of capability to correct for the beam-hardening effect
Choice B:Photon starvation resulting in some measurements of little information
Choice C:Phases of X-ray waves
Choice D:Both a and b
Question 2: Radiation has: How can the beam-hardening effect be minimized leading to quantitative imaging?
Reference:K. Taguchi, I. Blevis, and K. Iniewski, Ed., Spectral, Photon Counting Computed Tomography, Publisher: CRC Press, Taylor & Francs Group, 2021
Choice A:Photon-counting detectors to collect data with minimized impact of X-ray spectrum
Choice B:Algorithms designed to correct for the impact of X-ray spectra
Choice C:Integration of a and b
Question 3: T/F Material decomposition enables material-specific quantification but generally increases image noise:
Reference:C. H. McCollough, S. Leng, L. Yu, and J. G. Fletcher, “Dual- and Multi-Energy CT: Principles, Technical Approaches, and Clinical Applications,” Radiology, vol. 276, no. 3, pp. 637–653, Sep. 2015, doi: 10.1148/radiol.2015142631
Choice A:True
Choice B:False
Question 4: Which of the following degrade photon counting CT image quality?
Reference:A. S. Wang and N. J. Pelc, “Spectral Photon Counting CT: Imaging Algorithms and Performance Assessment,” IEEE Trans. Radiat. Plasma Med. Sci., vol. 5, no. 4, pp. 453–464, Jul. 2021, doi: 10.1109/TRPMS.2020.3007380
Choice A:Imperfect spectral response
Choice B:Cross-talk between pixels
Choice C:Pulse pile-up
Choice D:Patient scatter
Choice E:All of the above
Question 5: Virtual monochromatic images at 55 keV created from photon-counting CT is most useful in which one of the following clinical exams?
Reference:Rajendran K, Petersilka M, Henning A, Shanblatt ER, Schmidt B, Flohr TG, Ferrero A, Baffour F, Diehn FE, Yu L, Rajiah P, Fletcher JG, Leng S, McCollough CH. First Clinical Photon-counting Detector CT System: Technical Evaluation. Radiology. 2022;303(1):130-8. Epub 2021/12/15. doi: 10.1148/radiol.212579. PubMed PMID: 34904876; PMCID: PMC8940675
Choice A:Non-contrast routine abdomen CT
Choice B:Lung-cancer screening CT
Choice C:Cardiac coronary artery CT angiography
Choice D:Pediatric wrist CT
Question 6: High resolution in photon-counting CT is most useful in which one of the following clinical exams?
Reference:Leng S, Rajendran K, Gong H, Zhou W, Halaweish AF, Henning A, Kappler S, Baer M, Fletcher JG, McCollough CH. 150-mum Spatial Resolution Using Photon-Counting Detector Computed Tomography Technology: Technical Performance and First Patient Images. Invest Radiol. 2018;53(11):655-62. Epub 2018/05/31. doi: 10.1097/RLI.0000000000000488. PubMed PMID: 29847412; PMCID: PMC6173631.
Choice A:Pediatric chest CT
Choice B:Non-contrast routine abdomen CT
Choice C:Lung-cancer screening CT
Choice D:Temporal bone CT
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