Photon-Counting CT Scan Timing for Low-Contrast-Agent Imaging

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Solution Overview

Problem

Using large amounts of contrast agents in X-ray CT scans can cause side effects and make it difficult to adjust the timing of the scan accurately, while reducing the agent amount shortens the enhancement time of the target region and increases radiation exposure.

Innovation Solution

An X-ray CT apparatus with a photon counting detector and processing circuitry that estimates the amount of contrast agent present using projection data, allowing for a precise transition from a prescan to a main scan without reconstruction processing, thereby reducing radiation exposure and minimizing time lag.

Engineering Contradictions & Design Principles

VSEngineering Contradiction Analysis

1Duration of action of moving object

If large amounts of contrast agents are used, then the target region is contrast-enhanced for a longer time period, but side effects occur and adjustment of scan timing becomes difficult

Engineering Contradiction:
Improvecontrast enhancement time periodVSAvoidside effects
Core Design Contradiction:
Duration of action of moving objectVSObject-affected harmful factors

Solution Approach 1:

The system performs a prescan before the main CT scan to detect contrast agent inflow in advance. By monitoring pixel value changes in the region of interest during the prescan, the system determines the optimal timing for transitioning to the main scan, allowing accurate scan timing adjustment without requiring excessive contrast agent

Inventive Principle:
Principle #10Preliminary action

2Object-affected harmful factors

If the amount of contrast agent is reduced, then side effects are minimized, but the time period of contrast enhancement is shortened and scan timing adjustment becomes more difficult

Engineering Contradiction:
Improveside effectsVSAvoidcontrast enhancement time period
Core Design Contradiction:
Object-affected harmful factorsVSLoss of time

Solution Approach 1:

The system continuously monitors pixel value changes in the region of interest during the prescan and uses this feedback to determine when contrast agent inflow is detected. This real-time feedback mechanism allows the system to accurately identify the optimal scan timing even with reduced contrast agent amounts, maintaining adequate contrast enhancement time while minimizing side effects

Inventive Principle:
Principle #23Feedback

3Measurement precision

If reconstruction processing is performed to determine contrast agent inflow, then accurate detection is achieved, but time lag increases and radiation exposure increases

Engineering Contradiction:
Improvecontrast agent detection accuracyVSAvoidtime lag
Core Design Contradiction:
Measurement precisionVSLoss of time

Solution Approach 1:

The system extracts and monitors pixel values from the region of interest during the prescan without performing full reconstruction processing. By directly analyzing the projection data and pixel value changes in the monitored region, the system detects contrast agent inflow with sufficient accuracy while avoiding the time consumption and additional radiation exposure associated with complete reconstruction

Inventive Principle:
Principle #2Taking out (Extraction)

Applied Scientific Principles

This section explains which scientific principles are used to turn an abstract innovation direction into a practical engineering solution.

Function Achieved in This Case

Enables accurate and timely transition to a main scan, reducing radiation exposure and minimizing artifacts, while maintaining efficient image data acquisition with reduced contrast agent use.

Implementation Method 1

a photon counting detector that outputs a signal enabling measurement of an energy value of an X-ray photon incident on the photon counting detector

Methodology Applied
Scientific EffectPhoton counting:

Implementation Method 2

The processing circuitry is configured to determine a time to make a transition from a prescan to a main scan by estimating, from projection data, an amount of a contrast agent present on an X-ray path

Methodology Applied
Scientific EffectX-ray detection: X-Ray

Data Source

PatentUS12586275B2X-ray CT apparatus and method
Publication Date: 2026.03.24 CANON MEDICAL SYST CORP
  • US12586275B2 patent drawing
  • US12586275B2 patent drawing
  • US12586275B2 patent drawing

AI summary

An X-ray CT apparatus according to an embodiment includes a photon counting detector that outputs a signal that enables measurement of an energy value of an X-ray photon incident thereon, and processing circuitry configured to determine a time to make a transition from a prescan to a main scan by estimating, from projection data, an amount of a contrast agent present on an X-ray path including a monitored region set for a subject in the prescan, the projection data having been generated by detection of X-rays by the photon counting detector, the X-rays having been transmitted through the monitored region.