Photon-Counting CT: Improving Coronary Imaging in Patients with Heavy Calcification and Coronary Stents
Department of Medical Imaging Dr. Shih-Yen Cheng
Specialties:
- Interpretation of coronary computed tomography (CT) angiography and cardiac magnetic resonance imaging (MRI)
- Mammography
- Breast ultrasonography
- Breast magnetic resonance imaging (MRI)
- Mammography-guided needle localization of breast lesions
- Ultrasound-guided breast biopsy
- MRI-guided needle localization of breast lesions
- MRI-guided breast biopsy
Figure 1. Photon-counting CT reduces image artifacts caused
by coronary calcification and metallic stents, allowing clearer visualization
of the coronary lumen and improved detection of in-stent restenosis. (Image
courtesy of Siemens Healthineers.)
Does chest tightness or chest pain always mean a blocked coronary artery?
Many patients undergo coronary computed tomography angiography (CCTA) to
evaluate their coronary arteries. However, when there is extensive coronary
artery calcification or a previously implanted coronary stent, conventional CT
scanners may be affected by calcium and metal-related artifacts, commonly known
as the "blooming artifact."
These artifacts can make the arterial lumen appear narrower than it actually
is, making it difficult to determine whether a true blockage exists. As a
result, some patients still need to undergo invasive coronary angiography for a
definitive diagnosis.
The latest photon-counting CT
(PCCT) offers significantly higher spatial resolution and effectively
reduces image artifacts caused by coronary calcification and metallic stents.
This enables physicians to visualize the coronary artery lumen more clearly.
Even in patients with high coronary calcium scores or previously implanted
stents, PCCT provides a more accurate assessment of the severity of coronary
artery narrowing and helps detect in-stent
restenosis. Studies have also shown that this technology improves
diagnostic accuracy, reduces unnecessary invasive coronary angiography, and
allows patients who require treatment to receive appropriate care more
promptly.
If you experience chest
discomfort or chest pain, or have risk factors such as hypertension, diabetes,
hyperlipidemia, smoking, or a history of coronary stent implantation, consult
your physician about whether coronary CT angiography is appropriate for you. At
Far Eastern Memorial Hospital,
the latest photon-counting CT technology provides high-resolution, non-invasive
cardiovascular imaging, enabling clearer visualization of the coronary arteries
and more accurate diagnosis.