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Feasibility of Photon-Counting Micro-CT for Intraoperative Specimen Imaging: a Simulation Study
KTH, School of Engineering Sciences in Chemistry, Biotechnology and Health (CBH), Biomedical Engineering and Health Systems, Medical Imaging. Yale University, New Haven, CT, 06520 USA.
KTH, School of Engineering Sciences (SCI), Physics, Particle Physics, Astrophysics and Medical Imaging. MedTechLabs, BioClinicum, Karolinska University Hospital, Solna, Sweden.ORCID iD: 0000-0002-3039-9791
KTH, School of Engineering Sciences (SCI), Physics, Particle Physics, Astrophysics and Medical Imaging. MedTechLabs, BioClinicum, Karolinska University Hospital, Solna, Sweden.ORCID iD: 0000-0002-5092-8822
2025 (English)In: Medical Imaging 2025: Physics of Medical Imaging, SPIE-Intl Soc Optical Eng , 2025, article id 134053KConference paper, Published paper (Refereed)
Abstract [en]

Purpose: We aim to investigate the feasibility of developing a tabletop photon-counting micro-computed tomography (CT) device that can perform intraoperative virtual histopathology on tumor specimens, showing the demarcation between the tumor and surrounding tissue. By enabling fast imaging and tissue analysis during surgery, the micro-CT device would enhance the accuracy of tumor excision and thus minimize harm to the patient by reducing the need for re-operations. Approach: A simulation using a Python package called SpekPy is used to investigate the potential capabilities of a tabletop micro-CT device on tumor specimens.1 We use existing micro-CT systems as a model for the tube parameters (filters, voltage, power, and current), and we assume an ideal detector in order to understand the upper limit of detection capabilities. Results: The simulated data indicate that when the contrast-to-noise ratio (CNR) is normalized for time, higher tube voltage is optimal across all tissue thicknesses. In contrast, when the CNR is normalized for dose, lower tube voltage ranges are preferable for thinner tissues. Since shorter acquisition times are desirable in this application and dose is not a concern (as the tissue is not live), it is useful to know that the highest applied voltage will yield the highest CNR, and thus the best capability for tumor differentiation. Additionally, the data suggest that the device can distinguish features as small as 33 microns within soft tissue, facilitating precise assessment of tumor margins. Conclusions: The simulation demonstrates that a micro-CT device with these specifications is capable of effectively performing intraoperative tumor margin assessment.

Place, publisher, year, edition, pages
SPIE-Intl Soc Optical Eng , 2025. article id 134053K
Keywords [en]
contrast-to-noise ratio, intraoperative imaging, Photon-counting micro-CT, soft tissue imaging, tumor margin assessment
National Category
Radiology and Medical Imaging Atom and Molecular Physics and Optics Medical Imaging Cancer and Oncology
Identifiers
URN: urn:nbn:se:kth:diva-363750DOI: 10.1117/12.3047899Scopus ID: 2-s2.0-105004576752OAI: oai:DiVA.org:kth-363750DiVA, id: diva2:1959845
Conference
Medical Imaging 2025: Physics of Medical Imaging, San Diego, United States of America, Feb 17 2025 - Feb 21 2025
Note

 Part of ISBN 978151068588

QC 20250528

Available from: 2025-05-21 Created: 2025-05-21 Last updated: 2025-05-28Bibliographically approved

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Burton, GraceDanielsson, MatsPersson, Mats

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