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Peer-Reviewed Publication
J Appl Clin Med Phys2026;27(8):e70720.August 1, 2026Journal Article

Obese patient imaging: Potential dose reduction with photon-counting CT.

Leening P Liu1, Kai Mei1, Shobhit Sharma2, Steven Ross2, Sandra S Halliburton3, Richard Thompson3, Naruomi Akino4, Ali H Dhanaliwala1, Leonid Roshkovan1, Harold I Litt1,5, Peter B Noël1
1Department of Radiology, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
2Canon Medical Research USA, Vernon Hills, Illinois, USA.
3Canon Healthcare USA, Cleveland, Ohio, USA.
4Canon Medical Systems Corporation, Otawara, Japan.
5Cleveland Clinic Foundation, Weston, Florida, USA.

Abstract

BACKGROUND: Photon-counting CT (PCCT) offers key advantages over energy integrating detector CT (EID-CT), especially in low-dose scans and imaging larger patients. As obesity rates rise, minimizing image noise is critical for diagnostic accuracy. PURPOSE: To evaluate the dose efficiency of cadmium-zinc-telluride (CZT) based PCCT compared to EID-CT across phantom sizes. METHODS: A patient-specifi…

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