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Keywords = photon-counting detectors

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35 pages, 4474 KB  
Review
From Static Structures to Molecular Dynamics: Emerging Directions in X-Ray and Electron Materials Characterization
by Daisuke Sasaki, Kazuhiro Mio and Yuji C. Sasaki
Materials 2026, 19(17), 3579; https://doi.org/10.3390/ma19173579 - 23 Aug 2026
Abstract
Structural analysis using X-rays and electron beams has long provided the average arrangement of atoms and molecules—that is, “structural information”—with high precision. By contrast, static measurements cannot directly yield dynamic information on how a material changes over time; instead, information on motion is [...] Read more.
Structural analysis using X-rays and electron beams has long provided the average arrangement of atoms and molecules—that is, “structural information”—with high precision. By contrast, static measurements cannot directly yield dynamic information on how a material changes over time; instead, information on motion is convolved into a single numerical value such as the B-factor (atomic displacement parameter). Taking this limitation as its starting point, this review surveys the recent trend of introducing a time axis into measurements to observe material dynamics directly. First, we outline the technological foundations that have made the transition from static to time-resolved measurement possible. It rests on the dramatic shortening of exposure times, enabled by the increased brilliance of X-ray and electron sources and by advances in detection technology such as direct photon-counting detectors. Next, we survey dynamic measurement techniques, including time-resolved X-ray crystallography, coherent X-ray scattering, neutron scattering, and time-resolved electron microscopy. We also point out the essential limitation that most of them still return ensemble or volume averages. Building on this, we systematically describe diffracted X-ray tracking (DXT), diffracted X-ray blinking (DXB), small-angle X-ray blinking (SAXB), transmitted X-ray blinking (TXB), and electron-beam molecular dynamics (EBMD), which use gold nanocrystals and gold nanoparticles as motion probes. We distinguish throughout between methods that follow individual objects—DXT and EBMD, which yield trajectories of single labeled molecules or single particles—and methods that analyze intensity fluctuations arising from many contributors within one pixel or illuminated volume—DXB, SAXB and TXB. The latter are not single-molecule measurements; rather, they replace a global ensemble average by a spatially localized statistical one, retaining local heterogeneity that a bulk measurement would average away. Finally, we discuss the implementation and prospects of the large-volume data analysis—principal component analysis, Bayesian inference, machine learning, and autonomous measurement—needed to handle the explosively increasing amount of information that the time axis introduces. We close with the outlook that time-resolved measurement incorporating AI and big-data analysis will become established as a new measurement platform that complements and extends conventional static structural analysis. Full article
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9 pages, 1186 KB  
Communication
Four-Dimensional Cine Cinematic Rendering of Structural Heart and Mechanical Circulatory Support Devices: An Illustrative Technical Experience
by Amy Avakian and Muhammad Umair
J. Imaging 2026, 12(8), 390; https://doi.org/10.3390/jimaging12080390 - 19 Aug 2026
Viewed by 113
Abstract
Patients with implanted cardiac devices are a rapidly growing imaging population, and electrocardiogram-gated cardiac computed tomography (CT) is increasingly used to characterize device geometry, multi-device relationships, and dynamic behavior across the cardiac cycle. Cinematic rendering (CR) is a photorealistic three-dimensional (3D) visualization technique [...] Read more.
Patients with implanted cardiac devices are a rapidly growing imaging population, and electrocardiogram-gated cardiac computed tomography (CT) is increasingly used to characterize device geometry, multi-device relationships, and dynamic behavior across the cardiac cycle. Cinematic rendering (CR) is a photorealistic three-dimensional (3D) visualization technique for cardiac CT whose established contribution in this population is communicative: it conveys 3D device geometry and material distinctions within a single rendered volume. We describe a demonstrative case series extending CR across the cardiac cycle—time-resolved “4D cine” CR—to depict dynamic device behavior and time-resolved multi-device interaction in a single volume; this is an illustrative technical experience rather than a systematic evaluation of diagnostic performance. Illustrative examples include an EVOQUE transcatheter tricuspid valve rendered together with concurrent surgical mitral and transcatheter aortic valves, a left atrial appendage occlusion device, a normally positioned Impella catheter, and a HeartMate 3 left ventricular assist device (LVAD). Across cases, 4D cine CR feasibility scaled inversely with metallic burden—the aggregate volume and radiodensity of metallic device components within the scan field—with renderings informative for low-metal nitinol and catheter devices but substantially degraded by streak artifact in high-metal LVAD housings. This relationship was observed qualitatively in a small selected series and is offered as an initial observation rather than an established characteristic of the technique. We discuss current limitations and emerging directions such as photon-counting detector CT, metal artifact reduction, and artificial-intelligence-assisted post-processing that may extend 4D cine CR in this population. Full article
(This article belongs to the Section Medical Imaging)
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16 pages, 5211 KB  
Article
The Hybrid DBSCAN-Transformer Framework for High-Precision Phase Fraction Measurement in Low-Energy Gamma Flowmeter
by Yibo Huang, Mingyang Liu, Lijing Fan, Yulin Liang, Qingjing Lin, Shihan Zhang, Haibo Liang and Lianzheng Zhang
Processes 2026, 14(16), 2644; https://doi.org/10.3390/pr14162644 - 19 Aug 2026
Viewed by 171
Abstract
Multiphase flow metering is widely employed in the oil and gas industry, particularly for measuring gas-liquid-solid multiphase flow at drilling outlets. Low-energy gamma flowmeters offer relatively high metering accuracy, with phase fraction errors for gas, liquid, and solid typically within ±10%. However, in [...] Read more.
Multiphase flow metering is widely employed in the oil and gas industry, particularly for measuring gas-liquid-solid multiphase flow at drilling outlets. Low-energy gamma flowmeters offer relatively high metering accuracy, with phase fraction errors for gas, liquid, and solid typically within ±10%. However, in practical applications, fluid viscosity often causes substances to adhere to the photon detector, leading to measurement deviations that can reach 18% or more. To overcome this limitation, this paper proposes a hybrid Density-Based Spatial Clustering of Applications with Noise (DBSCAN)-Transformer regression framework, referred to as D-Transformer. DBSCAN removes isolated abnormal detector responses before overlapping time-series windows are generated, while the Transformer captures temporal dependencies among operating variables, raw phase-fraction readings, and multi-energy photon counts. Under experiment-wise five-fold evaluation, D-Transformer obtains R2 values of 0.982, 0.985, and 0.981 and RMSE values of 0.0134, 0.0122, and 0.0138 for the gas, liquid, and solid phase fractions, respectively. Component ablations and baseline comparisons show that the complete framework outperforms the no-ResNet, no-DBSCAN, CNN-GRU-Attention, CNN-LSTM, ridge-regression, and uncorrected-flowmeter alternatives. Full article
(This article belongs to the Special Issue Application of Advanced Numerical Simulation in Petroleum Engineering)
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23 pages, 1699 KB  
Review
Underwater Optical Communications: From Photodiodes to Single-Photon Detectors
by Zbigniew Bielecki and Janusz Mikołajczyk
Photonics 2026, 13(8), 752; https://doi.org/10.3390/photonics13080752 - 10 Aug 2026
Viewed by 239
Abstract
Underwater wireless optical communication (UWOC) has emerged as a key technology for high-speed, low-latency data transmission in aquatic environments, enabling applications in autonomous underwater vehicles (AUVs), remotely operated vehicles (ROVs), subsea sensor networks, and the Internet of Underwater Things (IoUT). This paper reviews [...] Read more.
Underwater wireless optical communication (UWOC) has emerged as a key technology for high-speed, low-latency data transmission in aquatic environments, enabling applications in autonomous underwater vehicles (AUVs), remotely operated vehicles (ROVs), subsea sensor networks, and the Internet of Underwater Things (IoUT). This paper reviews photodetector technologies that shape UWOC system performance, covering both mature and emerging detector classes. We discuss the operating principles, key parameters, and practical trade-offs of photomultiplier tubes (PMTs), p-i-n photodiodes (PINs), avalanche photodiodes (APDs), single-photon avalanche diodes (SPADs), and silicon photomultipliers (SiPMs/MPPCs). We also present emerging photodetector technologies, including perovskite-based structures, SiC photoelectrochemical devices, scintillating optical fibers, and photovoltaic solar cells. A comparative analysis of reported UWOC experiments reveals a clear sensitivity–bandwidth trade-off among detector technologies: PIN-based receivers achieve the highest data rates (up to 25 Gbps) but are generally restricted to short-range links, whereas SPAD- and SiPM-based receivers provide sensitivities below −80 dBm and support transmission distances exceeding 200 m, at the cost of moderate data rates. The findings indicate that SiPM/MPPC arrays currently offer the most promising compromise between sensitivity and data rate for long-range UWOC applications. Full article
(This article belongs to the Special Issue Free-Space Optical Communication and Networking Technology)
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19 pages, 1428 KB  
Review
The Shifting Boundary Between Invasive and Non-Invasive Angiographic Investigation in Contemporary Cardiology and Cardiac Surgery: An Up-to-Date Narrative Review
by Justin Ren, Colin Royse, William Chan, Dion Stub, Garry W. Hamilton, Jason E. Bloom, Tobias Fruehwald, Nilesh Srivastav and Alistair Royse
J. Clin. Med. 2026, 15(14), 5723; https://doi.org/10.3390/jcm15145723 - 21 Jul 2026
Viewed by 539
Abstract
Background: Invasive coronary angiography has historically been the reference standard for coronary, valvular, and structural heart disease. Over the past decade, coronary computed tomography angiography (CCTA), CT-derived fractional flow reserve (CT-FFR), photon-counting detector computed tomography (PCCT), and cardiac magnetic resonance (CMR) have expanded [...] Read more.
Background: Invasive coronary angiography has historically been the reference standard for coronary, valvular, and structural heart disease. Over the past decade, coronary computed tomography angiography (CCTA), CT-derived fractional flow reserve (CT-FFR), photon-counting detector computed tomography (PCCT), and cardiac magnetic resonance (CMR) have expanded the range of clinical questions answerable without an intra-arterial catheter, but this shift has been uneven across clinical domains. Methods: We performed a narrative review and synthesis of randomized trials, registries, society guidelines, and consensus documents (2009–2026) identified through PubMed and major cardiovascular guideline databases, written from a joint cardiology and cardiac-surgical standpoint. Results: The boundary has shifted asymmetrically, by which we mean a domain-dependent rather than uniform displacement of invasive angiography. Non-invasive imaging is now established as the first-line approach for stable chest pain at low-to-moderate pretest probability, for pre-transcatheter aortic valve replacement (TAVR) and structural procedural planning, and for aortic disease. It remains contested for stable multivessel disease and pre-coronary artery bypass grafting (CABG) planning, where CCTA- or CT-FFR-only planning is still investigational. Invasive angiography stays first-line for ST-elevation myocardial infarction (STEMI), cardiogenic shock, and complex percutaneous coronary intervention (PCI), where diagnosis and therapy are inseparable. Conclusions: Invasive and non-invasive modalities are complementary rather than competing. The appropriate first-line investigation depends on the disease domain, pretest probability, anatomical complexity, imaging quality, and whether diagnosis and treatment can be separated. We propose a complexity-stratified, heart-team framework and identify the surgical research gaps that remain. Full article
(This article belongs to the Special Issue Interventional Cardiology—Challenges and Solutions)
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17 pages, 13395 KB  
Article
Enhancing X-Ray and Gamma-Ray Detector Calibration via AI-Driven Digital Twins: Predicting Extracorporeal Photon Emission from OpenDose Specific Absorbed Fraction Datasets Using Uncertainty-Aware Transformer Ensembles
by Muhammed Emin Bedir
Condens. Matter 2026, 11(3), 26; https://doi.org/10.3390/condmat11030026 - 15 Jul 2026
Viewed by 347
Abstract
Patient-specific dosimetry and quantitative external counting for in vivo monitoring of radiopharmaceutical therapies require detector calibration coefficients (k) that are currently obtained through computationally intensive Monte Carlo (MC) simulations. We present a digital-twin framework that learns the mapping from organ-level Specific Absorbed Fractions [...] Read more.
Patient-specific dosimetry and quantitative external counting for in vivo monitoring of radiopharmaceutical therapies require detector calibration coefficients (k) that are currently obtained through computationally intensive Monte Carlo (MC) simulations. We present a digital-twin framework that learns the mapping from organ-level Specific Absorbed Fractions (SAFs) to clinical k values for X-ray and gamma-ray detectors, trained on 4.47 million SAF entries from the OpenDose collaboration covering the ICRP-110 adult male (AM) and adult female (AF) reference phantoms, 91 photon energies (5–10,000 keV), and 336 source organs. An uncertainty-aware ensemble combining Histogram Gradient Boosting, ExtraTrees, Random Forest, Quantile-HGBT, and a Feature-Tokenizer Transformer (414 K parameters) was stacked via ridge regression and calibrated using Conformalized Quantile Regression. The ensemble achieved a test mean absolute error of 0.220 in log10-SAF space (R2 = 0.921) with an empirical 95% prediction interval coverage of 95.0%. Validation against 10,487 independent published S-values (EMDOSE) yielded a Pearson correlation of 0.990 (log space). The framework reduces k-coefficient computation time from hours of MC simulation to milliseconds, supporting real-time detector calibration for theranostic workflows. Full article
(This article belongs to the Special Issue Advances in X-Ray and Gamma Ray Detectors and Applications)
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22 pages, 3533 KB  
Review
Cardiac CT in the Era of Precision Cardiology: From Calcium Scoring to Comprehensive Risk Profiling
by Gianluigi Napoli, Donatella Tansella, Maria Teresa Savo, Abdulrahman Alsergani, Laura Fusini, Saima Mushtaq, Andrea Baggiano, Fabio Fazzari, Gianluca Pontone, Michele Davide Latorre, Eduardo Urgesi, Maria Cristina Carella, Raffaella Motta, Andrea Igoren Guaricci and Valeria Pergola
J. Clin. Med. 2026, 15(13), 5313; https://doi.org/10.3390/jcm15135313 - 7 Jul 2026
Viewed by 638
Abstract
Cardiac computed tomography (CT) has evolved into a pivotal tool in precision cardiology, enabling comprehensive, non-invasive evaluation of coronary anatomy, plaque composition, vascular function, and inflammation. From calcium scoring to advanced physiological imaging, CT now integrates multiple layers of cardiovascular information within a [...] Read more.
Cardiac computed tomography (CT) has evolved into a pivotal tool in precision cardiology, enabling comprehensive, non-invasive evaluation of coronary anatomy, plaque composition, vascular function, and inflammation. From calcium scoring to advanced physiological imaging, CT now integrates multiple layers of cardiovascular information within a unified diagnostic framework. Coronary artery calcium (CAC) quantification provides a robust, reproducible measure of atherosclerotic burden and refines risk estimation beyond traditional algorithms, particularly in asymptomatic individuals with an intermediate likelihood. Building upon this anatomical foundation, coronary CT angiography (CCTA) extends evaluation to the anatomical and morphological characterization of coronary artery disease (CAD), identifying both obstructive and non-obstructive plaques with high prognostic accuracy. The addition of CT-derived fractional flow reserve (FFR-CT) and stress perfusion CT (CTP) bridges anatomy and physiology, improving identification of flow-limiting stenoses and guiding revascularization decisions while reducing unnecessary invasive procedures. Beyond luminal assessment, CT-derived biomarkers such as the perivascular fat attenuation index (pFAI) have introduced a new dimension of vascular inflammation imaging, revealing residual risk even in patients without significant stenosis and suggesting novel pathways for individualized therapeutic targeting. Driven by advances in artificial intelligence and photon-counting detector technology, cardiac CT is transitioning from a purely diagnostic modality to an integrative platform for cardiovascular phenotyping. Taken as a whole, this integration of structural, functional, and biological data provides a genuinely holistic view of coronary health. In practical terms, it shifts clinical decision-making from population-based risk models toward precision-guided patient-specific strategies. Full article
(This article belongs to the Special Issue Cardiac Imaging in Cardiovascular Disorders)
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14 pages, 1986 KB  
Brief Report
Feasibility of On-Site CT-FFR Analysis in Ruling Out In-Stent Restenosis on Cardiac PCCT
by Isabelle Ayx, Felix Waßmer, Lena Lichti, Matthias F. Froelich, Sylvia Buettner, Theano Papavassiliu, Stefan O. Schoenberg and Thomas Germann
J. Cardiovasc. Dev. Dis. 2026, 13(7), 308; https://doi.org/10.3390/jcdd13070308 - 5 Jul 2026
Viewed by 593
Abstract
The evaluation of stents in coronary computed tomography angiography (CCTA) is still a major topic in cardiovascular imaging. Using Photon-Counting Detector CT (PCCT) may improve the assessment of coronary stents and make on-site CT-FFR analysis feasible for ruling out in-stent restenosis (ISR). In [...] Read more.
The evaluation of stents in coronary computed tomography angiography (CCTA) is still a major topic in cardiovascular imaging. Using Photon-Counting Detector CT (PCCT) may improve the assessment of coronary stents and make on-site CT-FFR analysis feasible for ruling out in-stent restenosis (ISR). In this study, patients with previous coronary stent implantation who underwent CCTA using PCCT and subsequent invasive catheter angiography (ICA) were included. Stent characteristics such as location and length were reported. CT-FFR measurements were taken 1.8 cm before and after the stent, with a value of ≤0.80 defined as hemodynamically significant under respecting the diagnostic accuracy drop in the gray zone between 0.76 and 0.80. Delta CT-FFR with a cut-off value of ≥0.06, indicating hemodynamic significance, was determined. Any ISR and interventional treatment during the following ICA was recorded. Diagnostic performance metrics, including sensitivity, specificity, positive predictive value (PPV), and negative predictive value (NPV), were calculated for post-stent CT-FFR and Delta CT-FFR in detecting ISR. Patients were followed up to evaluate the rate of major adverse cardiovascular events (MACE) 6 months after CCTA. A total of 19 patients (5 female, 14 male, median age 69 years) were enrolled in this study. In most cases, coronary stents were located in the proximal LAD with a median stent length of 70.2 mm. Pathological CT-FFR < 0.76 distal to the stent was detected in 6 cases (31.6%), while pathological Delta CT-FFR ≥ 0.06 occurred in 14 cases (73.7%). ICA was performed in three of these patients, with ISR confirmed in two cases. These findings yield sensitivity and NPV of 100% for both post-stent CT-FFR and Delta CT-FFR for excluding ISR with a superior specificity (76.5% vs. 29.4%) and overall diagnostic accuracy (78.9% vs. 36.8%) for post-stent CT-FFR. Two patients reported a myocardial infarction in follow-up; however, neither of them was located in the territory of the stented coronary artery. This study outlines the feasibility of on-site CT-FFR analysis using PCCT in excluding ISR in coronary stents with a high diagnostic accuracy. These findings highlight the need to extend the benefits of CT-FFR analysis for non-invasive assessment of possible ISR regarding personalized risk stratification and therapy planning. Full article
(This article belongs to the Special Issue Advances in Cardiovascular Computed Tomography (CT))
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20 pages, 9094 KB  
Article
High Signal-to-Noise Ratio Method Without Phase Deviation for X-Ray Pulsar Profile Acquisition
by Zewei Zhang, Haiyan Fang, Weimin Bao and Xiaoping Li
Aerospace 2026, 13(7), 611; https://doi.org/10.3390/aerospace13070611 - 3 Jul 2026
Viewed by 221
Abstract
High-quality X-ray pulsar observation profiles are vital for investigating both their physical properties and navigation applications. Conventional profile extraction relies on epoch folding, whose performance is constrained by observation duration and bin size, often leading to poor-quality profiles or even failure under extremely [...] Read more.
High-quality X-ray pulsar observation profiles are vital for investigating both their physical properties and navigation applications. Conventional profile extraction relies on epoch folding, whose performance is constrained by observation duration and bin size, often leading to poor-quality profiles or even failure under extremely low-photon conditions. This paper proposes a novel method that directly extracts high-quality profile frequency spectra merely by statistical analysis of photon sequences followed by the reconstruction of time domain waveforms. Monte Carlo simulations and real observational data demonstrate that the proposed method exhibits higher correlation coefficients and signal-to-noise ratios than those obtained using traditional epoch folding, and also outperforms the Fourier-series-based frequency cutoff method. Moreover, comparable profile quality can be achieved using an order of magnitude fewer photons than required by epoch folding. The lower the photon count, the more significant the improvement, making the method especially suitable for small-area detectors and resource-constrained observation scenarios. Full article
(This article belongs to the Section Astronautics & Space Science)
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20 pages, 9722 KB  
Article
Single-Photon Depth Reconstruction at Low Signal-Background Ratio Based on Four-Dimensional Attention Mechanism
by Senlin Feng, Tong Liu, Jianghua Cheng, Bang Cheng, Yahui Cai and Yunwang Zhang
Remote Sens. 2026, 18(12), 2006; https://doi.org/10.3390/rs18122006 - 16 Jun 2026
Cited by 1 | Viewed by 241
Abstract
Single-photon Light Detection and Ranging (LiDAR), which is capable of detecting single-photon signals, has developed rapidly in the field of long-range imaging. Due to the long detection range and limited laser power, the accumulated signal photons of single-photon LiDAR are extremely sparse. Meanwhile, [...] Read more.
Single-photon Light Detection and Ranging (LiDAR), which is capable of detecting single-photon signals, has developed rapidly in the field of long-range imaging. Due to the long detection range and limited laser power, the accumulated signal photons of single-photon LiDAR are extremely sparse. Meanwhile, the dark current counts, backscattering noise, and background noise of the single-photon detector are significant, resulting in an extremely low signal-background ratio of the detection data. However, existing algorithms struggle to accomplish the depth reconstruction on data with extremely low signal-to-background ratio (SBR). To address the challenges of complex spatiotemporal correlation and feature sparsity in long-range single-photon imaging depth reconstruction, we design a deep reconstruction algorithm based on a classification formulation, specifically tailored for single-echo detection scenarios. We propose a wavelet denoising preprocessing module and a four-dimensional attention module to learn the spatiotemporal correlations of the photon-counting cube data. Sawtooth-arranged dilated convolutions are utilized during the pixel-wise denoising process to extract sparse features, and non-local total variation regularization combined with cross-entropy is introduced as a joint loss function. For depth reconstruction of data with an SBR of 1:100, the root-mean-square error is less than 0.022 m, which is 66.72% lower than that of the best baseline algorithm. It also achieves promising depth reconstruction results on data with an SBR of 1:300. Full article
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19 pages, 4029 KB  
Review
Coronary Computed Tomography Angiography for the Diagnosis and Revascularization Guidance of Coronary Bifurcation Lesions: A Contemporary Review
by Niya Mileva, Dobrin Vassilev, Panayot Panayotov, Slawomir Golebiewski, Gianluca Rigatelli and Robert J. Gil
J. Clin. Med. 2026, 15(12), 4565; https://doi.org/10.3390/jcm15124565 - 12 Jun 2026
Viewed by 462
Abstract
Background: Coronary bifurcation lesions represent one of the most technically demanding scenarios in coronary artery disease (CAD), associated with higher procedural complexity, restenosis, and periprocedural complications. Recent advances in coronary computed tomography angiography (CCTA) have markedly improved its ability to visualize complex [...] Read more.
Background: Coronary bifurcation lesions represent one of the most technically demanding scenarios in coronary artery disease (CAD), associated with higher procedural complexity, restenosis, and periprocedural complications. Recent advances in coronary computed tomography angiography (CCTA) have markedly improved its ability to visualize complex coronary anatomy, assess plaque morphology, and guide revascularization. Objectives: This review summarizes (1) technological advances in CCTA over the last decade, (2) its role in evaluating bifurcation stenosis, (3) assessment of plaque morphology and distribution, (4) quantification of bifurcation geometry, and (5) emerging evidence supporting its application in revascularization planning and guidance. Findings: Modern wide-detector and dual-source CT systems, iterative and deep-learning reconstruction algorithms, and photon-counting CT (PCCT) have significantly improved temporal and spatial resolution, reduced blooming artifacts, and lowered radiation dose. CCTA now reliably quantifies bifurcation stenosis and plaque distribution, characterizes high-risk plaque features, and accurately measures bifurcation angles. The integration of CT-derived fractional flow reserve (FFR-CT) and artificial intelligence (AI)-based plaque quantification further strengthens its diagnostic and prognostic performance. CCTA-derived bifurcation scores and 3D modelling support procedural strategy selection, stent sizing, and side-branch (SB) protection. Conclusions: CCTA has evolved into a comprehensive tool for non-invasive diagnosis, physiological assessment, and pre-procedural planning of bifurcation disease. With the advent of PCCT and AI-enhanced quantitative tools, CCTA is poised to become a central component of revascularization decision-making in complex coronary bifurcations. Full article
(This article belongs to the Special Issue Current Updates in Interventional Cardiology)
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11 pages, 760 KB  
Article
Influence of Cardiac Motion on Stent Lumen Visibility in Photon-Counting CT Employing a Pulsatile Heart Model
by Nils Petri, Henner Huflage, Julius F. Heidenreich, Jan-Peter Grunz, Christoph Panknin, Martin Petersilka, Thorsten A. Bley and Bernhard Petritsch
Diagnostics 2026, 16(12), 1775; https://doi.org/10.3390/diagnostics16121775 - 9 Jun 2026
Viewed by 398
Abstract
Introduction: Detection of in-stent restenosis by cardiac CT is challenging due to blooming artifacts. The technological progress of CT scanners and especially the recent introduction of photon-counting detectors (PCDs) has led to an improvement in image quality. Several studies have analyzed the lumen [...] Read more.
Introduction: Detection of in-stent restenosis by cardiac CT is challenging due to blooming artifacts. The technological progress of CT scanners and especially the recent introduction of photon-counting detectors (PCDs) has led to an improvement in image quality. Several studies have analyzed the lumen visibility of coronary stents, but most studies used models which did not simulate cardiac movement. In this study we use a pulsatile heart model to simulate a heartbeat to analyze the effects of cardiac motion on image quality. Methods: Seventeen different coronary stents with an outer diameter of 3.0 mm were implanted into polyolefin tubes. The tubes were then filled with diluted contrast medium and attached to the pulsatile heart model. The stents were scanned in a third-generation dual-source CT with an energy-integrating detector (EID) and a first-generation PCD CT. Results: In motion, the mean visible stent lumen was reduced from 64.4% to 59.4% in EID CT, from 61.4% to 56.0% in PCD CT using the Bv60 kernel, and from 72.9% to 62.9% in PCD CT using the Bv72 kernel, each in standard resolution mode. Employing the ultra-high-resolution mode (UHR), stent lumen visibility was reduced from 61.3% to 57.9% with the Bv60 kernel and from 71.7% to 61.8% with the Bv72 kernel. The difference between static imaging and motion was significant in each instance (p < 0.001). Conclusions: While PCD CT and the use of sharper kernels improves the image quality in comparison with EID CT and smoother kernels, the impact of cardiac motion on the reduction in stent lumen visibility is substantial. Hence, the best image quality is achieved in patients with a normal and regular heart rate. If this is not possible to achieve, a retrospective acquisition mode should be considered. Full article
(This article belongs to the Special Issue Photon-Counting CT in Clinical Application)
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22 pages, 3097 KB  
Article
Design of a Novel DXA Scanner with a CdTe Photon-Counting Timepix4 Detector for Peripheral Bone Densitometry
by Laura Antonia Cerbone, Jan Žemlička, Benedikt Bergmann, Petr Smolyanskiy, Petr Mánek, Giovanni Mettivier, Luigi Cimmino, Youfang Lai, Xun Jia, Steven K. Boyd and Paolo Russo
Appl. Sci. 2026, 16(12), 5745; https://doi.org/10.3390/app16125745 - 7 Jun 2026
Viewed by 456
Abstract
Bone densitometry in osteoporosis diagnosis via dual-energy X-ray absorptiometry (DXA) can benefit from advances in imaging detector technology. We devised a compact imaging scanner—DXA4A—using a photon-counting and energy-sensitive Timepix4 hybrid pixel detector (512 × 448 pixels, 55 µm pitch), for areal bone mineral [...] Read more.
Bone densitometry in osteoporosis diagnosis via dual-energy X-ray absorptiometry (DXA) can benefit from advances in imaging detector technology. We devised a compact imaging scanner—DXA4A—using a photon-counting and energy-sensitive Timepix4 hybrid pixel detector (512 × 448 pixels, 55 µm pitch), for areal bone mineral density (aBMD) assessments in the distal radius and tibia in the clinic and for future in-flight astronauts’ bone health assessment. We present the design and Monte Carlo simulations of the scanner. A Timepix4 detector with a 1 mm thick CdTe sensor was tested in the laboratory with X-ray tube sources, acquiring first images of test samples. Monte Carlo simulations were implemented for scanner design and performance prediction, using 50 kVp unfiltered and 100 kVp Sm K-edge filtered spectra. With a digital twin of the scanner and patient wrist, we set up a virtual imaging study and determined the aBMD in the forearm of a patient (0.515 ± 0.048 g/cm2), in agreement with the clinical DXA value (0.571 g/cm2 for the total forearm). This study highlights the feasibility of realizing a compact DXA scanner for the distal tibia and radius with spectral capabilities, exploiting Timepix4 hybrid detectors for its peculiar energy sensitivity and photon event timing properties for tissue identification. Full article
(This article belongs to the Special Issue Novel Technologies in Radiology: Diagnosis, Prediction and Treatment)
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21 pages, 14892 KB  
Article
Comparative Evaluation of Machine Learning and Conventional Material Decomposition Algorithms for Spectral Chest Radiography Using a CdTe Photon-Counting Detector
by Sriharsha Marupudi and Bahaa Ghammraoui
Sensors 2026, 26(10), 3202; https://doi.org/10.3390/s26103202 - 19 May 2026
Viewed by 457
Abstract
Spectral chest radiography with photon-counting detectors (PCDs) enables energy-resolved acquisition for bone/soft-tissue separation, but quantitative performance depends on detector cross-talk and the selected material decomposition algorithm. We performed a controlled simulation study comparing a conventional low-order polynomial decomposition model with two machine learning [...] Read more.
Spectral chest radiography with photon-counting detectors (PCDs) enables energy-resolved acquisition for bone/soft-tissue separation, but quantitative performance depends on detector cross-talk and the selected material decomposition algorithm. We performed a controlled simulation study comparing a conventional low-order polynomial decomposition model with two machine learning regressors (multilayer perceptron (MLP) and support vector regression (SVR)) for a cadmium telluride (CdTe) PCD. A Geant4-derived detector response model, coupled with a charge-transport model, was integrated into a physics-forward model including charge sharing and Poisson quantum noise. Digital LucAl/IEC 62220-2-1 phantoms with aluminum and polymethyl methacrylate inserts were used for quantitative bias/root mean square error (RMSE) evaluation, and task-based low-contrast detectability that was evaluated using an exponential transformation of the free-response operating characteristic (EFROC) method using a matched-filter template. Performance was evaluated over clinically relevant dose levels (0.07–7.5 mAs), calibration grid densities (3×3 to 8×8), and numbers of energy thresholds (M=2–6). Polynomial decomposition was stable under sparse calibration, whereas ML methods benefited strongly from denser calibration and additional thresholds; SVR achieved the lowest RMSE under dense calibration, while MLP produced smoother maps and improved soft-tissue detectability at low-to-intermediate dose. At high dose, all methods approached near-ideal detection performance. These results quantify practical trade-offs between calibration requirements, quantitative accuracy, and low-contrast detectability for PCD-based spectral chest radiography. Full article
(This article belongs to the Special Issue Recent Innovations in X-Ray Sensing and Imaging)
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31 pages, 3241 KB  
Article
A Two-Point Propagation Field of a Single Photon: A Way to X-Ray Picometer Displacement Detection and Nanometer Resolution 3D X-Ray Micro-Tomography
by Lihua Yu
Photonics 2026, 13(5), 495; https://doi.org/10.3390/photonics13050495 - 16 May 2026
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Abstract
We introduce the two-point propagation field (TPPF)—a real-valued, phase-sensitive quantity defined as the functional derivative of the single-photon detection probability with respect to an infinitesimal opaque perturbation placed between the source and detection slits. The TPPF is analytically derived and shown to exhibit [...] Read more.
We introduce the two-point propagation field (TPPF)—a real-valued, phase-sensitive quantity defined as the functional derivative of the single-photon detection probability with respect to an infinitesimal opaque perturbation placed between the source and detection slits. The TPPF is analytically derived and shown to exhibit a stable, high-frequency sinusoidal structure with periods of 4~7 nm near the X-ray detection slit. This structure enables shot-noise-limited displacement detection with ∼200 pm precision for 6 keV X-rays using total photon counts on the order of 1 × 107 and detector photon counting as low as 287. Beyond displacement detection, the TPPF physically performs a Fourier–Radon transformation of the projection data, providing a pathway to non-iterative frequency-domain tomography. Two conceptual strategies—a central blocker and off-axis multi-slit arrays—are estimated to lower the required incident photon budget by more than one order of magnitude each, yielding combined reductions of two to three orders of magnitude with near-term detector development. The TPPF concept, originally developed in a perturbative study of single-particle propagation, bridges quantum measurement questions with practical high-resolution X-ray physics. This work provides the foundational physics required for future discrete sampling and 3D numerical reconstruction algorithms. Full article
(This article belongs to the Special Issue Recent Progress in Single-Photon Generation and Detection)
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