NeuroLogica’s Photon Counting CT

Samsung’s NeuroLogica subsidiary announced the FDA 510(k) clearance of its photon counting-based OmniTom Elite PCD, significantly expanding the mobile head/neck CT system’s diagnostic potential and adding to photon counting technology’s recent momentum.

About the OEPCD – The OmniTom Elite with PCD is now available as an optional upgrade (including field upgrades), swapping the standard OmniTom Elite’s energy integrating detector (EID) for a single-source cadmium telluride-based photon counting detector. Beyond the OmniTom Elite with PCD’s imaging advantages (2x higher spatial resolution, spectral CT images at multiple energy levels), all other key features are shared between the two configurations (16 row, 40cm bore, 30cm FoV).

The Photon Counting Race – NeuroLogica’s photon counting CT launch comes about six months after Siemens Healthineers’ NAEOTOM Alpha became the first FDA-cleared PCCT. The OmniTom Elite with PCD’s launch also comes amid major R&D and M&A efforts from essentially all major OEMs, as they compete for photon counting CT leadership. 

The Photon Counting Advantage – Those efforts seem warranted, as PCCTs produce far higher quality images and provide far more imaging data, while potentially allowing lower radiation exposure and contrast dosage. For the OmniTom Elite’s head and neck applications, that could mean improved visualization and segmentation of bones, blood clots, plaques, hemorrhages, and intracranial tumors.

NeuroLogica’s Next Steps – Even if photon counting’s advantages are widely agreed upon, its potential clinical applications are still being explored. Because of that, NeuroLogica’s announcement emphasized ongoing research efforts to evaluate the OmniTom Elite with PCD’s performance with certain patients (e.g. post-trauma and post-surgical patients) and its plans to develop the mobile PCCT’s “full potential.”

The Takeaway

The OmniTom Elite PCD’s head/neck imaging design (vs. whole body) and use of a single-source detector (vs. dual) make it quite different from the other PCCTs being developed, but it’s launch is still a notable milestone for photon counting CT technology. It’s also a testament to Samsung/NeuroLogica’s R&D efforts, coming 4.5 years after showing the detector at RSNA 2017, and reaching the market before most of the biggest CT players released their own PCCTs.

Siemens’ First Photon-Counting CT

The FDA announced the 510(k) clearance of Siemens Healthineers’ NAEOTOM Alpha photon-counting CT scanner, calling it “the first new major technological improvement for Computed Tomography (CT) imaging in nearly a decade.” Those are some big words from a federal agency not known for hyperbole, and it doesn’t appear they are exaggerating.

About Photon-Counting CTs – Photon-counting CTs (PCCTs) produce far higher quality images than traditional CTs, with lower radiation and contrast dosage. Unlike standard CTs that simultaneously measure the total energy from many X-rays (at the expense of image info, clarity, and contrast), photon-counting CT detectors directly convert each individual X-ray photon into digital electrical signals that are then “counted.”

The NAEOTOM Alpha – The NAEOTOM Alpha might be the first PCCT scanner, but the star of this announcement is its detector. The new photon-counting detector leverages a CdTe active detection layer to achieve PCCT’s targeted image/dosage/contrast advantages, and it could be the foundation of Siemens’ PCCT portfolio for years to come. 

The PCCT Race – The other major OEMs seem to be doing everything they can to earn a spot among the PCCT leaders. GE Healthcare and Canon both acquired PCCT detector makers within the last year and are planning their own PCCT launches, while Philips appears to have ramped up its PCCT R&D.

The Takeaway – PCCT has been viewed as the “future” of CT technology for quite a while, and that future just became a lot closer with last week’s announcement. We’re going to see similar PCCT launches from the other major OEMs, but Siemens Healthineers will enjoy its role as the only player with an FDA-approved PCCT scanner until then.

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-- The Imaging Wire team