Three-Dimensional Visualization of Shunt Valves with Photon Counting CT and Comparison to Traditional X-ray in a Simple Phantom Model

• Published in: Tomography (Ann Arbor) Vol. 10; no. 4; pp. 543 - 553
• Main Authors: Klempka, Anna, Clausen, Sven, Soltane, Mohamed Ilyes, Ackermann, Eduardo, Groden, Christoph
• Format: Journal Article
• Language: English
• Published: Switzerland MDPI AG 01.04.2024; MDPI
• Subjects: Cerebrospinal Fluid Shunts - methods; CT imaging; Humans; hydrocephalus; Hydrocephalus - diagnostic imaging; Hydrocephalus - surgery; Imaging, Three-Dimensional - methods; Phantoms, Imaging; photon counting; Photons; shunt; Tomography, X-Ray Computed - methods; valve; Valves; Visualization (Computers); Germany; shunt; hydrocephalus; valve; photon counting
• DOI: 10.3390/tomography10040043
• ISSN: 2379-139X; 2379-1381

This study introduces an application of innovative medical technology, Photon Counting Computer Tomography (PC CT) with novel detectors, for the assessment of shunt valves. PC CT technology offers enhanced visualization capabilities, especially for small structures, and opens up new possibilities for detailed three-dimensional imaging. Shunt valves are implanted under the skin and redirect excess cerebrospinal fluid, for example, to the abdominal cavity through a catheter. They play a vital role in regulating cerebrospinal fluid drainage in various pathologies, which can lead to hydrocephalus. Accurate imaging of shunt valves is essential to assess the rate of drainage, as their precise adjustment is a requirement for optimal patient care. This study focused on two adjustable shunt valves, the proGAV 2.0 and M. blue (manufactured by Miethke, Potsdam, Germany). A comprehensive comparative analysis of PC CT and traditional X-ray techniques was conducted to explore this cutting-edge technology and it demonstrated that routine PC CT can efficiently assess shunt valves' adjustments. This technology shows promise in enhancing the accurate management of shunt valves used in settings where head scans are already frequently required, such as in the treatment of hydrocephalus.