We investigate silicon photomultiplier (SiPM)-based scintillation detectors for medical X-ray photon-counting applications, where the input count rate (ICR) can reach a few Mcps/mm2 in cone-beam CT for radiotherapy, for example, up to a few hundred Mcps/mm2 in diagnostic CT. Thus, pulse pile-up can severely distort the measurement of counts and energies. Here, we experimentally evaluate the counting and spectral performance of SiPM-based scintillation detectors at 60 keV as a function of ICR/pile-up level. We coupled 0.9×0.9×3.5 mm3 LYSO:Ce and 0.9×0.9×4.5 mm3 YAP:Ce scintillators to 1.0×1.0 mm2 ultrafast SiPMs and exposed these single-pixel detectors to a 10-GBq Am-241 source. We varied ICR from 0 to 5 Mcps/pixel and studied detector performance for paralyzable-like (p-like) and nonparalyzable-like (np-like) counting algorithms, after applying a second-order low-pass filter with cut-off frequencies fc of 5, 10, or 20 MHz to the pulse trains. Counting performance was quantified by the output count rate (OCR) and the count-rate loss factor (CRLF). In addition to the traditional spectral performance measure of the fullwidth- at-half-maximum (FWHM) energy resolution at low ICR, we propose the spectral degradation factor (SDF) to quantify spectral effects of pile-up at any ICR. Best counting performance is obtained with np-like counting and fc = 20 MHz, for which the count-rate loss is at most 10% in the investigated range of ICRs, whereas p-like counting yields best spectral performance. Due to less pile-up, the fastest pulses obtained with fc = 20 MHz already provide the best SDF values at ICRs of a few Mcps/pixel, despite their worse low-rate energy resolution. Hence, spectral performance under pile-up conditions appears to benefit more from substantially faster pulses than a somewhat better low-rate energy resolution. Moreover, we show that the pulse shape of SiPM-based detectors allows to improve spectral performance under pile-up conditions using dedicated peak detection windows.

Due to recent development in detector technology, photon-counting computed tomography (PCCT) has become a rapidly emerging medical imaging technology. Current PCCT systems rely on the direct conversion of X-ray photons into charge pulses, using CdTe, CZT, or Si semiconductor detectors. Indirect detection using ultrafast scintillators coupled to silicon photomultipliers (SiPM) offers a potentially more straightforward and cost-effective alternative. In this work a new 2D perovskite scintillator, benzylamonium lead bromide (BZA)₂PbBr₄, is experimentally characterised as function of temperature. The material exhibits a 4.2 ns decay time under X-ray excitation at room temperature and a light yield of 3700 photons/MeV. The simulation tool developed by Van der Sar et al. was used to model the pulse trains produced by a SiPM-based (BZA)₂PbBr₄ detector. The fast decay time of (BZA)₂PbBr₄ results in outstanding count-rate performance as well as very low statistical fluctuations in the simulated pulses. These features of (BZA)₂PbBr₄, combined with its cost-effective synthesis make (BZA)₂PbBr₄ very promising for PCCT.

We investigate fast silicon photomultiplier (SiPM)-based scintillation detectors for X-ray photon-counting applications, e.g., photon-counting computed tomography (CT). Such detectors may be an alternative to CdTe/CdZnTe (CZT) and Si detectors, which face challenges related to availability and cost-effective growth of detector-grade material, and detection efficiency, respectively. Here, we experimentally study energy response and count rate performance of a 1 mm × 1 mm single-pixel detector consisting of the readily available LaBr3:Ce scintillator and an ultrafast SiPM. We used three radio-isotopes and an X-ray tube for the experiments. Raw detector signals were processed by a second-order low-pass filter with a cut-off frequency f_c equal to 25 MHz or 100 MHz. The detector pulse height was shown to be proportional to photon energy. We measured FWHM energy resolutions of 19.5% (f_c=25 MHz) and 21.5% (f_c=100 MHz) at 60 keV. The measured X-ray tube spectra showed signs of the expected features of such spectra. The best count rate performance was achieved using f_c=100 MHz. In case of paralyzable-like counting and a 30 keV counting threshold, the maximum observed count rate (OCR) was 10.5 Mcps/pixel. For nonparalyzable-like counting and the same threshold, the OCR appeared to approach an asymptotic value greater than 20 Mcps/pixel. These numbers are close to those of CdTe/CZT detectors highly optimized for photon-counting CT. In conclusion, we show promising spectral X-ray photon-counting performance of an LaBr3:Ce scintillation detector with SiPM readout. Depending on the application-specific requirements, miniaturization of the pixel size may be necessary, for which we discuss potential dose-efficient implementations.

X-ray detectors with photon-counting capabilities promise to revolutionise medical imaging. For an efficient comparison of detectors of various materials and with different setup choices, reliable detector performance measures are needed. The detector point spread function (PSF) is a commonly used measure, which describes the spatial response of an X-ray detector to the irradiation of a single pixel, given the energy spectrum of the source. In the case of an energy-resolving PCD, the detector PSF is typically derived for each energy bin and characterises its resolution. Moreover, it is commonly determined under low count rate conditions, to avoid dead time and pile-up related distortions. Under these assumptions, the PSF can be determined in a straightforward manner, but does not fully characterise the detector under all conditions encountered in clinical practice. This is especially true since the number of registered counts per energy bin depends on both the incident spectrum and the fluence rate, due to pile-up and dead time. We therefore propose a new metric, the differential point spread function (dPSF), which describes the change in the output count rate due to a small change in the input spectrum, for a given combination of incident spectrum and fluence rate. The dPSF can be used to characterize the spectral and spatial performance of a PCD under high-fluence conditions, i.e. when its response becomes non-linear. We illustrate the use of the dPSF by performing a Monte-Carlo study in which we compare the response of direct-conversion and scintillationbased PCDs at different fluence rates.

We investigate X-ray photon-counting scintillation detectors with silicon photomultiplier (SiPM) readout. These circumvent some drawbacks of direct-conversion detectors. We measured observed count rate (OCR) versus X-ray tube current for single-pixel detectors consisting of LYSO:Ce and YAP:Ce scintillators coupled to ultrafast SiPMs. For a 30 keV threshold, the maximum OCRs equal 4.5 Mcps/pixel (LYSO:Ce) and 5.5 Mcps/pixel (YAP:Ce) for paralyzable-like counting and 10 Mcps/pixel (LYSO:Ce) and 12.5 Mcps/pixel (YAP:Ce) for nonparalyzable-like counting. We estimate that the twice as fast LaBr3:Ce scintillator yields OCRs approaching those of CdTe/CZT-based photon-counting CT detectors. We also show energy response data and discuss dose-efficient pixel miniaturization.

Purpose: The implementation of photon-counting detectors is widely expected to be the next breakthrough in X-ray computed tomography (CT) instrumentation. A small number of prototype scanners equipped with direct-conversion detectors based on room-temperature semiconductors, such as CdTe and CdZnTe (CZT), are currently installed at medical centers. Here, we investigate the feasibility of using silicon photomultiplier (SiPM)-based scintillation detectors in photon-counting computed tomography (PCCT) scanners, as a potential alternative to CdTe and CZT detectors. Methods: We introduce a model that allows us to compute the expected energy resolution as well as the expected pulse shape and associated rate capability of SiPM-based PCCT detectors. The model takes into account SiPM saturation and optical crosstalk, because these phenomena may substantially affect the performance of SiPM-based PCCT detectors with sub-mm pixels. We present model validation experiments using a single-pixel detector consisting of a 0.9 × 0.9 × 1.0 mm³ LuAP:Ce scintillation crystal coupled to a 1 × 1 mm² SiPM. We subsequently use the validated model to compute the expected performance of the fast scintillators LYSO:Ce, LuAP:Ce, and LaBr₃:Ce, coupled to currently available SiPMs, as well as to a more advanced SiPM prototype with improved dynamic range, for sub-mm pixel sizes. Results: The model was found to be in good agreement with the validation experiments, both with respect to energy resolution and pulse shape. It shows how saturation progressively degrades the energy resolution of detectors equipped with currently available SiPMs as the pixel size decreases. Moreover, the expected pulse duration is relatively long (~200 ns) with these SiPMs. However, when LuAP:Ce and LaBr₃:Ce are coupled to the more advanced SiPM prototype, the pulse duration improves to less than 60 ns, which is in the same order of magnitude as pulses from CdTe and CZT detectors. It follows that sufficient rate capability can be achieved with pixel sizes of 400 μm or smaller. Moreover, LaBr₃:Ce detectors can provide an energy resolution of 11.5%-13.5% at 60 keV, comparable to CdTe and CZT detectors. Conclusions: This work provides first evidence that it may be feasible to develop SiPM-based scintillation detectors for PCCT that can compete with CdTe and CZT detectors in terms of energy resolution and rate capability.