Exploring X-ray photon-counting scintillation detectors with silicon photomultiplier readout for medical imaging

Photon-counting detectors (PCD) for medical X-ray computed tomography (CT) are designed to measure the number of X-ray photons incident on a detector pixel as well as the energy of the individual X-rays. They are expected to yield improvements in image quality for a given radiation dose, and to offer opportunities for spectral imaging beyond dual-energy techniques. However, the fluence rate incident on the detector can exceed 108 mm-2 s-1 in CT, so that the detector pulses generated by the X-rays likely pile up on each other, which distorts the measurement. The semiconductors CdTe and Cd1-xZnxTe (CZT, x ≈ 0.1-0.2) are commonly considered efficient X-ray absorbers that provide sufficient rate capability (fast pulses in the order of 101 ns and a high pixel density ≥ 4 mm-2) and energy resolution (8-20% FWHM at 60 keV). In such detectors, an X-ray is converted into electron-hole pairs, which travel to (pixelated) electrodes, on which they induce a current pulse. However, the cost-effective synthesis of material of sufficient quality to make this a stable and reliable detection process appears to remain an issue. Thus, the aim of this thesis is to explore the photon-counting performance, e.g., the rate capability and energy resolution, of an alternative detector concept based on a scintillator, which converts an X-ray into a light pulse, and a silicon photomultiplier (SiPM), which detects the light. Since such a detector relies on light rather than charge transport, it may enable cost-effective manufacturing of stable and reliable PCDs...