Electron beam computed tomography

Electron beam computed tomography (EBCT) is a fifth generation computed tomography (CT) scanner in which the X-ray tube is not mechanically spun in order to rotate the source of X-ray photons. This different design was explicitly developed to better image heart structures that never stop moving, performing a complete cycle of movement with each heartbeat.

As in conventional CT technology, the X-ray source-point moves along a circle in space around an object to be imaged. In EBCT, the X-ray tube itself is large and stationary, and partially surrounds the imaging circle. Rather than moving the tube itself, electron-beam focal point (and hence the X-ray source point) is rapidly swept along a tungsten anode in the tube, tracing a large circular arc on its inner surface.

The vast majority of CT scanners in clinical use are third generation machines.

Advantages and disadvantages

The principal application advantage of EBT machines, and the reason for the invention, is that because the X-ray source-point is swept electronically, not mechanically, it can be swept with far greater speed.

The major medical application for which this design technology was invented in the 1980s was for imaging the human heart, specifically to detect coronary calcium. The heart never stops moving, and some important structures, such as arteries, move several times their diameter during each heartbeat. Rapid imaging is therefore important to prevent blurring of moving structures during the scan.