This study investigates whether detector materials with an effective atomic number (Zeff), density, and light output higher than cesium iodide (CsI) could provide images of better quality in dual-energy cone beam computed tomography (CBCT) breast examinations. Seven different detector material configurations were applied in a simulated micro-CBCT system using GATE v.9.2.1 (GEANT4 application for tomographic emission). Four breast phantoms, containing microcalcifications of Type I and Type II, were imaged. Planar images and tomographic data were analyzed. Microcalcification CNRs (contrast-to-noise ratios) were calculated for each configuration. CZT (cadmium zinc telluride) and GAGG (gadolinium aluminum gallium garnet) materials show a 3–17% increase in relative HAp (hydroxyapatite)-CNR values towards CsI.
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