How CT works

How a CT scanner forms an image — from the X-ray beam to Hounsfield Units to the components inside the gantry.

The cardiac-CT imaging chain — from the X-ray tube through attenuation and reconstruction to Hounsfield Units.

Computed Tomography (CT) uses a fan-shaped, thin X-ray beam that passes through the body at multiple angles. As the X-ray tube and the detector array continuously rotate 180° around the patient, they collect X-ray transmission measurements. These data points are grouped into a sinogram and digitized into pixels. Each pixel’s grayscale value represents its linear attenuation coefficient — its ability to absorb X-ray photons depending on tissue density.

Values are normalized to water, set to 0 Hounsfield Units (HU):

  • Air ≈ −1000 HU
  • Soft tissue ≈ +30 to +60 HU
  • Bone ≈ +1000 to +3000 HU

1 Major system components

  • X-ray generator. A cathode (heating coil) generates electrons; an anode produces the X-ray photons.
  • Filters & collimators. Collimators shape the beam to reduce unnecessary radiation. Filters such as the bowtie filter harden the beam and compensate for the body’s thicker center and thinner periphery.
  • Detector. Scintillating materials (rare-earth ceramics) indirectly convert X-rays to visible light, then to an electronic signal.
  • Slip ring. Eliminates the need to “rewind” the gantry between rotations, enabling continuous spiral multi-slice scanning.
← previous
CAC in special populations
next →
CT scanner types & generations