A review of current applications of photon-counting CT in musculoskeletal imaging.
Authors
Affiliations (3)
Affiliations (3)
- Department of Radiology, Hôpital Lariboisière, APHP.Nord, Université Paris Cité, 75010 Paris, France; Laboratoire B3OA Biologie, Bioingénierie et Bioimagerie Ostéo-Articulaire, CNRS UMR 7052, 75010 Paris, France. Electronic address: [email protected].
- Department of Radiology, Hôpital Lariboisière, APHP.Nord, Université Paris Cité, 75010 Paris, France.
- Department of Radiology, Hôpital Lariboisière, APHP.Nord, Université Paris Cité, 75010 Paris, France; Laboratoire B3OA Biologie, Bioingénierie et Bioimagerie Ostéo-Articulaire, CNRS UMR 7052, 75010 Paris, France.
Abstract
Photon-counting computed tomography (PCCT) is a significant technological advancement in musculoskeletal imaging. Unlike traditional CT detectors, which are energy-integrating detectors, PCCT uses direct-conversion technology, or photon-counting detectors. This enables ultra-high spatial resolution, systematic spectral imaging, and effective electronic noise reduction without increasing radiation exposure. This review article illustrates the potential benefit of PCCT in clinical practice across a broad spectrum of musculoskeletal disorders. PCCT is expected to improve the detection and characterization of fractures, infections, inflammatory and degenerative arthropathies, bone marrow disorders, tumors, congenital bone diseases, and postoperative complications. It will also assist with interventional procedures. PCCT holds great promise for opportunistic imaging and artificial intelligence-driven analytics in musculoskeletal radiology.