Dual-Energy CT Arthrography: Advanced Muscolo-Skelatal Applications in Clinical Practice.
Giovanni FotiChristian BoozGiuseppe Mauro BuculoEugenio OliboniChiara LongoPaolo AvanziAntonio CampacciClaudio ZorziPublished in: Tomography (Ann Arbor, Mich.) (2023)
This paper provides a comprehensive overview of the potential applications of dual-energy CT (DECT) in improving image quality and the diagnostic capabilities of CT arthrography (CTA) in clinical practice. The paper covers the use of virtual non-contrast (VNC) images, in which the injected contrast medium is subtracted from the articular cavity in order to better analyze 2D and 3D images of the bone. Moreover, virtual monoenergetic imaging (VMI) applications and their potential use for the reduction of metal artifacts and improving image contrast are reviewed. The role of virtual non-calcium (VNCa) in detecting bone marrow edema surrounding the imaged joint will be discussed. Furthermore, the role of iodine maps in enhancing the contrast between soft tissues, optimizing the visualization of contrast material, and distinguishing contrast material from calcifications is described. Finally, a case series including different joints is provided to underline the additional advantages of high-spatial-resolution dual-energy CT reconstructed images.
Keyphrases
- dual energy
- image quality
- contrast enhanced
- computed tomography
- magnetic resonance
- clinical practice
- deep learning
- magnetic resonance imaging
- bone marrow
- convolutional neural network
- positron emission tomography
- optical coherence tomography
- mesenchymal stem cells
- gene expression
- high resolution
- machine learning
- human health
- photodynamic therapy
- single molecule