Photon-Counting Computed Tomography (PC-CT) of the spine: impact on diagnostic confidence and radiation dose.
Alexander RauJakob StraehleThomas SteinThierno DialloStephan RauSebastian FabyKonstantin NikolaouStefan O SchoenbergDaniel OverhoffJürgen BeckHorst UrbachJan-Helge KlinglerFabian BambergJakob WeissPublished in: European radiology (2023)
• Compared to energy-integrating CT, photon-counting CT of the spine had significantly higher sharpness and lower image noise while radiation dose was reduced by 45%. • In patients with metallic implants, virtual monochromatic photon-counting images at 130 keV were superior to standard reconstruction at 65 keV in terms of image quality, artifacts, noise, and diagnostic confidence.