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Metal artifact reduction in patients with total hip replacements: evaluation of clinical photon counting CT using virtual monoenergetic images.

Julian SchreckKai Roman LaukampJulius Henning NiehoffArwed Elias MichaelJan BoriesosdickMatthias Michael WöltjenJan Robert KrögerRobert P ReimerJan-Peter GrunzJan BorggrefeSimon Lennartz
Published in: European radiology (2023)
• Photon-counting CT-derived virtual monoenergetic images at 110 keV yielded best reduction of hyper- and hypodense artifacts, whereas higher energy levels resulted in artifact overcorrection. • The qualitative artifact extent was reduced best in virtual monoenergetic images at 110 keV, facilitating an improved assessment of the circumjacent bone. • Despite significant artifact reduction, assessment of pelvic organs as well as vessels did not profit from energy levels higher than 70 keV, due to the decline in image contrast.
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