Computed Tomography Bone Imaging: Pushing the Boundaries in Clinical Practice

Semin Musculoskelet Radiol 2023; 27: 397-410 DOI: 10.1055/s-0043-1768451Bone microarchitecture has several clinical implications over and above estimating bone strength. Computed tomography (CT) analysis mainly uses high-resolution peripheral quantitative CT and micro-CT, research imaging techniques, most often limited to peripheral skeleton assessment. Ultra-high-resolution (UHR) CT and photon-counting detector CT, two commercially available techniques, provide images that can approach the spatial resolution of the trabeculae, bringing bone microarchitecture analysis into clinical practice and improving depiction of bone vascularization, tumor matrix, and cortical and periosteal bone. This review presents bone microarchitecture anatomy, principles of analysis, reference measurements, and an update on the performance and potential clinical applications of these new CT techniques. We also share our clinical experience and technical considerations using an UHR-CT device. [...] Thieme Medical Publishers, Inc. 333 Seventh Avenue, 18th Floor, New York, NY 10001, USAArticle in Thieme eJournals: Table of contents  |  Abstract  |  Full text

Source: Seminars in Musculoskeletal Radiology - September 25, 2023 Category: Radiology Authors: Gillet, Romain Boubaker, Fatma Hossu, Gabriela Thay, Anthony Gillet, Pierre Blum, Alain Teixeira, Pedro Augusto Gondim Tags: Review Article Source Type: research