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Photon-Counting CT in Musculoskeletal Radiology: Technical Principles, Clinical Applications, and Future Directions Cover

Photon-Counting CT in Musculoskeletal Radiology: Technical Principles, Clinical Applications, and Future Directions

Open Access
|Feb 2026

Abstract

Photon‑counting computed tomography is the newest technological advancement in CT imaging allowing for an improved spatial resolution, inherent spectral information, and significant radiation dose reduction. These benefits may enhance diagnostic confidence and accuracy for radiologists and clinicians. Multiple clinical applications in musculoskeletal radiology benefit from this technology, including the reduction of metal artifacts, improved visualization of bone marrow edema, and better assessment of crystal arthropathies. This narrative review presents a comprehensive summary of the current advancements and applications of this emerging technology within musculoskeletal radiology using several illustrative cases.

DOI: https://doi.org/10.5334/jbsr.4190 | Journal eISSN: 2514-8281
Language: English
Submitted on: Dec 15, 2025
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Accepted on: Feb 3, 2026
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Published on: Feb 20, 2026
Published by: Ubiquity Press
In partnership with: Paradigm Publishing Services
Publication frequency: 1 issue per year

© 2026 Stijn De Bondt, Ione Limantoro, Hilde Bosmans, Geert Maleux, Nathalie Noppe, Michiel Herteleer, published by Ubiquity Press
This work is licensed under the Creative Commons Attribution 4.0 License.