Computed tomography—current status and future directions for arthritis imaging
Applications of computed tomography (CT) in arthritis imaging have rapidly expanded in recent years due to ongoing technical developments. Dual-energy CT (DECT) has become indispensable in clinical practice, particularly for diagnosing gouty arthritis and assessing bony structural changes. Technolog...
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| Format: | Article |
| Language: | English |
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SAGE Publishing
2024-10-01
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| Series: | Therapeutic Advances in Musculoskeletal Disease |
| Online Access: | https://doi.org/10.1177/1759720X241287373 |
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| author | Sevtap Tugce Ulas Torsten Diekhoff |
| author_facet | Sevtap Tugce Ulas Torsten Diekhoff |
| author_sort | Sevtap Tugce Ulas |
| collection | DOAJ |
| description | Applications of computed tomography (CT) in arthritis imaging have rapidly expanded in recent years due to ongoing technical developments. Dual-energy CT (DECT) has become indispensable in clinical practice, particularly for diagnosing gouty arthritis and assessing bony structural changes. Technological innovations such as low-dose CT and state-of-the-art reconstruction algorithms reduce radiation exposure while maintaining image quality and short acquisition times. This review explores the growing role of CT in arthritis imaging. Recent innovations have extended DECT’s utility beyond gout diagnosis to the detection of inflammatory changes in various arthritic conditions. Postprocessing techniques such as the generation of subtraction images and iodine maps provide valuable insights into tissue perfusion and inflammatory activity, crucial for arthritis management. DECT can distinguish calcium from uric acid crystals, facilitating the differential diagnosis of various crystal arthropathies in a variety of clinical settings. This ability is particularly valuable in distinguishing between different clinical conditions in patients with inflammatory joint changes within a single imaging examination. Moreover, the advent of four-dimensional CT promises a better assessment of dynamic joint instabilities and ligament injuries, especially in the wrist. Overall, DECT offers a comprehensive approach to arthritis imaging, from the detection of structural changes to the assessment of active inflammation in joints and tendons. Continuous advances in CT technology, including photon-counting CT, hold promise for further improving diagnostic accuracy and expanding the role of CT in arthritis imaging and therapy monitoring. |
| format | Article |
| id | doaj-art-1d0450c4fdbb4c6d9f0e9480fcd1c41c |
| institution | OA Journals |
| issn | 1759-7218 |
| language | English |
| publishDate | 2024-10-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Therapeutic Advances in Musculoskeletal Disease |
| spelling | doaj-art-1d0450c4fdbb4c6d9f0e9480fcd1c41c2025-08-20T02:09:55ZengSAGE PublishingTherapeutic Advances in Musculoskeletal Disease1759-72182024-10-011610.1177/1759720X241287373Computed tomography—current status and future directions for arthritis imagingSevtap Tugce UlasTorsten DiekhoffApplications of computed tomography (CT) in arthritis imaging have rapidly expanded in recent years due to ongoing technical developments. Dual-energy CT (DECT) has become indispensable in clinical practice, particularly for diagnosing gouty arthritis and assessing bony structural changes. Technological innovations such as low-dose CT and state-of-the-art reconstruction algorithms reduce radiation exposure while maintaining image quality and short acquisition times. This review explores the growing role of CT in arthritis imaging. Recent innovations have extended DECT’s utility beyond gout diagnosis to the detection of inflammatory changes in various arthritic conditions. Postprocessing techniques such as the generation of subtraction images and iodine maps provide valuable insights into tissue perfusion and inflammatory activity, crucial for arthritis management. DECT can distinguish calcium from uric acid crystals, facilitating the differential diagnosis of various crystal arthropathies in a variety of clinical settings. This ability is particularly valuable in distinguishing between different clinical conditions in patients with inflammatory joint changes within a single imaging examination. Moreover, the advent of four-dimensional CT promises a better assessment of dynamic joint instabilities and ligament injuries, especially in the wrist. Overall, DECT offers a comprehensive approach to arthritis imaging, from the detection of structural changes to the assessment of active inflammation in joints and tendons. Continuous advances in CT technology, including photon-counting CT, hold promise for further improving diagnostic accuracy and expanding the role of CT in arthritis imaging and therapy monitoring.https://doi.org/10.1177/1759720X241287373 |
| spellingShingle | Sevtap Tugce Ulas Torsten Diekhoff Computed tomography—current status and future directions for arthritis imaging Therapeutic Advances in Musculoskeletal Disease |
| title | Computed tomography—current status and future directions for arthritis imaging |
| title_full | Computed tomography—current status and future directions for arthritis imaging |
| title_fullStr | Computed tomography—current status and future directions for arthritis imaging |
| title_full_unstemmed | Computed tomography—current status and future directions for arthritis imaging |
| title_short | Computed tomography—current status and future directions for arthritis imaging |
| title_sort | computed tomography current status and future directions for arthritis imaging |
| url | https://doi.org/10.1177/1759720X241287373 |
| work_keys_str_mv | AT sevtaptugceulas computedtomographycurrentstatusandfuturedirectionsforarthritisimaging AT torstendiekhoff computedtomographycurrentstatusandfuturedirectionsforarthritisimaging |