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CT in osteoarthritis: its clinical role and recent advances

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Abstract

Computed tomography (CT) is a widely available imaging method and considered as one of the most reliable techniques in bone assessment. Although CT has limited tissue contrast and needs radiation exposure, it has several advantages like fast scanning time and high spatial resolution. In this regard, CT has unique roles in osteoarthritis (OA) and its variable utilities have been reported. Hence, this review highlights the clinical role of CT in OA of representative joints. In addition, CT showed the several technical advancements recently, for example, acquiring the CT image with standing, obtaining the dual-energy data, and novel photon-counting detector development. Therefore, the recent studies and potential utility of these new CT systems in OA are also discussed.

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Authors and Affiliations

  1. Department of Radiology, The Jikei University School of Medicine, 3-25-8 Nishi-Shimbashi, Minato-Ku, Tokyo, Japan

    Takeshi Fukuda, Takenori Yonenaga & Hiroya Ojiri

  2. Department of Orthopedic Surgery, The Jikei University School of Medicine, 3-25-8 Nishi-Shimbashi, Minato-Ku, Tokyo, Japan

    Teruyuki Miyasaka & Tadashi Kimura

  3. Department of Radiology, Keio University School of Medicine, 35 Shinanomachi, Shinjuku-Ku, Tokyo, Japan

    Masahiro Jinzaki

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  1. Takeshi Fukuda
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  2. Takenori Yonenaga
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  3. Teruyuki Miyasaka
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TF mainly drafted the manuscript. TY, MJ, and HO contributed to editing the draft. TM, TK, and MJ contributed to literature survey and figure preparation. All author approved the final version of the manuscript before submission.

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Correspondence to Takeshi Fukuda.

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Highlights

CT is the best imaging modality for structural change evaluation in osteoarthritis. The three-dimensional analysis enables precise assessment of these changes in even anatomically complex joints.

CT has unique roles in OA research such as estimating the bone mineral density in subchondral area and semi-quantitative analysis of OA with the grading system.

Recent technical advances in CT, such as dual-energy CT, scanning with standing position, and photon-counting detector, may bring about new insight on OA in next decade.

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Fukuda, T., Yonenaga, T., Miyasaka, T. et al. CT in osteoarthritis: its clinical role and recent advances. Skeletal Radiol 52, 2199–2210 (2023). https://doi.org/10.1007/s00256-022-04217-z

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