ArticleEuropean radiology experimental2025
Virtual noncontrast images of adrenal lesions: a photon-counting CT prospective study.
Article in European radiology experimental, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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1 citing paper in PubMed.
- Understanding Photon-Counting CT: Physics, Detector Technology, and Image Reconstructions.Sensors (Basel, Switzerland) · 2026Review
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18 authors.
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Abstract
backgroundThe value of virtual noncontrast (VNC) images from photon-counting computed tomography (PCCT) for evaluating adrenal lesions and diagnosing adrenal adenomas remains to be clarified. MATERIALS AND
methodsParticipants with adrenal masses who underwent unenhanced and portal venous phase PCCT were prospectively included. Portal-venous phase images were reconstructed using conventional VNC (VNC
resultsThe study included 54 participants (27 females, mean age 45.3 years) with 68 adrenal lesions. Attenuation values on VNC were higher than those on TNC. TNC, VNC
conclusionVNC algorithms from PCCT overestimated CT attenuation of adrenal lesions. Higher thresholds showed better diagnostic performance for discriminating adrenal adenomas from non-adenomas than the established 10 HU. RELEVANCE STATEMENT: We investigated the application of VNC images from PCCT in adrenal disease. On VNC images, higher thresholds, superior to the accepted 10 HU, are needed for discriminating adenomas from non-adenomas, reducing the need for secondary examinations. KEY POINTS: This study investigated the value of VNC images from PCCT in adrenal lesions. VNC reconstruction overestimated the CT attenuation of adrenal lesions. Higher thresholds on VNC images were superior to the accepted 10 HU for differentiating adenomas from non-adenomas.
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