{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,20]],"date-time":"2026-10-20T15:13:41Z","timestamp":1792509221156,"version":"4.5.0"},"reference-count":28,"publisher":"SAGE Publications","issue":"10","license":[{"start":{"date-parts":[[2024,8,20]],"date-time":"2024-08-20T00:00:00Z","timestamp":1724112000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Acta Radiol"],"published-print":{"date-parts":[[2024,10]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>High-resolution computed tomography (HRCT) is dependent on detailed morphology in diagnostic assessment of interstitial lung diseases. Photon-counting CT (PCCT) enables improved resolution while reducing radiation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To compare if the image quality, detailed morphology, and radiation dose in HRCT of the lung improves with PCCT compared to energy-integrated CT (EICT).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Material and Methods<\/jats:title>\n                    <jats:p>\n                      HRCT with PCCT in patients with body mass index (BMI) from normal to obese, previously examined with different EICT were included. They were evaluated in a five-step scale for image quality according to Quality Criteria for CT (Diagnostic Requirement of the ImPACT group-European standardization). In addition, ground-glass opacities, bronchiectasis, emphysema, nodules, and subpleural detailed morphology (\u22641 cm from the pleural border) were evaluated by three independent thoracic and\/or pediatric radiologists. Visual grading characteristics (VGC) were used for comparison of image quality and detailed morphology and Fleiss kappa for intra-observer variability. Dose-length product (DLP) and CT dose index-volume (CTDI\n                      <jats:sub>vol<\/jats:sub>\n                      ) were collected to calculate effective radiation dose.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      HRCT with PCCT in 52 women and 48 men (mean age=67.2\u2009\u00b1\u200913.6 years; age range=27\u201387 years; BMI=26.9 kg\/m\n                      <jats:sup>2<\/jats:sup>\n                      ; range=18.6\u201345 kg\/m\n                      <jats:sup>2<\/jats:sup>\n                      ) previously examined with EICT (mean age=65.3\u2009\u00b1\u200913.6 years; age range=27\u201385 years; BMI=27 kg\/m\n                      <jats:sup>2<\/jats:sup>\n                      ; range=18.9\u201345 kg\/m\n                      <jats:sup>2<\/jats:sup>\n                      ) were included. There were significant differences in image quality for all entities in favor of PCCT. The radiation dose was reduced with PCCT by 47% in all, particularly pronounced in obese with 48.5%.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Image quality, detailed morphology, and radiation dose, particularly in obese patients, were significantly improved in HRCT with PCCT compared to conventional EICT. The new technique enables visualization of subpleural structures.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/02841851241269918","type":"journal-article","created":{"date-parts":[[2024,8,20]],"date-time":"2024-08-20T03:54:36Z","timestamp":1724126076000},"page":"1211-1221","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":4,"title":["A new era of high-resolution CT diagnostics of the lung: improved image quality, detailed morphology, and reduced radiation dose with high-resolution photon-counting CT of the lungs compared to high-resolution energy-integrated CT"],"prefix":"10.1177","volume":"65","author":[{"ORCID":"https:\/\/orcid.org\/0009-0000-7044-2419","authenticated-orcid":false,"given":"Marie-Louise","family":"Aurumskj\u00f6ld","sequence":"first","affiliation":[{"name":"Medical Radiation Physics, Department of Translational Medicine, Lund University, Malm\u00f6, Sweden"},{"name":"Radiation Physics, Department of Hematology, Oncology and Radiation Physics, Sk\u00e5ne University Hospital, Lund, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lotta","family":"Sjunnesson","sequence":"additional","affiliation":[{"name":"Department of Medical Imaging and Physiology, Sk\u00e5ne University Hospital, Lund, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adrian","family":"Pistea","sequence":"additional","affiliation":[{"name":"Department of Medical Imaging and Physiology, Sk\u00e5ne University Hospital, Lund, Sweden"},{"name":"Department of Clinical Sciences, Lund University, Lund, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gylfi","family":"\u00c1sbj\u00f6rnsson","sequence":"additional","affiliation":[{"name":"Department of Medical Imaging and Physiology, Sk\u00e5ne University Hospital, Lund, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fredrik","family":"Wellman","sequence":"additional","affiliation":[{"name":"Radiation Physics, Department of Hematology, Oncology and Radiation Physics, Sk\u00e5ne University Hospital, Lund, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2146-8329","authenticated-orcid":false,"given":"Gracijela","family":"Bozovic","sequence":"additional","affiliation":[{"name":"Department of Medical Imaging and Physiology, Sk\u00e5ne University Hospital, Lund, Sweden"},{"name":"Department of Clinical Sciences, Lund University, Lund, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2024,8,20]]},"reference":[{"key":"bibr1-02841851241269918","doi-asserted-by":"publisher","DOI":"10.1227\/01.NEU.0000204309.91666.06"},{"key":"bibr2-02841851241269918","doi-asserted-by":"publisher","DOI":"10.1007\/s11886-009-0075-z"},{"key":"bibr3-02841851241269918","doi-asserted-by":"publisher","DOI":"10.1148\/radiol.10100245"},{"key":"bibr4-02841851241269918","doi-asserted-by":"publisher","DOI":"10.1148\/radiol.2018172656"},{"key":"bibr5-02841851241269918","doi-asserted-by":"publisher","DOI":"10.1117\/1.JMI.4.4.043502"},{"key":"bibr6-02841851241269918","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejrad.2023.110829"},{"key":"bibr7-02841851241269918","first-page":"1319","volume":"27","author":"Todo G","year":"1982","journal-title":"Rinsho Hoshasen"},{"key":"bibr8-02841851241269918","doi-asserted-by":"publisher","DOI":"10.1148\/radiology.161.3.3786710"},{"key":"bibr9-02841851241269918","doi-asserted-by":"publisher","DOI":"10.1164\/ajrccm\/142.5.1206"},{"key":"bibr10-02841851241269918","doi-asserted-by":"publisher","DOI":"10.1164\/ajrccm\/142.6_Pt_1.1440"},{"key":"bibr11-02841851241269918","doi-asserted-by":"publisher","DOI":"10.1055\/s-0033-1363458"},{"key":"bibr12-02841851241269918","doi-asserted-by":"publisher","DOI":"10.2214\/ajr.177.3.1770501"},{"key":"bibr13-02841851241269918","doi-asserted-by":"publisher","DOI":"10.1097\/00005382-198512000-00008"},{"key":"bibr14-02841851241269918","doi-asserted-by":"publisher","DOI":"10.1007\/s00330-023-10174-5"},{"key":"bibr15-02841851241269918","unstructured":"World Health Organization. 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