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CT arthrographies using PCD-, EID-, and FPD-CT were performed. Six dose protocols between 0.1\u2009mGy (using a tin filter) and 6\u2009mGy, ultrahigh-resolution-mode, and two reconstruction kernels were used for the PCD-CT and EID-CT. FPD-CT images were reconstructed using a \u201cnormal\u201d and \u201csharp\u201d kernel. Signal-to-noise ratios (SNR) and contrast-to-noise ratios (CNR) were calculated and analyzed using analysis of variance (ANOVA) and <jats:italic>post hoc<\/jats:italic> tests. Three blinded radiologists independently rated image quality concerning trabecular, cartilage, and intrinsic structures. Intraclass correlation coefficients (ICC) were calculated, followed by a Friedman and <jats:italic>post hoc<\/jats:italic> test.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Results<\/jats:title>\n            <jats:p>At 1.5\u2009mGy, 3\u2009mGy, and 6\u2009mGy with the Br89 kernel, the PCD-CT yielded up to 2.35 times higher SNR and up to 7 times higher CNR than dose-equivalent and higher dose EID-CT scans. Subjective ratings favored the PCD-CT over the EID-CT and occasionally the FPD-CT, with a combined ICC of 0.942. Applying sharper kernels, SNR did not differ significantly between the PCD-CT (1.5\u2009mGy, 3\u2009mGy, and 6\u2009mGy) and the FPD-CT.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusion<\/jats:title>\n            <jats:p>Using sharp kernels, the PCD-CT provided superior image quality to the EID-CT and achieved comparable or better quality than the FPD at certain parameters. Thus, the PCD-CT could be considered a possible alternative in clinical routine for evaluating wrist injuries.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Relevance statement<\/jats:title>\n            <jats:p>This study demonstrates the potential of the PCD-CT as a valuable tool in diagnosing wrist injuries. Its superior image quality compared to the EID-CT can increase confidence in diagnosing subtle bone pathologies and additionally yields the possibility of radiation exposure reduction.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Key Points<\/jats:title>\n            <jats:p>\n              <jats:list list-type=\"bullet\">\n                <jats:list-item>\n                  <jats:p>The technical advantages of the PCD-CT allow for dose reduction while generating high-quality images.<\/jats:p>\n                <\/jats:list-item>\n                <jats:list-item>\n                  <jats:p>PCD-CT showed superior image quality over EID-CT and was comparable to the FPD-CT.<\/jats:p>\n                <\/jats:list-item>\n                <jats:list-item>\n                  <jats:p>PDC-CT offers improved visualization of fine joint structures in wrist arthrography and should be considered in clinical routine.<\/jats:p>\n                <\/jats:list-item>\n              <\/jats:list>\n            <\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Graphical Abstract<\/jats:title>\n          <\/jats:sec>","DOI":"10.1186\/s41747-025-00604-y","type":"journal-article","created":{"date-parts":[[2025,8,29]],"date-time":"2025-08-29T16:35:39Z","timestamp":1756485339000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Photon-counting CT versus energy-integrating detector and flat-panel CT for cadaveric wrist arthrography with additional tin filter dose reduction"],"prefix":"10.1186","volume":"9","author":[{"ORCID":"https:\/\/orcid.org\/0009-0001-7658-4618","authenticated-orcid":false,"given":"Johannes","family":"de Boer","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nigar","family":"Salimova","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Friederike","family":"Weidemann","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lea","family":"Behrendt","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas","family":"Werncke","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Frank K.","family":"Wacker","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lena","family":"Sonnow","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2025,8,29]]},"reference":[{"key":"604_CR1","doi-asserted-by":"publisher","first-page":"787","DOI":"10.1148\/rg.283075087","volume":"28","author":"T Moser","year":"2008","unstructured":"Moser T, Dosch JC, Moussaoui A et al (2008) Multidetector CT arthrography of the wrist joint: how to do it. 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