Low-dose tin-filtered computed tomography (CT) with iterative metal artifact reduction algorithm versus dual-energy CT for patients with lumbar metal implants

Over the past two decades, posterior lumbar interbody fusion procedures have become increasingly common worldwide [1,2]. Computed tomography (CT) has emerged as the preferred imaging modality for assessing implant positioning and detecting potential complications during patient follow-up [3,4]. However, metal implants can severely degrade CT image quality due to artifacts such as beam hardening and photon starvation. These artifacts hinder the visualization of bone–metal interfaces and adjacent …

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