Letter to Editor: Reevaluating DECT in early spondylodiscitis for comprehensive diagnosis.

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Title: Letter to Editor: Reevaluating DECT in early spondylodiscitis for comprehensive diagnosis.
Authors: Cui, Jia-ning1 (AUTHOR), Bai, Rong-jie1 (AUTHOR), Wang, Dao-feng2 (AUTHOR), Shan, Dan3 (AUTHOR) d.shan6@universityofgalway.ie
Source: European Radiology. Oct2025, Vol. 35 Issue 10, p6612-6614. 3p.
Subjects: Spondylodiscitis, Magnetic resonance imaging, Diagnostic imaging, Dual energy CT (Tomography), Diagnosis
Abstract: The article discusses the investigation of dual-energy computed tomography (DECT) as a potential alternative to magnetic resonance imaging (MRI) for diagnosing spondylodiscitis. It highlights that while DECT shows comparable performance to MRI in certain aspects, particularly in detecting endplate erosions, it may struggle with early detection of subtle infections due to its lower sensitivity and reliance on pronounced structural changes. The text emphasizes the importance of MRI's superior soft tissue contrast for identifying early infection markers and suggests that future research could explore hybrid imaging techniques to enhance diagnostic accuracy. Overall, the article calls for a balanced consideration of DECT's limitations and the enduring relevance of MRI in clinical practice. [Extracted from the article]
Copyright of European Radiology is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: Letter to Editor: Reevaluating DECT in early spondylodiscitis for comprehensive diagnosis.
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  Data: <searchLink fieldCode="AR" term="%22Cui%2C+Jia-ning%22">Cui, Jia-ning</searchLink><relatesTo>1</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Bai%2C+Rong-jie%22">Bai, Rong-jie</searchLink><relatesTo>1</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Wang%2C+Dao-feng%22">Wang, Dao-feng</searchLink><relatesTo>2</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Shan%2C+Dan%22">Shan, Dan</searchLink><relatesTo>3</relatesTo> (AUTHOR)<i> d.shan6@universityofgalway.ie</i>
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  Data: <searchLink fieldCode="JN" term="%22European+Radiology%22">European Radiology</searchLink>. Oct2025, Vol. 35 Issue 10, p6612-6614. 3p.
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  Data: <searchLink fieldCode="DE" term="%22Spondylodiscitis%22">Spondylodiscitis</searchLink><br /><searchLink fieldCode="DE" term="%22Magnetic+resonance+imaging%22">Magnetic resonance imaging</searchLink><br /><searchLink fieldCode="DE" term="%22Diagnostic+imaging%22">Diagnostic imaging</searchLink><br /><searchLink fieldCode="DE" term="%22Dual+energy+CT+%28Tomography%29%22">Dual energy CT (Tomography)</searchLink><br /><searchLink fieldCode="DE" term="%22Diagnosis%22">Diagnosis</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: The article discusses the investigation of dual-energy computed tomography (DECT) as a potential alternative to magnetic resonance imaging (MRI) for diagnosing spondylodiscitis. It highlights that while DECT shows comparable performance to MRI in certain aspects, particularly in detecting endplate erosions, it may struggle with early detection of subtle infections due to its lower sensitivity and reliance on pronounced structural changes. The text emphasizes the importance of MRI's superior soft tissue contrast for identifying early infection markers and suggests that future research could explore hybrid imaging techniques to enhance diagnostic accuracy. Overall, the article calls for a balanced consideration of DECT's limitations and the enduring relevance of MRI in clinical practice. [Extracted from the article]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of European Radiology is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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        Value: 10.1007/s00330-024-11309-y
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        Text: English
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      – SubjectFull: Spondylodiscitis
        Type: general
      – SubjectFull: Magnetic resonance imaging
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      – SubjectFull: Diagnostic imaging
        Type: general
      – SubjectFull: Dual energy CT (Tomography)
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              M: 10
              Text: Oct2025
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              Y: 2025
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