Synthetic CT enhances cervical spine assessment in radiculopathy when combined with MRI and X-ray

Adding MRI-based synthetic CT to MRI and X-ray improved radiologists' assessment quality for cervical radiculopathy (median score 3.8 vs 3.2, p<0.001); trabecular bone visibility unchanged. Single-centre exploratory study with 24 patients.

• Radiologists reported significantly higher overall assessment quality with the addition of synthetic CT (median score 3.8 vs 3.2, p<0.001).
• Visibility of trabecular bone did not differ significantly between the two image sets.
• This exploratory single-centre study warrants confirmation in larger cohorts.

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