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Studies presented a generally low or unclear risk for bias and applicability concerns. DECT has an excellent diagnostic performance for detecting BME in non-traumatic patients and may provide an alternative to magnetic resonance imaging (MRI) for the detection of non-traumatic BME in the future, especially when MRI is unavailable or contraindicated. DECT has an excellent diagnostic performance for detecting BME in non-traumatic patients and may provide an alternative to magnetic resonance imaging (MRI) for the detection of non-traumatic