“However, evaluation of the ureters using CT can be particularly problematic.  Not only are the ureters often poorly opacified and distended due to poor CT technique, but the majority of ureteral TCC’s are found in the distal third of the ureters, a segment that is particularly difficult to completely distend. Moreover, even when well distended, ureteral tumors can be extremely subtle and difficult to appreciate, particularly when relying primarily on the source axial images.”
MDCT Evaluation of Ureteral Tumors:Advantages of 3-D Reconstruction and Volume Visualization
Raman SP, Horton KM, Fishman EK
AJR 2013 Dec;201(6):1239-47

“Proper diagnosis hinges not only on appropriate interpretation of the source axial images (with recognition of several suggestive CT features of malignancy), but also upon the utilization of 3-D technique (CR and MIP technique) as an ancillary diagnostic tool. In our experience, proper utilization of 3-D technique can be incredibly useful in the diagnosis of subtle tumors that are barely perceptible on the source axial images, and which may be missed otherwise.”
MDCT Evaluation of Ureteral Tumors:Advantages of 3-D Reconstruction and Volume Visualization
Raman SP, Horton KM, Fishman EK
AJR 2013 Dec;201(6):1239-47

“ Unsuspected mesenteric arterial abnormality may elude diagnosis when axial MDCT sections are interpreted without 3D renderings.”
Unsuspected Mesenteric Arterial Abnormality: Comparison of MDCT Axial Sections to Interactive 3D Rendering
Chen JK, Johnson PT, Horton KM, Fishman EK
AJR 2007;189:807-813

“On a per-patient basis, the axial and 3D interpretations were equivalent in 24% (10/41) of the cases. Axial CT partially agreed with 3D CT in 10% (4/41), and no mesenteric arterial lesion was reported on axial CT in 66% (27/41). The 3D CT findings were supported by other imaging, surgery, clinical findings, or management in 49% (20/41) of the cases. The mesenteric lesions identified resulted in a change in patient management in 15% (6/41) of the subjects.”
Unsuspected mesenteric arterial abnormality: comparison of MDCT axial sections to interactive 3D rendering
Chen JK, Johnson PT, Horton KM, Fishman EK
AJR 2007 Oct;189(4):807-813

“ In the era of isotropic data, perhaps the new standard of care will be to review all MDCT data sets in 3D mode to exclude any unsuspected vascular abnormality.”
Unsuspected Mesenteric Arterial Abnormality: Comparison of MDCT Axial Sections to Interactive 3D Rendering
Chen JK, Johnson PT, Horton KM, Fishman EK
AJR 2007;189:807-813>

Pitfall: In cases of suspected ischemia make sure you examine the entire vessel not just its proximal portion. If you can’t define it make that clear in your report.

“ Most clinically important vertebral body compression fractures in nontrauma patients at risk for low bone mineral density may go unreported at abdominal multidetector CT if sagittal reconstructions are not routinely evaluated.”
Unreported Vertebral Body Compression Fractures at Abdominal Multidetector CT
Carberry GA et al.
Radiology 2013; 268:120-126

“ After review of 2015 abdominal multidetector CT scans in patients who underwent dual-energy x-ray absorptiometry (DXA) within 6 months of CT, prospective diagnosis of a moderate or severe vertebral body compression fracture was not determined in 84% (81 of 97).”
Unreported Vertebral Body Compression Fractures at Abdominal Multidetector CT
Carberry GA et al.
Radiology 2013; 268:120-126

“ The skin and SQ tissues are by definition on the periphery of CT images and may often be overlooked by the interpreting radiologist. These findings may also be only partially included in the field of view, further complicating identification and interpretation.”
CT of the skin and subcutaneous tissues
Katz DS et al.
Emerg Radiol (2013):20;57-68

Objective: To assess a radiologist’s detection rate of rib fractures in trauma CT when reading curved planar reformats (CPRs) of the ribs compared to reading standard MPRs.
Results: The reference standard identified 361 rib fractures in 61 patients. Reading CPRs showed a significantly higher overall sensitivity (P<0.001) for fracture detection than reading standard MPRs, with 80.9 % (584/722) and 71.5 % (516/ 722), respectively. Mean reading time was significantly shorter for CPRs (31.3 s) compared to standard MPRs (60.7 s; P<0.001).
Conclusion: Using CPRs for the detection of rib fractures accelerates the reading of trauma patient chest CTs, while offering an increased overall sensitivity compared to conventional standard MPRs.
The ribs unfolded- a CT visualization algorithm for fast detection of rib fractures: effect on sensitivity and specificity in trauma patients 
Ringl H et al.
Eur Radiol (2015) 25:1865–1874

“In summary, the unfolded view enabled significant time savings in the detection of rib fractures, regardless of the reader’s experience. In terms of diagnostic accuracy, no advantage was noticeable for the experienced reader, whereas the inexperienced reader clearly benefited from the simpler assessability. Therefore, one can conclude that the unfolded view can be a helpful diagnostic tool for the rapid assessment of patients with blunt thorax trauma.”
Assessment of Rib Fracture in Acute Trauma Using Automatic Rib Segmentation and a Curved, Unfolded View of the Ribs: Is There a Saving of Time? 
Benedikt Pregler et al.
J. Clin. Med. 2022, 11, 2502.