The BCT-view method outperforms traditional imaging techniques with a 60% reduction in total radiation dose compared to the Gaynor-Hart method and a 7% reduction compared to the Marshall method. Furthermore, reproducibility was significantly enhanced, with a 78% improvement in lunate-capitate overlap consistency compared to Gaynor-Hart and a 50% improvement compared to Marshall. Additionally, carpal tunnel size reproducibility improved by 75% compared to both Gaynor-Hart and Marshall methods. Patient ergonomics also showed marked advancements, with convenience and stability scores of 4.8/5 and 4.6/5, respectively. These results support the adoption of the BCT-view method as a new standard for carpal tunnel imaging.