MDCT is the most important imaging method in patients with suspicious renal masses. Traditionally, multiphasic examinations have to be performed as detection and characterization of malignancy relies on enhancement of masses, and unenhanced images are used for detection of intralesional fat and calcification. Dual energy CT (DECT) has the potential to simplify and improve renal mass characterization by direct visualization of enhancement in a color coded fashion. Based on three-material decomposition principles, DECT enables iodine quantification within every voxel of a CT dataset without the need to acquire unenhanced images. Based on our research we propose a single phase renal mass imaging protocol for MDCT, thereby significantly decreasing radiation exposure to the patient. In summary, renal DECT allows fast and reliable renal mass characterization, and significantly reduces radiation dose by omission of true nonenhanced scans.
Renal Mass Hounsfield Unit Unenhanced Image Nephrographic Phase Iodine Distribution
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