Skip to main content
Log in

Clinical abdominal dual-energy CT: 15 years later

  • Perspective
  • Published:
Abdominal Radiology Aims and scope Submit manuscript

Abstract

Dual-energy CT (DECT) has been available for clinical use in the United States for close to 15 years. Although multiple applications in all areas of the body have been described that are only possible with DECT, the adoption into clinical practice has been slow. This paper will attempt to address many of the impediments the author has encountered from his discussions with radiologists across the country. A hopeful outcome would result in more practices adopting more DECT into their CT practices.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Krupinski EA. Technology and perception in the 21st-century reading room. J Am Coll Radiol. 2006;3(6):433-40. doi: https://doi.org/10.1016/j.jacr.2006.02.022

    Article  PubMed  Google Scholar 

  2. Grant KL, Flohr TG, Krauss B, Sedlmair M, Thomas C, Schmidt B. Assessment of an advanced image-based technique to calculate virtual monoenergetic computed tomographic images from a dual-energy examination to improve contrast-to-noise ratio in examinations using iodinated contrast media. Invest Radiol. 2014;49(9):586-92.

    Article  Google Scholar 

  3. D'Angelo T, Cicero G, Mazziotti S, Ascenti G, Albrecht MH, Martin SS, et al. Dual energy computed tomography virtual monoenergetic imaging: technique and clinical applications. The British journal of radiology. 2019;92(1098):20180546.

    Article  Google Scholar 

  4. Rassouli N, Chalian H, Rajiah P, Dhanantwari A, Landeras L. Assessment of 70-keV virtual monoenergetic spectral images in abdominal CT imaging: A comparison study to conventional polychromatic 120-kVp images. Abdominal radiology (New York). 2017;42(10):2579-86.

    Article  Google Scholar 

  5. Toepker M, Moritz T, Krauss B, Weber M, Euller G, Mang T, et al. Virtual non-contrast in second-generation, dual-energy computed tomography: reliability of attenuation values. Eur J Radiol. 2012;81(3):e398-405. doi: https://doi.org/10.1016/j.ejrad.2011.12.011. Epub 2 Jan 10.

    Article  PubMed  Google Scholar 

  6. Connolly MJ, McInnes MDF, El-Khodary M, McGrath TA, Schieda N. Diagnostic accuracy of virtual non-contrast enhanced dual-energy CT for diagnosis of adrenal adenoma: A systematic review and meta-analysis. Eur Radiol. 2017;27(10):4324-35. doi: https://doi.org/10.1007/s00330-017-4785-0. Epub 2017 Mar 13.

    Article  PubMed  Google Scholar 

  7. Mileto A, Sofue K, Marin D. Imaging the renal lesion with dual-energy multidetector CT and multi-energy applications in clinical practice: what can it truly do for you? Eur Radiol. 2016;26(10):3677-90.

    Article  Google Scholar 

  8. Canellas R, Digumarthy S, Tabari A, Otrakji A, McDermott S, Flores EJ, et al. Radiation dose reduction in chest dual-energy computed tomography: effect on image quality and diagnostic information. Radiol Bras. 2018;51(6):377-84. doi: https://doi.org/10.1590/0100-3984.2017.0136

    Article  PubMed  PubMed Central  Google Scholar 

  9. Uhrig M, Simons D, Kachelriess M, Pisana F, Kuchenbecker S, Schlemmer HP. Advanced abdominal imaging with dual energy CT is feasible without increasing radiation dose. Cancer Imaging. 2016;16(1):15. doi: https://doi.org/10.1186/s40644-016-0073-5

    Article  PubMed  PubMed Central  Google Scholar 

  10. Schmidt D, Soderberg M, Nilsson M, Lindvall H, Christoffersen C, Leander P. Evaluation of image quality and radiation dose of abdominal dual-energy CT. Acta Radiol. 2018;59(7):845-52. doi: https://doi.org/10.1177/0284185117732806. Epub 2017 Sep 19.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Alec J. Megibow.

Additional information

Publisher's Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Megibow, A.J. Clinical abdominal dual-energy CT: 15 years later. Abdom Radiol 45, 1198–1201 (2020). https://doi.org/10.1007/s00261-019-02250-6

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00261-019-02250-6

Keywords

Navigation