Dual-energy multidetector CT: How does it work, what can it tell us, and when can we use it in abdominopelvic imaging?

Radiographics

Volumn 30, Issue 4, 2010, Pages 1037-1052

  Coursey, Courtney A ^a   Nelson, Rendon C ^a   Boll, Daniel T ^a   Paulson, Erik K ^a   Ho, Lisa M ^a   Neville, Amy M ^a   Marin, Daniele ^a   Gupta, Rajan T ^a   Schindera, Sebastian T ^b  

^a DUKE UNIVERSITY MEDICAL CENTER   (United States)

^b UNIVERSITY OF BERN   (Switzerland)

Author keywords

[No Author keywords available]

Indexed keywords

ABDOMINAL RADIOGRAPHY; ARTICLE; COMPUTER ASSISTED TOMOGRAPHY; HUMAN; METHODOLOGY; PELVIS; RADIOGRAPHY;

HUMANS; PELVIS; RADIOGRAPHY, ABDOMINAL; RADIOGRAPHY, DUAL-ENERGY SCANNED PROJECTION; TOMOGRAPHY, X-RAY COMPUTED;

EID: 77957708674     PISSN: 02715333     EISSN: 15271323     Source Type: Journal    
DOI: 10.1148/rg.304095175     Document Type: Article

References (62)

1. Kelcz F, Joseph PM, Hilal SK. Noise considerations in dual energy CT scanning. Med Phys 1979;6(5): 418-425.
2. Takai M, Kaneko M. Discrimination between thorotrast and iodine contrast medium by means of dual-energy CT scanning. Phys Med Biol 1984;29(8): 959-967.
3. Rutherford RA, Pullan BR, Isherwood I. Measurement of effective atomic number and electron density using an EMI scanner. Neuroradiology 1976;11 (1):15-21.
4. Rutherford RA, Pullan BR, Isherwood I. X-ray energies for effective atomic number determination. Neuroradiology 1976;11(1):23-28.
5. Millner MR, McDavid WD, Waggener RG, Dennis MJ, Payne WH, Sank VJ. Extraction of information from CT scans at different energies. Med Phys 1979;6(1):70-71.
6. Chiro GD, Brooks RA, Kessler RM, et al. Tissue signatures with dual-energy computed tomography. Radiology 1979;131(2):521-523.
7. Flohr TG, McCollough CH, Bruder H, et al. First performance evaluation of a dual-source CT (DSCT) system. Eur Radiol 2006;16(2):256-268.
8. McCollough CH, Primak AN, Saba O, et al. Dose performance of a 64-channel dual-source CT scanner. Radiology 2007;243(3):775-784.
9. Achenbach S, Ropers D, Kuettner A, et al. Contrast-enhanced coronary artery visualization by dual-source computed tomography: initial experience. Eur J Radiol 2006;57(3):331-335.
10. Johnson TR, Nikolaou K, Wintersperger BJ, et al. Dual-source CT cardiac imaging: initial experience. Eur Radiol 2006;16(7):1409-1415.
11. Scheffel H, Alkadhi H, Plass A, et al. Accuracy of dual-source CT coronary angiography: first exper-ience in a high pre-test probability population with-out heart rate control. Eur Radiol 2006;16(12): 2739-2747.
12. Graser A, Johnson TR, Chandarana H, Macari M. Dual energy CT: preliminary observations and potential clinical applications in the abdomen. Eur Radiol 2009;19(1):13-23.
13. Curry TS III, Dowdey JE, Murry RC. Christensen's physics of diagnostic radiology. 4th ed. Philadelphia, Pa: Lea & Febiger, 1990; 61-69.
14. Cann CE, Gamsu G, Birnberg FA, Webb WR. Quantification of calcium in solitary pulmonary nodules using single- and dual-energy CT. Radiology 1982;145(2):493-496.
15. Fraser RG, Hickey NM, Niklason LT, et al. Calcification in pulmonary nodules: detection with dual-energy digital radiography. Radiology 1986;160(3): 595-601.
16. Fischbach F, Freund T, Röttgen R, Engert U, Felix R, Ricke J. Dual-energy chest radiography with a flat-panel digital detector: revealing calcified chest abnormalities. AJR Am J Roentgenol 2003;181(6): 1519-1524.
17. Johnson TR, Weckbach S, Kellner H, Reiser MF, Becker CR. Clinical image: dual-energy computed tomographic molecular imaging of gout. Arthritis Rheum 2007;56(8):2809.
18. Choi HK, Al-Arfaj AM, Eftekhari A, et al. Dual energy computed tomography in tophaceous gout. Ann Rheum Dis 2009;68(10):1609-1612.
19. Boll DT, Patil NA, Paulson EK, et al. Renal stone assessment with dual-energy multidetector CT and advanced postprocessing techniques: improved characterization of renal stone composition-pilot study. Radiology 2009;250(3):813-820.
20. Primak AN, Fletcher JG, Vrtiska TJ, et al. Noninvasive differentiation of uric acid versus non-uric acid kidney stones using dual-energy CT. Acad Radiol 2007;14(12):1441-1447.
21. Marin D, Nelson RC, Samei E, et al. Hypervascular liver tumors: low tube voltage, high tube current multidetector CT during late hepatic arterial phase for detection-initial clinical experience. Radiology 2009;251(3):771-779.
22. Schindera ST, Nelson RC, Mukundan S Jr, et al. Hypervascular liver tumors: low tube voltage, high tube current multi-detector row CT for enhanced detection-phantom study. Radiology 2008;246(1): 125-132.
23. Raptopoulos V, Karellas A, Bernstein J, Reale FR, Constantinou C, Zawacki JK. Value of dual-energy CT in differentiating focal fatty infiltration of the liver from low-density masses. AJR Am J Roentgenol 1991;157(4):721-725.
24. Mendler MH, Bouillet P, Le Sidaner A, et al. Dual-energy CT in the diagnosis and quantification of fatty liver: limited clinical value in comparison to ultrasound scan and single-energy CT-with special reference to iron overload. J Hepatol 1998;28(5): 785-794.
25. Goldberg HI, Cann CE, Moss AA, Ohto M, Brito A, Federle M. Noninvasive quantitation of liver iron in dogs with hemochromatosis using dual-energy CT scanning. Invest Radiol 1982;17(4):375-380.
26. Sephton RG. The potential accuracy of dual-energy computed tomography for the determination of hepatic iron. Br J Radiol 1986;59(700):351-353.
27. Chapman RW, Williams G, Bydder G, Dick R, Sherlock S, Kreel L. Computed tomography for determining liver iron content in primary haemochromatosis. BMJ 1980;280(6212):440-442.
28. Terada N, Ichioka K, Matsuta Y, Okubo K, Yoshimura K, Arai Y. The natural history of simple renal cysts. J Urol 2002;167(1):21-23.
29. Tada S, Yamagishi J, Kobayashi H, Hata Y, Kobari T. The incidence of simple renal cyst by computed tomography. Clin Radiol 1983;34(4):437-439.
30. Laucks SP Jr, McLachlan MS. Aging and simple cysts of the kidney. Br J Radiol 1981;54(637):12-14.
31. McClennan BL, Stanley RJ, Melson GL, Levitt RG, Sagel SS. CT of the renal cyst: is cyst aspiration necessary? AJR Am J Roentgenol 1979;133(4):671-675.
32. Graser A, Johnson TR, Hecht EM, et al. Dual-energy CT in patients suspected of having renal masses: can virtual nonenhanced images replace true nonenhanced images? Radiology 2009;252(2): 433-440.
33. Zhong P, Chuong CJ, Preminger GM. Characterization of fracture toughness of renal calculi using a microindentation technique. J Mater Sci Lett 1993; 12(18):1460-1462.
34. Shekarriz B, Stoller ML. Uric acid nephrolithiasis: current concepts and controversies. J Urol 2002;168 (4 pt 1):1307-1314.
35. Federle MP, McAninch JW, Kaiser JA, Goodman PC, Roberts J, Mall JC. Computed tomography of urinary calculi. AJR Am J Roentgenol 1981;136(2): 255-258.
36. Mostafavi MR, Ernst RD, Saltzman B. Accurate determination of chemical composition of urinary calculi by spiral computerized tomography. J Urol 1998;159(3):673-675.
37. Hillman BJ, Drach GW, Tracey P, Gaines JA. Computed tomographic analysis of renal calculi. AJR Am J Roentgenol 1984;142(3):549-552.
38. Takahashi N, Hartman RP, Vrtiska TJ, et al. Dual-energy CT iodine-subtraction virtual unenhanced technique to detect urinary stones in an iodine-filled collecting system: a phantom study. AJR Am J Roentgenol 2008;190(5):1169-1173.
39. Bovio S, Cataldi A, Reimondo G, et al. Prevalence of adrenal incidentaloma in a contemporary computerized tomography series. J Endocrinol Invest 2006;29(4):298-302.
40. Song JH, Chaudhry FS, Mayo-Smith WW. The incidental adrenal mass on CT: prevalence of adrenal disease in 1,049 consecutive adrenal masses in patients with no known malignancy. AJR Am J Roentgenol 2008;190(5):1163-1168.
41. Boland GW, Lee MJ, Gazelle GS, Halpern EF, McNicholas MM, Mueller PR. Characterization of adrenal masses using unenhanced CT: an analysis of the CT literature. AJR Am J Roentgenol 1998;171 (1):201-204.
42. Kalra M, Blake M, Sahani D, Hahn P, Mueller P, Boland G. Dual energy CT for characterization of adrenal adenomas (abstr). In: Radiological Society of North America scientific assembly and annual meeting program. Oak Brook, Ill: Radiological Society of North America, 2007; 347.
43. Boland G, Jagtiani M, Kambadakone Ramesh A, Hahn P, Sahani D, Kalra M. Characterization of lipid poor adrenal adenomas: accuracy of dual energy CT (abstr). In: Radiological Society of North America scientific assembly and annual meeting program. Oak Brook, Ill: Radiological Society of North America, 2008; 390.
44. Gupta RT, Ho LM, Marin D, Boll DT, Barnhart HX, Nelson RC. Dual energy CT for characterization of adrenal nodules: initial experience. AJR Am J Roentgenol (in press).
45. Horner MJ, Ries LA, Krapcho M, et al. SEER cancer statistics review, 1975-2006. Available at: http://seer.cancer.gov/csr/1975_2006/index.html. Accessed June 15, 2009.
46. Lu DS, Vedantham S, Krasny RM, Kadell B, Berger WL, Reber HA. Two-phase helical CT for pancreatic tumors: pancreatic versus hepatic phase enhancement of tumor, pancreas, and vascular structures. Radiology 1996;199(3):697-701.
47. Boland GW, O'Malley ME, Saez M, Fernandez-del-Castillo C, Warshaw AL, Mueller PR. Pancreatic-phase versus portal vein-phase helical CT of the pancreas: optimal temporal window for evaluation of pancreatic adenocarcinoma. AJR Am J Roentgenol 1999;172(3):605-608.
48. Prokesch RW, Chow LC, Beaulieu CF, Bammer R, Jeffrey RB Jr. Isoattenuating pancreatic adenocarcinoma at multi-detector row CT: secondary signs. Radiology 2002;224(3):764-768.
49. Marin D, Nelson R, Delong D, Schindera S. Dual energy, 64-slice multidetector CT of the pancreas: comparison of 80- and 140-kVp for parenchymal enhancement (abstr). In: Radiological Society of North America scientific assembly and annual meeting program. Oak Brook, Ill: Radiological Society of North America, 2008; 105.
50. Spieler B, Macari M, Godoy M, et al. Dual source dual energy MDCT: comparison of 80 kVp and weighted average kVp data on pancreatic lesion conspicuity (abstr). In: Radiological Society of North America scientific assembly and annual meeting program. Oak Brook, Ill: Radiological Society of North America, 2008; 522.
51. Rodriguez JR, Razo AO, Targarona J, et al. Debridement and closed packing for sterile or infected necrotizing pancreatitis: insights into indications and outcomes in 167 patients. Ann Surg 2008;247 (2):294-299.
52. Macari M, Melsaether AN, Chandarana H. Virtual non-contrast dual source dual energy CT data: potential value in the assessment of pancreatic necrosis (abstr). In: Radiological Society of North America scientific asembly and annual meeting program. Oak Brook, Ill: Radiological Society of North America, 2008; 106-107.
53. Chandarana H, Godoy MC, Vlahos I, et al. Abdominal aorta: evaluation with dual-source dual-energy multidetector CT after endovascular repair of aneurysms-initial observations. Radiology 2008;249(2): 692-700.
54. Wintersperger B, Jakobs T, Herzog P, et al. Aorto-iliac multidetector-row CT angiography with low kV settings: improved vessel enhancement and simultaneous reduction of radiation dose. Eur Radiol 2005; 15(2):334-341.
55. Bahner ML, Bengel A, Brix G, Zuna I, Kauczor HU, Delorme S. Improved vascular opacification in cerebral computed tomography angiography with 80 kVp. Invest Radiol 2005;40(4):229-234.
56. Deng K, Liu C, Ma R, et al. Clinical evaluation of dual-energy bone removal in CT angiography of the head and neck: comparison with conventional bone-subtraction CT angiography. Clin Radiol 2009;64 (5):534-541.
57. Meyer BC, Werncke T, Hopfenmüller W, Raatschen HJ, Wolf KJ, Albrecht T. Dual energy CT of peripheral arteries: effect of automatic bone and plaque removal on image quality and grading of stenoses. Eur J Radiol 2008;68(3):414-422.
58. Stolzmann P, Frauenfelder T, Pfammatter T, et al. Endoleaks after endovascular abdominal aortic aneurysm repair: detection with dual-energy dual-source CT. Radiology 2008;249(2):682-691.
59. Johnson TR, Krauss B, Sedlmair M, et al. Material differentiation by dual energy CT: initial experience. Eur Radiol 2007;17(6):1510-1517.
60. Fletcher JG, Takahashi N, Hartman R, et al. Dual-energy and dual-source CT: is there a role in the abdomen and pelvis? Radiol Clin North Am 2009;47 (1):41-57.
61. Boll DT, Merkle EM, Paulson EK, Mirza RA, Fleiter TR. Calcified vascular plaque specimens: assessment with cardiac dual-energy multidetector CT in anthropomorphically moving heart phantom. Radiology 2008;249(1):119-126.
62. Ho LM, Yoshizumi TT, Hurwitz LM, et al. Dual energy versus single energy MDCT: measurement of radiation dose using adult abdominal imaging protocols. Acad Radiol 2009;16(11):1400-1407.