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Published in: Current Cardiovascular Imaging Reports 10/2014

01-10-2014 | Cardiac Computed Tomography (S Achenbach and T Villines, Section Editor)

Dual Energy Imaging in Cardiovascular CT: Current Status and Impact on Radiation, Contrast and Accuracy

Authors: Prabhakar Rajiah, Sandra S. Halliburton

Published in: Current Cardiovascular Imaging Reports | Issue 10/2014

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Abstract

Dual-energy computed tomography (DECT) exploits the continuous energy distribution of x-rays to improve differentiation of tissues beyond what is possible with single-energy CT (SECT). DECT often uses smaller volumes of iodinated contrast agent and lower radiation doses than SECT. Clinical applications of DECT in cardiovascular imaging are emerging and include myocardial perfusion imaging, myocardial infarct and viability imaging, coronary plaque characterization, coronary stent assessment, and myocardial iron quantification. In this review, we discuss the available methods for acquiring and processing DECT data, the current status of DECT in cardiovascular imaging, and its impact on the dose of radiation and contrast agent.
Literature
1.
go back to reference Kang DK, Schoepf UJ, Bastarrika G, Nance Jr JW, Abro JA, Ruzsics B. Dual-energy computed tomography for integrative imaging of coronary artery disease: principles and clinical applications. Semin Ultrasound CT MR. 2010;31:276–91.PubMedCrossRef Kang DK, Schoepf UJ, Bastarrika G, Nance Jr JW, Abro JA, Ruzsics B. Dual-energy computed tomography for integrative imaging of coronary artery disease: principles and clinical applications. Semin Ultrasound CT MR. 2010;31:276–91.PubMedCrossRef
2.
go back to reference Flohr TG, McCollough CH, Bruder H, et al. First performance evaluation of a dual-source CT (DSCT) system [erratum in Eur Radiol. 2006;16:1405]. Eur Radiol. 2006;16:256–68.PubMedCrossRef Flohr TG, McCollough CH, Bruder H, et al. First performance evaluation of a dual-source CT (DSCT) system [erratum in Eur Radiol. 2006;16:1405]. Eur Radiol. 2006;16:256–68.PubMedCrossRef
3.
go back to reference So A, Lee TY, Imal Y, et al. Quantitative myocardial perfusion imaging using rapid kVp switch dual energy CT: a preliminary experience. J Cardiovasc Comput Tomogr. 2011;5(6):430–2.PubMedCrossRef So A, Lee TY, Imal Y, et al. Quantitative myocardial perfusion imaging using rapid kVp switch dual energy CT: a preliminary experience. J Cardiovasc Comput Tomogr. 2011;5(6):430–2.PubMedCrossRef
4.
go back to reference Roessl E, Herrmann C, Kraft E, Proksa R. A comparative study of a dual-energy-like imaging technique based on counting-integrating readout. Med Phys. 2011;38:6416–28.PubMedCrossRef Roessl E, Herrmann C, Kraft E, Proksa R. A comparative study of a dual-energy-like imaging technique based on counting-integrating readout. Med Phys. 2011;38:6416–28.PubMedCrossRef
5.•
go back to reference So A, Hsieh J, Narayanan S, et al. Dual-energy CT and its potential use for quantitative myocardial CT perfusion. J Cardiovasc Comput Tomogr. 2012;6:308–17. The authors describe the use of rapid tube potential switching technology for quantitative myocardial perfusion CT. This method of data acquisition permits creation of virtual monochromatic images using a projection-based approach with significantly decreased beam-hardening artifacts compared to standard CT images. The reduction of beam-hardening artifacts is important because these artifacts can induce non-uniform shifts in CT numbers and confound assessment of myocardial perfusion.PubMedCrossRef So A, Hsieh J, Narayanan S, et al. Dual-energy CT and its potential use for quantitative myocardial CT perfusion. J Cardiovasc Comput Tomogr. 2012;6:308–17. The authors describe the use of rapid tube potential switching technology for quantitative myocardial perfusion CT. This method of data acquisition permits creation of virtual monochromatic images using a projection-based approach with significantly decreased beam-hardening artifacts compared to standard CT images. The reduction of beam-hardening artifacts is important because these artifacts can induce non-uniform shifts in CT numbers and confound assessment of myocardial perfusion.PubMedCrossRef
6.
go back to reference Kim SM, Chang SA, Shin W, Choe YH. Dual-energy CT perfusion during pharmacologic stress for the assessment of myocardial perfusion defects using a second-generation dual-source CT: a comparison with cardiac magnetic resonance imaging. J Comput Assist Tomogr. 2014;38:44–52.PubMedCrossRef Kim SM, Chang SA, Shin W, Choe YH. Dual-energy CT perfusion during pharmacologic stress for the assessment of myocardial perfusion defects using a second-generation dual-source CT: a comparison with cardiac magnetic resonance imaging. J Comput Assist Tomogr. 2014;38:44–52.PubMedCrossRef
7.••
go back to reference Weininger M, Schoepf UJ, Ramachandra A, et al. Adenosine-stress dynamic real-time myocardial perfusion CT and adenosine-stress first-pass dual-energy myocardial perfusion CT for the assessment of acute chest pain: initial results. Eur J Radiol. 2012;81:3703–10. The authors describe initial experience in performing myocardial stress perfusion CT in a clinical population with acute chest pain and demonstrated that compared to both SPECT and MRI, dynamic real-time perfusion CT and first-pass dual-energy perfusion CT show good agreement for detection of myocardial perfusion defects.PubMedCrossRef Weininger M, Schoepf UJ, Ramachandra A, et al. Adenosine-stress dynamic real-time myocardial perfusion CT and adenosine-stress first-pass dual-energy myocardial perfusion CT for the assessment of acute chest pain: initial results. Eur J Radiol. 2012;81:3703–10. The authors describe initial experience in performing myocardial stress perfusion CT in a clinical population with acute chest pain and demonstrated that compared to both SPECT and MRI, dynamic real-time perfusion CT and first-pass dual-energy perfusion CT show good agreement for detection of myocardial perfusion defects.PubMedCrossRef
8.••
go back to reference Meinel FG, De Cecco CN, Schoepf UJ, et al. First-arterial-pass dual-energy CT for assessment of myocardial blood supply: do we need rest, stress, and delayed acquisition? Comparison with SPECT. Radiology. 2014;270:708–16. This comparison study with SPECT shows that the accuracy of DECT for assessment of the myocardial blood supply is not increased by the addition of a delayed DECT acquisition and concludes that the delayed scan may be omitted to reduce radiation exposure. The authors also demonstrate that almost 50 % of defects defined as reversible with SPECT were misclassified as fixed with rest–stress DECT and warn clinicians interpreting DECT myocardial perfusion studies about this discrepancy.PubMedCrossRef Meinel FG, De Cecco CN, Schoepf UJ, et al. First-arterial-pass dual-energy CT for assessment of myocardial blood supply: do we need rest, stress, and delayed acquisition? Comparison with SPECT. Radiology. 2014;270:708–16. This comparison study with SPECT shows that the accuracy of DECT for assessment of the myocardial blood supply is not increased by the addition of a delayed DECT acquisition and concludes that the delayed scan may be omitted to reduce radiation exposure. The authors also demonstrate that almost 50 % of defects defined as reversible with SPECT were misclassified as fixed with rest–stress DECT and warn clinicians interpreting DECT myocardial perfusion studies about this discrepancy.PubMedCrossRef
9.
go back to reference Arnoldi E, Lee YS, Ruzsics B, et al. CT detection of myocardial blood volume deficits: dual-energy CT compared with single-energy CT spectra. J Cardiovasc Comput Tomogr. 2011;5:421.PubMedCrossRef Arnoldi E, Lee YS, Ruzsics B, et al. CT detection of myocardial blood volume deficits: dual-energy CT compared with single-energy CT spectra. J Cardiovasc Comput Tomogr. 2011;5:421.PubMedCrossRef
10.
go back to reference Ruzsics B, Lee H, Zwerner PL, Gebregziabher M, Costello P, Schoepf UJ. Dual-energy CT of the heart for diagnosing coronary artery stenosis and myocardial ischemia – initial experience. Eur Radiol. 2008;18:2414–24.PubMedCrossRef Ruzsics B, Lee H, Zwerner PL, Gebregziabher M, Costello P, Schoepf UJ. Dual-energy CT of the heart for diagnosing coronary artery stenosis and myocardial ischemia – initial experience. Eur Radiol. 2008;18:2414–24.PubMedCrossRef
11.
go back to reference Ruzsics B, Schwarz F, Schoepf UJ, et al. Comparison of dual-energy computed tomography of the heart with single photon emission computed tomography for assessment of coronary artery stenosis and of the myocardial blood supply. Am J Cardiol. 2009;104:318–26.PubMedCrossRef Ruzsics B, Schwarz F, Schoepf UJ, et al. Comparison of dual-energy computed tomography of the heart with single photon emission computed tomography for assessment of coronary artery stenosis and of the myocardial blood supply. Am J Cardiol. 2009;104:318–26.PubMedCrossRef
12.
go back to reference Wang R, Yu W, Wang Y, et al. Incremental value of dual-energy CT to coronary angiography for the detection of significant coronary stenosis: comparison with quantitative coronary angiography and single photon emission computed tomography. Int J Cardiovasc Imaging. 2011;27:647–56.PubMedCrossRef Wang R, Yu W, Wang Y, et al. Incremental value of dual-energy CT to coronary angiography for the detection of significant coronary stenosis: comparison with quantitative coronary angiography and single photon emission computed tomography. Int J Cardiovasc Imaging. 2011;27:647–56.PubMedCrossRef
13.
go back to reference Ko SM, Choi JW, Song MG, et al. Myocardial perfusion imaging using adenosine-induced stress dual-energy computed tomography of the heart: comparison with cardiac magnetic resonance imaging and conventional coronary angiography. Eur Radiol. 2011;21:26–35.PubMedCrossRef Ko SM, Choi JW, Song MG, et al. Myocardial perfusion imaging using adenosine-induced stress dual-energy computed tomography of the heart: comparison with cardiac magnetic resonance imaging and conventional coronary angiography. Eur Radiol. 2011;21:26–35.PubMedCrossRef
14.
go back to reference Ko SM, Choi JW, Hwang HK, Song MG, Shin JK, Chee HK. Diagnostic performance of combined noninvasive anatomic and functional assessment with dual-source CT and adenosine-induced stress dual-energy CT for detection of significant coronary stenosis. AJR Am J Roentgenol. 2012;198:512–20.PubMedCrossRef Ko SM, Choi JW, Hwang HK, Song MG, Shin JK, Chee HK. Diagnostic performance of combined noninvasive anatomic and functional assessment with dual-source CT and adenosine-induced stress dual-energy CT for detection of significant coronary stenosis. AJR Am J Roentgenol. 2012;198:512–20.PubMedCrossRef
15.
go back to reference Meyer M, Nance Jr JW, Schoepf UJ, et al. Cost-effectiveness of substituting dual-energy CT for SPECT in the assessment of myocardial perfusion for the workup of coronary artery disease. Eur J Radiol. 2012;81:3719–25.PubMedCrossRef Meyer M, Nance Jr JW, Schoepf UJ, et al. Cost-effectiveness of substituting dual-energy CT for SPECT in the assessment of myocardial perfusion for the workup of coronary artery disease. Eur J Radiol. 2012;81:3719–25.PubMedCrossRef
16.
go back to reference Heymann MA, Payne BD, Hoffman JI, Rudolph AM. Blood flow measurements with radionuclide-labeled particles. Prog Cardiovasc Dis. 1977;20:55–79.PubMedCrossRef Heymann MA, Payne BD, Hoffman JI, Rudolph AM. Blood flow measurements with radionuclide-labeled particles. Prog Cardiovasc Dis. 1977;20:55–79.PubMedCrossRef
17.
go back to reference Nagao M, Matusjoka H, Kawakami H, et al. Quantification of myocardial perfusion by contrast-enhanced 64-MDCT: characterization of ischemic myocardium. AJR Am J Roentgenol. 2008;191:19–25.PubMedCrossRef Nagao M, Matusjoka H, Kawakami H, et al. Quantification of myocardial perfusion by contrast-enhanced 64-MDCT: characterization of ischemic myocardium. AJR Am J Roentgenol. 2008;191:19–25.PubMedCrossRef
18.
go back to reference Yamada M, Jinzaki M, Kuribayashi S, Imanishi N, Funato K, Aiso S. Beam-hardening correction for virtual monochromatic imaging of myocardial perfusion via fast-switching dual-kVp 64-slice computed tomography: a pilot study using a human heart specimen. Circ J. 2012;76:1799–801.PubMedCrossRef Yamada M, Jinzaki M, Kuribayashi S, Imanishi N, Funato K, Aiso S. Beam-hardening correction for virtual monochromatic imaging of myocardial perfusion via fast-switching dual-kVp 64-slice computed tomography: a pilot study using a human heart specimen. Circ J. 2012;76:1799–801.PubMedCrossRef
19.
go back to reference Nagao M, Kido T, Watanabe K, et al. Functional assessment of coronary artery flow using adenosine stress dual-energy CT: a preliminary study. Int J Cardiovasc Imaging. 2011;27:471–81.PubMedCentralPubMedCrossRef Nagao M, Kido T, Watanabe K, et al. Functional assessment of coronary artery flow using adenosine stress dual-energy CT: a preliminary study. Int J Cardiovasc Imaging. 2011;27:471–81.PubMedCentralPubMedCrossRef
20.
go back to reference Peng J, Zhang LJ, Schoepf UJ, et al. Acute myocardial infarct detection with dual energy CT: correlation with single photon emission computed tomography myocardial scintigraphy in a canine model. Acta Radiol. 2013;54:259–66.PubMedCrossRef Peng J, Zhang LJ, Schoepf UJ, et al. Acute myocardial infarct detection with dual energy CT: correlation with single photon emission computed tomography myocardial scintigraphy in a canine model. Acta Radiol. 2013;54:259–66.PubMedCrossRef
21.
go back to reference Kerl JM, Deseive S, Tandi C, et al. Dual energy CT for the assessment of reperfused chronic infarction: a feasibility study in a porcine model. Acta Radiol. 2011;52:834–9.PubMedCrossRef Kerl JM, Deseive S, Tandi C, et al. Dual energy CT for the assessment of reperfused chronic infarction: a feasibility study in a porcine model. Acta Radiol. 2011;52:834–9.PubMedCrossRef
22.
go back to reference Bauer RW, Kerl JM, Fischer N, et al. Dual-energy CT for the assessment of chronic myocardial infarction in patients with chronic coronary artery disease: comparison with 3T MRI. AJR Am J Roentgenol. 2010;195:639–46.PubMedCrossRef Bauer RW, Kerl JM, Fischer N, et al. Dual-energy CT for the assessment of chronic myocardial infarction in patients with chronic coronary artery disease: comparison with 3T MRI. AJR Am J Roentgenol. 2010;195:639–46.PubMedCrossRef
23.
go back to reference Deseive S, Bauer RW, Lehmann R, et al. Dual-energy computed tomography for the detection of late enhancement in reperfused chronic infarction: a comparison to magnetic resonance imaging and histopathology in a porcine model. Invest Radiol. 2011;46:450–6.PubMedCrossRef Deseive S, Bauer RW, Lehmann R, et al. Dual-energy computed tomography for the detection of late enhancement in reperfused chronic infarction: a comparison to magnetic resonance imaging and histopathology in a porcine model. Invest Radiol. 2011;46:450–6.PubMedCrossRef
24.
go back to reference Schwarz F, Nance Jr JW, Ruzsics B, Bastarrika G, Sterzik A, Schoepf UJ. Quantification of coronary artery calcium on the basis of dual-energy coronary CT angiography. Radiology. 2012;264:700–7.PubMedCrossRef Schwarz F, Nance Jr JW, Ruzsics B, Bastarrika G, Sterzik A, Schoepf UJ. Quantification of coronary artery calcium on the basis of dual-energy coronary CT angiography. Radiology. 2012;264:700–7.PubMedCrossRef
25.
go back to reference Yamak D, Pavlicek W, Boltz T, Panse PM, Akay M. Coronary calcium quantification using contrast-enhanced dual-energy computed tomographic scans. J Appl Clin Med Phys. 2013;14:4014.PubMed Yamak D, Pavlicek W, Boltz T, Panse PM, Akay M. Coronary calcium quantification using contrast-enhanced dual-energy computed tomographic scans. J Appl Clin Med Phys. 2013;14:4014.PubMed
26.
go back to reference Boll DT, Merkle EM, Paulson EK, Mirza RA, Fleiter TR. Calcified vascular plaque specimens: assessment with cardiac dual-energy multi detector CT in anthropomorphically moving heart phantom. Radiology. 2008;249:119–26.PubMedCrossRef Boll DT, Merkle EM, Paulson EK, Mirza RA, Fleiter TR. Calcified vascular plaque specimens: assessment with cardiac dual-energy multi detector CT in anthropomorphically moving heart phantom. Radiology. 2008;249:119–26.PubMedCrossRef
27.
go back to reference Pohle K, Achenbach S, Macneill B, et al. Characterization of non-calcified coronary atherosclerotic plaque by multi-detector row CT: comparison to IVUS. Atherosclerosis. 2007;190:174–80.PubMedCrossRef Pohle K, Achenbach S, Macneill B, et al. Characterization of non-calcified coronary atherosclerotic plaque by multi-detector row CT: comparison to IVUS. Atherosclerosis. 2007;190:174–80.PubMedCrossRef
28.
go back to reference Barreto M, Schoenhagen P, Nair A, et al. Potential of dual-energy computed tomography to characterize atherosclerotic plaque: ex vivo assessment of human coronary arteries in comparison to histology. J Cardiovasc Comput Tomogr. 2008;2:234–42.PubMedCrossRef Barreto M, Schoenhagen P, Nair A, et al. Potential of dual-energy computed tomography to characterize atherosclerotic plaque: ex vivo assessment of human coronary arteries in comparison to histology. J Cardiovasc Comput Tomogr. 2008;2:234–42.PubMedCrossRef
29.
go back to reference Tanami Y, Ikeda E, Jinzaki M, et al. Computed tomographic attenuation value of coronary atherosclerotic plaques with different tube voltage: an ex vivo study. J Comput Assist Tomogr. 2010;34:58–63.PubMedCrossRef Tanami Y, Ikeda E, Jinzaki M, et al. Computed tomographic attenuation value of coronary atherosclerotic plaques with different tube voltage: an ex vivo study. J Comput Assist Tomogr. 2010;34:58–63.PubMedCrossRef
30.
go back to reference Henzler T, Porubsky S, Kayed H, et al. Attenuation-based characterization of coronary atherosclerotic plaque: comparison of dual source and dual energy CT with single-source CT and histopathology. Eur J Radiol. 2011;80:54–9.PubMedCrossRef Henzler T, Porubsky S, Kayed H, et al. Attenuation-based characterization of coronary atherosclerotic plaque: comparison of dual source and dual energy CT with single-source CT and histopathology. Eur J Radiol. 2011;80:54–9.PubMedCrossRef
31.
go back to reference Halpern EJ, Halpern DJ, Yanof JH, et al. Is coronary stent assessment improved with spectral analysis of dual energy CT? Acad Radiol. 2009;16:1241–50.PubMedCrossRef Halpern EJ, Halpern DJ, Yanof JH, et al. Is coronary stent assessment improved with spectral analysis of dual energy CT? Acad Radiol. 2009;16:1241–50.PubMedCrossRef
32.
go back to reference Boll DT, Merkle EM, Paulson EK, Fleiter TR. Coronary stent patency: dual-energy multidetector CT assessment in a pilot study with anthropomorphic phantom. Radiology. 2008;247:687–95.PubMedCrossRef Boll DT, Merkle EM, Paulson EK, Fleiter TR. Coronary stent patency: dual-energy multidetector CT assessment in a pilot study with anthropomorphic phantom. Radiology. 2008;247:687–95.PubMedCrossRef
33.
go back to reference Bamberg F, Dierks A, Nikolaou K, Reiser MF, Becker CR, Johnson TR. Metal artifact reduction by dual energy computed tomography using monoenergetic extrapolation. Eur Radiol. 2011;21:1424–9.PubMedCrossRef Bamberg F, Dierks A, Nikolaou K, Reiser MF, Becker CR, Johnson TR. Metal artifact reduction by dual energy computed tomography using monoenergetic extrapolation. Eur Radiol. 2011;21:1424–9.PubMedCrossRef
34.
35.
go back to reference Ibrahim EH, Bowman AW. Evaluation of iron overload: dual-energy computed tomography versus magnetic resonance imaging. J Cardiovasc Magn Reson. 2014;16:O92.PubMedCentralCrossRef Ibrahim EH, Bowman AW. Evaluation of iron overload: dual-energy computed tomography versus magnetic resonance imaging. J Cardiovasc Magn Reson. 2014;16:O92.PubMedCentralCrossRef
36.
go back to reference Hazirolan T, Akpinar B, Unal S, Gumruk F, Haliloglu M, Alibek S. Value of dual energy computed tomography for detection of myocardial iron deposition in thalassaemia patients: initial experience. Eur J Radiol. 2008;68:442–5.PubMedCrossRef Hazirolan T, Akpinar B, Unal S, Gumruk F, Haliloglu M, Alibek S. Value of dual energy computed tomography for detection of myocardial iron deposition in thalassaemia patients: initial experience. Eur J Radiol. 2008;68:442–5.PubMedCrossRef
37.
go back to reference Rozenblit AM, Patlas M, Rosenbaum AT, et al. Detection of endoleaks after endovascular repair of abdominal aortic aneurysm: value of unenhanced and delayed helical CT acquisitions. Radiology. 2003;227:426–33.PubMedCrossRef Rozenblit AM, Patlas M, Rosenbaum AT, et al. Detection of endoleaks after endovascular repair of abdominal aortic aneurysm: value of unenhanced and delayed helical CT acquisitions. Radiology. 2003;227:426–33.PubMedCrossRef
38.
go back to reference Numburi UD, Schoenhagen P, Flamm SD, et al. Feasibility of dual-energy CT in the arterial phase: imaging after endovascular aortic repair. AJR Am J Roentgenol. 2010;195:486–93.PubMedCrossRef Numburi UD, Schoenhagen P, Flamm SD, et al. Feasibility of dual-energy CT in the arterial phase: imaging after endovascular aortic repair. AJR Am J Roentgenol. 2010;195:486–93.PubMedCrossRef
39.
go back to reference 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;249:692–700.PubMedCrossRef 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;249:692–700.PubMedCrossRef
40.
go back to reference Sommer WH, Graser A, Becker CR, et al. Image quality of virtual noncontrast images derived from dual-energy CT angiography after endovascular aneurysm repair. J Vasc Interv Radiol. 2010;21:315–21.PubMedCrossRef Sommer WH, Graser A, Becker CR, et al. Image quality of virtual noncontrast images derived from dual-energy CT angiography after endovascular aneurysm repair. J Vasc Interv Radiol. 2010;21:315–21.PubMedCrossRef
41.
go back to reference Stolzmann P, Frauenfelder T, Pfammatter T, et al. Endoleaks after endovascular abdominal aortic aneurysm repair: detection with dual-energy dual-source CT. Radiology. 2008;249:682–91.PubMedCrossRef Stolzmann P, Frauenfelder T, Pfammatter T, et al. Endoleaks after endovascular abdominal aortic aneurysm repair: detection with dual-energy dual-source CT. Radiology. 2008;249:682–91.PubMedCrossRef
42.
go back to reference Maturen KE, Kleaveland PA, Kaza RK, et al. Aortic endograft surveillance: use of fast-switch kVp dual-energy computed tomography with virtual noncontrast imaging. J Comput Assist Tomogr. 2011;35:742–6.PubMedCrossRef Maturen KE, Kleaveland PA, Kaza RK, et al. Aortic endograft surveillance: use of fast-switch kVp dual-energy computed tomography with virtual noncontrast imaging. J Comput Assist Tomogr. 2011;35:742–6.PubMedCrossRef
43.
go back to reference Shaida N, Bowden DJ, Barrett T, et al. Acceptability of virtual unenhanced CT of the aorta as a replacement for the conventional unenhanced phase. Clin Radiol. 2012;67:461–7.PubMedCrossRef Shaida N, Bowden DJ, Barrett T, et al. Acceptability of virtual unenhanced CT of the aorta as a replacement for the conventional unenhanced phase. Clin Radiol. 2012;67:461–7.PubMedCrossRef
44.
go back to reference Maturen KE, Kaza RK, Liu PS, Quint LE, Khalatbari SH, Platt JF. “Sweet spot” for endoleak detection: optimizing contrast to noise using low keV reconstructions from fast-switch kVp dual-energy CT. J Comput Assist Tomogr. 2012;36:83–7.PubMedCentralPubMedCrossRef Maturen KE, Kaza RK, Liu PS, Quint LE, Khalatbari SH, Platt JF. “Sweet spot” for endoleak detection: optimizing contrast to noise using low keV reconstructions from fast-switch kVp dual-energy CT. J Comput Assist Tomogr. 2012;36:83–7.PubMedCentralPubMedCrossRef
45.
go back to reference Schenzle JC, Sommer WH, Neumaier K, et al. Dual energy CT of the chest: how about the dose? Invest Radiol. 2010;45:347–53.PubMed Schenzle JC, Sommer WH, Neumaier K, et al. Dual energy CT of the chest: how about the dose? Invest Radiol. 2010;45:347–53.PubMed
46.
go back to reference Kerl JM, Bauer RW, Maurer TB, et al. Dose levels of coronary CT angiography – a comparison of dual energy-, dual source-, and 16-slice CT. Eur Radiol. 2011;21:530–7.PubMedCrossRef Kerl JM, Bauer RW, Maurer TB, et al. Dose levels of coronary CT angiography – a comparison of dual energy-, dual source-, and 16-slice CT. Eur Radiol. 2011;21:530–7.PubMedCrossRef
47.
go back to reference Henzler T, Fink C, Schoenberg SO, Schoepf UJ. Dual-energy CT: radiation dose aspects. AJR Am J Roentgenol. 2012;199:S16–25.PubMedCrossRef Henzler T, Fink C, Schoenberg SO, Schoepf UJ. Dual-energy CT: radiation dose aspects. AJR Am J Roentgenol. 2012;199:S16–25.PubMedCrossRef
Metadata
Title
Dual Energy Imaging in Cardiovascular CT: Current Status and Impact on Radiation, Contrast and Accuracy
Authors
Prabhakar Rajiah
Sandra S. Halliburton
Publication date
01-10-2014
Publisher
Springer US
Published in
Current Cardiovascular Imaging Reports / Issue 10/2014
Print ISSN: 1941-9066
Electronic ISSN: 1941-9074
DOI
https://doi.org/10.1007/s12410-014-9289-6

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