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European Archives of Oto-Rhino-Laryngology

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01-03-2016 | Review Article

Clinical applications of dual-energy CT in head and neck imaging

Authors: Daniel Thomas Ginat, Michael Mayich, Laleh Daftari-Besheli, Rajiv Gupta

Published in: European Archives of Oto-Rhino-Laryngology | Issue 3/2016

Abstract

Dual-energy CT provides insights into the material properties of the tissues and can differentiate between tissues that have similar attenuation on conventional, single energy CT imaging. It has several useful and promising applications in head and neck imaging that an otolaryngologist could use to deliver improved clinical care. These applications include metal artifact reduction, atherosclerotic plaque and tumor characterization, detection of parathyroid lesions, and delineation of paranasal sinus ventilation. Dual-energy CT can potentially improve image quality, reduce radiation dose, and provide specific diagnostic information for certain head and neck lesions. This article reviews some current and potential otolaryngology applications of dual-energy CT.

Coursey CA, Nelson RC, Boll DT, Paulson EK, Ho LM, Neville AM et al (2010) Dual-energy multidetector CT: how does it work, what can it tell us, and when can we use it in abdominopelvic imaging? Radiographics 30:1037–1055CrossRefPubMed

Ginat DT, Gupta R (2014) Advances in computed tomography imaging technology. Annu Rev Biomed Eng 11(16):431–453CrossRef

Johnson TR (2012) Dual-energy CT: general principles. AJR 199:S3–S8CrossRefPubMed

Steidley JW. “Exploring the spectrum–Advances and potential of spectral CT” Phillips Netforum Community. 2008. Phillips Healthcare. Nov 5, 2013. http://clinical.netforum.healthcare.philips.com/us_en/Explore/White-Papers/CT/Exploring-the-spectrum-Advances-and-potential-of-spectral-CT

Tanaka R, Hayashi T, Ike M, Noto Y, Goto TK (2013) Reduction of dark-band-like metal artifacts caused by dental implant bodies using hypothetical monoenergetic imaging after dual-energy computed tomography. Oral Surg Oral Med Oral Pathol Oral Radiol 115:833–838CrossRefPubMed

Bamberg F, Dierks A, Nikolaou K, Reiser MF, Becker CR, Johnson TR (2011) Metal artifact reduction by dual energy computed tomography using monoenergetic extrapolation. EurRadiology 21:1424–1429

Guggenberger R, Winklhofer S, Osterhoff G, Wanner GA, Fortunati M, Andreisek G et al (2012) Metallic artefact reduction with monoenergetic dual-energy CT: systematic ex vivo evaluation of posterior spinal fusion implants from various vendors and different spine levels. EurRadiology 22:2357–2364

Lewis M, Reid K, Toms AP (2013) Reducing the effects of metal artefact using high keV monoenergetic reconstruction of dual energy CT (DECT) in hip replacements. Skeletal Radiol 42:275–282CrossRefPubMed

Stolzmann P, Winklhofer S, Schwendener N, Alkadhi H, Thali MJ, Ruder TD (2013) Monoenergetic computed tomography reconstructions reduce beam hardening artifacts from dental restorations. Forensic Sci Med Pathol 9:327–332CrossRefPubMed

10.

Shinohara Y, Sakamoto M, Iwata N, Kishimoto J, Kuya K, Fujii S, et al. (2013) Usefulness of monochromatic imaging with metal artifact reduction software for computed tomography angiography after intracranial aneurysm coil embolization. Acta Radiol

11.

Jayakrishnan VK, White PM, Aitken D, Crane P, McMahon AD, Teasdale EM (2003) Subtraction helical CT angiography of intra- and extracranial vessels: technical considerations and preliminary experience. Am J Neuroradiol 24:451–455PubMed

12.

Deng K, Liu C, Ma R, Sun C, Wang XM, Ma ZT, Sun XL (2009) Clinical evaluation of dual-energy bone removal in CT angiography of the head and neck: comparison with conventional bone-subtraction CT angiography. Clin Radiol 64:534–541CrossRefPubMed

13.

Morhard D, Fink C, Graser A, Reiser MF, Becker C, Johnson TR (2009) Cervical and cranial computed tomographic angiography with automated bone removal: dual energy computed tomography versus standard computed tomography. Invest Radiol 44:293–297CrossRefPubMed

14.

Vlahos I, Chung R, Nair A, Morgan R (2012) Dual-energy CT: vascular applications. Am J Roentgenol 199:S87–S97CrossRef

15.

Lell M, Kramer M, Klotz E, Villablanca P, Ruehm SG (2009) Carotid computed tomography angiography with automated bone suppression: a comparative study between dual energy and bone subtraction techniques. Invest Radiol 44:322–328CrossRefPubMed

16.

Thomas C, Korn A, Krauss B, Ketelsen D, Tsiflikas I, Reimann A et al (2010) Automatic bone and plaque removal using dual energy CT for head and neck angiography: feasibility and initial performance evaluation. Eur J Radiol 76:61–67CrossRefPubMed

17.

Tawfik AM, Kerl JM, Bauer RW, Nour-Eldin NE, Naguib NN, Vogl TJ et al (2012) Dual-energy CT of head and neck cancer: average weighting of low- and high-voltage acquisitions to improve lesion delineation and image quality-initial clinical experience. Invest Radiol 47:306–311CrossRefPubMed

18.

Kuno H, Onaya H, Iwata R, Kobayashi T, Fujii S, Hayashi R et al (2012) Evaluation of cartilage invasion by laryngeal and hypopharyngeal squamous cell carcinoma with dual-energy CT. Radiology 265:488–496CrossRefPubMed

19.

Kuno H, Onaya H, Fujii S, Ojiri H, Otani K, Satake M (2014) Primary staging of laryngeal and hypopharyngeal cancer: CT, MR imaging and dual-energy CT. Eur J Radiol 83(1):e23–e35CrossRefPubMed

20.

Mahajan A, Starker LF, Ghita M, Udelsman R, Brink JA, Carling T (2012) Parathyroid four-dimensional computed tomography: evaluation of radiation dose exposure during preoperative localization of parathyroid tumors in primary hyperparathyroidism. World J Surg 36:1335–1339CrossRefPubMed

21.

Grayev AM, Gentry LR, Hartman MJ, Chen H, Perlman SB, Reeder SB (2012) Presurgical localization of parathyroid adenomas with magnetic resonance imaging at 3.0 T: an adjunct method to supplement traditional imaging. Ann Surg Oncol 19(3):981–989CrossRefPubMed

22.

Gafton AR, Glastonbury CM, Eastwood JD, Hoang JK (2012) Parathyroid lesions: characterization with dual-phase arterial and venous enhanced CT of the neck. Am J Neuroradiol 33:949–952CrossRefPubMed

23.

Hunter GJ, Ginat DT, Kelly HR, Halpern EF, Hamberg LM (2014) Discriminating parathyroid adenoma from local mimics by using inherent tissue attenuation and vascular information obtained with four-dimensional ct: formulation of a multinomial logistic regression model. Radiology 270:168–175CrossRefPubMed

24.

Lau D, Yang H, Kei PL (2013) Dual-energy 4-phase CT scan in primary hyperparathyroidism. Am J Neuroradiol 34:E91–E93CrossRefPubMed

25.

Thieme SF, Möller W, Becker S, Schuschnig U, Eickelberg O, Helck AD et al (2012) Ventilation imaging of the paranasal sinuses using xenon-enhanced dynamic single-energy CT and dual-energy CT: a feasibility study in a nasal cast. EurRadiology 22:2110–2116

26.

Henzler T, Fink C, Schoenberg SO, Schoepf UJ (2012) Dual-energy CT: radiation dose aspects. Am J Roentgenol 199:S16–S25CrossRef

27.

Tawfik AM, Kerl JM, Razek AA, Bauer RW, Nour-Eldin NE, Vogl TJ et al (2011) Image quality and radiation dose of dual-energy CT of the head and neck compared with a standard 120-kVp acquisition. Am J Neuroradiol 32:1994–1999CrossRefPubMed

28.

Deng K, Liu C, Ma R, Sun C, Wang XM, Ma ZT et al (2009) Clinical evaluation of dual-energy bone removal in CT angiography of the head and neck: comparison with conventional bone-subtraction CT angiography. Clin Radiol 64:534–541CrossRefPubMed

29.

Johnson TR, Krauss B, Sedlmair M, Grasruck M, Bruder H, Morhard D et al (2007) Material differentiation by dual energy CT: initial experience. Eur Radiol 17:1510–1517CrossRefPubMed

Title: Clinical applications of dual-energy CT in head and neck imaging
Authors: Daniel Thomas Ginat
Michael Mayich
Laleh Daftari-Besheli
Rajiv Gupta
Publication date: 01-03-2016
Publisher: Springer Berlin Heidelberg
Published in: European Archives of Oto-Rhino-Laryngology / Issue 3/2016
Print ISSN: 0937-4477
Electronic ISSN: 1434-4726
DOI: https://doi.org/10.1007/s00405-014-3417-4

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Clinical applications of dual-energy CT in head and neck imaging

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