Dual energy with dual source CT and kVp switching with single source CT: a comparison of dual energy performance

Author(s):  
M. Grasruck ◽  
S. Kappler ◽  
M. Reinwand ◽  
K. Stierstorfer
Author(s):  
Bernhard Petritsch ◽  
Aleksander Kosmala ◽  
Tobias Gassenmaier ◽  
Andreas Weng ◽  
Simon Veldhoen ◽  
...  

Purpose To compare radiation dose, subjective and objective image quality of 3 rd generation dual-source CT (DSCT) and dual-energy CT (DECT) with conventional 64-slice single-source CT (SSCT) for pulmonary CTA. Materials and Methods 180 pulmonary CTA studies were performed in three patient cohorts of 60 patients each. Group 1: conventional SSCT 120 kV (ref.); group 2: single-energy DSCT 100 kV (ref.); group 3: DECT 90/Sn150 kV. CTDIvol, DLP, effective radiation dose were reported, and CT attenuation (HU) was measured on three central and peripheral levels. The signal-to-noise-ratio (SNR) and contrast-to-noise-ratio (CNR) were calculated. Two readers assessed subjective image quality according to a five-point scale. Results Mean CTDIvol and DLP were significantly lower in the dual-energy group compared to the SSCT group (p < 0.001 [CTDIvol]; p < 0.001 [DLP]) and the DSCT group (p = 0.003 [CTDIvol]; p = 0.003 [DLP]), respectively. The effective dose in the DECT group was 2.79 ± 0.95 mSv and significantly smaller than in the SSCT group (4.60 ± 1.68 mSv, p < 0.001) and the DSCT group (4.24 ± 2.69 mSv, p = 0.003). The SNR and CNR were significantly higher in the DSCT group (p < 0.001). Subjective image quality did not differ significantly among the three protocols and was rated good to excellent in 75 % (135/180) of cases with an inter-observer agreement of 80 %. Conclusion Dual-energy pulmonary CTA protocols of 3 rd generation dual-source scanners allow for significant reduction of radiation dose while providing excellent image quality and potential additional information by means of perfusion maps. Key Points: Citation Format


2009 ◽  
Vol 72 (3) ◽  
pp. 396-400 ◽  
Author(s):  
Min Wang ◽  
Heng-Tao Qi ◽  
Xi-Ming Wang ◽  
Tao Wang ◽  
Jiu-Hong Chen ◽  
...  

Radiology ◽  
2009 ◽  
Vol 252 (1) ◽  
pp. 61-70 ◽  
Author(s):  
Long-Jiang Zhang ◽  
Yan-E Zhao ◽  
Sheng-Yong Wu ◽  
Benjamin M. Yeh ◽  
Chang-Sheng Zhou ◽  
...  

2011 ◽  
Vol 196 (5) ◽  
pp. W550-W557 ◽  
Author(s):  
Christian Fink ◽  
Radko Krissak ◽  
Thomas Henzler ◽  
Ursula Lechel ◽  
Gunnar Brix ◽  
...  

2018 ◽  
Vol 13 (1) ◽  
pp. 107-111 ◽  
Author(s):  
Jinshan Zhang ◽  
Jing Cai ◽  
Shulan Liu ◽  
Xianmei Zhang

AbstractObjectiveTo investigate the diagnostic value of dual-energy lung perfusion imaging (DEPI) using a dual-source CT system for the pulmonary embolism (PE).Methods50 patients in high acute PE prevalence were enrolled to accept the DEPI (lung perfusion image and CTA image of pulmonary artery acquired through the Dual Energy software) and emergent DSA angiography (golden diagnostic criterion).ResultsPatients using CT had significantly reduced examination duration and dosage of contrast agent than those using DSA examination, (P < 0.05). In total, 260 pulmonary arteries and 1020 pulmonary segments were examined through CTA, in which embolisms were identified in 50 lobes of lung, 108 pulmonary segments and 82 sub-segments. Reduction or lack of perfusion was identified through DEPI in 48 lobes of lung (concordance rate of 96.0%), 103 pulmonary segments (concordance rate of 95.4%) and 78 subsegments (concordance rate of 95.1%). The comparison of embolism quantity and morphological characteristics of pulmonary artery between CTA images and DEPI images showed no statistically significant difference.ConclusionBetter application value can be achieved in the diagnosis of pulmonary embolism by dual-energy lung perfusion imaging using a dual-source CT system.


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