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Dual-Energy CT of the Abdomen and Pelvis: Radiation Dose Considerations
Affiliation:1. Department of Radiology, University of Florida College of Medicine, Gainesville, Florida;2. Department of Radiology, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts;1. Department of Radiology, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina;2. University of North Carolina at Chapel Hill School of Medicine, Chapel Hill, North Carolina;3. Allied Health Sciences, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina;1. Mallinckrodt Institute of Radiology at Washington University, St Louis, Missouri;2. Department of Diagnostic Radiology at Cleveland Clinic, Cleveland, Ohio;3. DuPage Medical Group, Chicago, Illinois;4. Department of Diagnostic Radiology, West Virginia State University, Morgantown, West Virginia;5. Department of Interventional Radiology, King Abdulaziz Medical City, Riyadh, Riyadh, Saudi Arabia;1. Research Assistant, Division of Interventional Radiology, Department of Radiology and Imaging Sciences, Emory University School of Medicine, Atlanta, Georgia;2. Division of Interventional Radiology, Department of Radiology and Imaging Sciences, Emory University School of Medicine, Atlanta, Georgia;1. Department of Radiology, Mercy Fitzgerald Hospital, Darby, Pennsylvania;2. Cleveland Clinic, Cleveland, Ohio;1. Lehigh Valley Hospital, Allentown, Pennsylvania;2. Department of Radiology, Einstein Healthcare Network, Philadelphia
Abstract:Dual-energy CT offers several new applications and opportunities for routine clinical practice. Increasing utilization in the context of both routine practice and clinical research raises questions about expected radiation dose when compared with conventional single-energy exams. Despite initial concerns, advanced iterative reconstruction techniques and creation of virtual unenhanced images in multiphase acquisitions offer methods for dose reduction. Although dose varies across patients and scanners, modern dual-energy exams allow for comparable and potentially decreased radiation dose when compared with single-energy CT. In this review, we examine dual-energy radiation dose considerations with discussion of accepted ACR diagnostic reference levels.
Keywords:Dual energy  CT  radiation dose  reference standard
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