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Semin Musculoskelet Radiol 2015; 19(05): 438-445
DOI: 10.1055/s-0035-1569252
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Dual-Energy CT: Basic Principles, Technical Approaches, and Applications in Musculoskeletal Imaging (Part 2)

Patrick Omoumi
1   Department of Diagnostic and Interventional Radiology, Lausanne University Hospital, Lausanne, Switzerland
,
Francis R. Verdun   *
2   Institute of Radiation Physics, Lausanne University Hospital, Lausanne, Switzerland
,
Roman Guggenberger
3   Institute for Diagnostic and Interventional Radiology, University Hospital Zurich, Zurich, Switzerland
,
Gustav Andreisek
3   Institute for Diagnostic and Interventional Radiology, University Hospital Zurich, Zurich, Switzerland
,
Fabio Becce   *
1   Department of Diagnostic and Interventional Radiology, Lausanne University Hospital, Lausanne, Switzerland
› Author Affiliations
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Publication Date:
22 December 2015 (online)

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Abstract

In recent years, technological advances have allowed manufacturers to implement dual-energy computed tomography (DECT) on clinical scanners. With its unique ability to differentiate basis materials by their atomic number, DECT has opened new perspectives in imaging. DECT has been successfully used in musculoskeletal imaging with applications ranging from detection, characterization, and quantification of crystal and iron deposits, to simulation of noncalcium (improving the visualization of bone marrow lesions) or noniodine images. Furthermore, the data acquired with DECT can be postprocessed to generate monoenergetic images of varying kiloelectron volts, providing new methods for image contrast optimization as well as metal artifact reduction. The first part of this article reviews the basic principles and technical aspects of DECT including radiation dose considerations. The second part focuses on applications of DECT to musculoskeletal imaging including gout and other crystal-induced arthropathies, virtual noncalcium images for the study of bone marrow lesions, the study of collagenous structures, applications in computed tomography arthrography, as well as the detection of hemosiderin and metal particles.

Keywords

dual-energy computed tomography - crystal-induced arthropathies - metal artifact reduction - bone marrow edema - iron

* F.R. Verdun and F. Becce contributed equally to this work.