A recent presentation at the 2011 International Society for Computer Topography (ISCT) meeting in San Francisco highlighted the effectiveness of using dual- energy CT for abdominal imaging. This CT- technique has become more promising for uncovering certain pathology that has otherwise been hidden by traditional diagnostic imaging procedures.

Dual- energy CT- by whatever technology – can be configured to employ less radiation than single energy CT. But for some specific applications, it produces more diagnostic and specific information. Dual- energy CT currently may be the best radiology technique for characterizing urinary tract stones to their chemical composition (which determines whether medical, shockwave, or laser therapy will be required), characterizing small renal masses, and characterizing liver masses into cyst versus tumor.

Additionally, dual- energy CT may apply to better detecting minimal liver tumors, lowering the amount of iodine needed for CT angiograms, and creating virtual non- contrast scans. The latter may reduce the overall CT radiation dose of a multi- phase study by 20 to 50 percent!

While dual- energy is still relatively new to the field, it is clear that it is a promising technique for CT dose reduction, while maintaining imaging quality. Further research and testing will be conclusive of the absolute benefits of dual- energy CT.