ReviewTomography (Ann Arbor, Mich.)2023
Pros and Cons of Dual-Energy CT Systems: "One Does Not Fit All".
Review in Tomography (Ann Arbor, Mich.), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
39 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Diagnostic performance of dual-energy computed tomography in detecting anterior cruciate ligament injuries: a systematic review and meta-analysis.Skeletal radiology · 2025Pooled it
- Spectral CT and Photon-counting Detector CT: Principles and Applications in Neuroradiology.Radiology. Imaging cancer · 2026Review
- Reducing Stent-Induced Blooming Artifacts Using Virtual Monoenergetic Imaging Reconstructions in a Superficial Femoral Artery Phantom: An In-Vitro Study.Cardiovascular engineering and technology · 2026Article
- Comparison of Low-Iodine Concentration Quantification Accuracy and Contrast-To-Noise Ratio Across Three Dual-Energy CT Techniques: A Phantom Study.Journal of medical radiation sciences · 2026Article
- Segmental fECV measurement using PCD-CT as an early predictor of liver function decline in chronic liver disease.Abdominal radiology (New York) · 2026Article
- Spectral CTA-based quantitative differentiation of infarcted and non-infarcted ASPECTS regions in acute stroke.European radiology experimental · 2026Article
- Reduction of CT number location dependency using photon-counting detector CT and virtual monoenergetic imaging.Physics in medicine and biology · 2026Article
- Photon-counting CT for radiotherapy: Qualitative assessment of potential clinical value by semi-structured expert interviews.Clinical and translational radiation oncology · 2026Article
- Accurate iodine quantification and residual error reduction with principal component analysis multimaterial decomposition using spectral CT.Medical physics · 2026Article
- Experimental Characterisation of Differently Composed Thrombus Entities with Spectral-Detector-CT.Neurology international · 2026Article
- The Applications of Spectral CT in Interventional Radiology: Innovations in Diagnosis and Intra-procedural Guidance.Cardiovascular and interventional radiology · 2026Review
- Limited additional value of dual-layer spectral 4DCT compared with conventional 4DCT for preoperative localization in primary hyperparathyroidism.European journal of radiology open · 2025Article
- Development of a digital energy modulation framework in projectional radiography.Journal of applied clinical medical physics · 2025Article
- Spectral CT in practice: insights from an International Atomic Energy Agency survey.Insights into imaging · 2025Article
- The role of dual-energy CT in head and neck emergency.Emergency radiology · 2025Review
- Improving decomposition image quality in dual-energy chest radiography using two-dimensional crisscrossed anti-scatter grid.Medical physics · 2025Article
- Performance comparison of dual-layer detector CT parameters from different blood vessels in the detection of anemia.Quantitative imaging in medicine and surgery · 2025Article
- Deep learning reconstruction enhances tophus detection in a dual-energy CT phantom study.Scientific reports · 2025Article
- Photon-Counting Detector CT Applications in Musculoskeletal Radiology.Investigative radiology · 2025Review
- Dual-energy CT of acute bowel ischemia-influence on diagnostic accuracy and reader confidence.European radiology · 2025Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Dual-energy computed tomography (DECT) uses different energy spectrum x-ray beams for differentiating materials with similar attenuation at a certain energy. Compared with single-energy CT, it provides images with better diagnostic performance and a potential reduction of contrast agent and radiation doses. There are different commercially available DECT technologies, with machines that may display two x-ray sources and two detectors, a single source capable of fast switching between two energy levels, a specialized detector capable of acquiring high- and low-energy data sets, and a filter splitting the beam into high- and low-energy beams at the output. Sequential acquisition at different tube voltages is an alternative approach. This narrative review describes the DECT technique using a Q&A format and visual representations. Physical concepts, parameters influencing image quality, postprocessing methods, applicability in daily routine workflow, and radiation considerations are discussed. Differences between scanners are described, regarding design, image quality variabilities, and their advantages and limitations. Additionally, current clinical applications are listed, and future perspectives for spectral CT imaging are addressed. Acknowledging the strengths and weaknesses of different DECT scanners is important, as these could be adapted to each patient, clinical scenario, and financial capability. This technology is undoubtedly valuable and will certainly keep improving.
Indexed as
Identifiers
What Socratic holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.