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Imaging the renal lesion with dual-energy multidetector CT and multi-energy applications in clinical practice: what can it truly do for you?

Publication ,  Journal Article
Mileto, A; Sofue, K; Marin, D
Published in: Eur Radiol
October 2016

OBJECTIVE: Many fortuitously detected renal lesions are incompletely characterised at traditional MDCT imaging, thus posing daily challenges to radiologists and referring physicians. There is burgeoning evidence that dual-energy MDCT and multi-energy applications provide an added value over traditional MDCT imaging in renal lesion characterisation and throughput. This special report gives a vendor-neutral outlook on technical essentials, recommended protocols, high-yield clinical opportunities and reviews radiation dose aspects of dual-energy MDCT imaging and multi-energy applications in renal lesions. In addition to a guide on interpretative traps and emerging problems, we provide an update on new, potential imaging horizons. CONCLUSION: Dual-energy MDCT and multi-energy applications can facilitate the imaging interpretation and throughput of renal lesions. Conjointly with capitalisation on the benefits, familiarity with dual- and multi-energy data sets as well as continuous scrutiny of interpretative traps can be the keys to the successful implementation and enhanced clinical acceptance of this powerful technique in the imaging community. Continuous advances in hardware and computer interfaces are expected to pave the way for the further expansion of the application spectrum. KEY POINTS: • Optimal protocols must be adopted for leveraging dual-energy benefits in renal imaging. • Virtual monochromatic imaging can overcome renal cyst pseudoenhancement. • Iodine maps help to interpret renal lesions incompletely characterised at traditional MDCT. • Interpretative traps need to be weighed-up in dual-energy renal lesions imaging. • Technical advances are expanding the dual-energy applications spectrum for renal lesions imaging.

Duke Scholars

Published In

Eur Radiol

DOI

EISSN

1432-1084

Publication Date

October 2016

Volume

26

Issue

10

Start / End Page

3677 / 3690

Location

Germany

Related Subject Headings

  • Radiography, Dual-Energy Scanned Projection
  • Radiation Dosage
  • Nuclear Medicine & Medical Imaging
  • Multidetector Computed Tomography
  • Kidney Neoplasms
  • Kidney Diseases, Cystic
  • Iodine
  • Humans
  • Equipment Design
  • Clinical Protocols
 

Citation

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Mileto, A., Sofue, K., & Marin, D. (2016). Imaging the renal lesion with dual-energy multidetector CT and multi-energy applications in clinical practice: what can it truly do for you? Eur Radiol, 26(10), 3677–3690. https://doi.org/10.1007/s00330-015-4180-7
Mileto, Achille, Keitaro Sofue, and Daniele Marin. “Imaging the renal lesion with dual-energy multidetector CT and multi-energy applications in clinical practice: what can it truly do for you?Eur Radiol 26, no. 10 (October 2016): 3677–90. https://doi.org/10.1007/s00330-015-4180-7.
Mileto, Achille, et al. “Imaging the renal lesion with dual-energy multidetector CT and multi-energy applications in clinical practice: what can it truly do for you?Eur Radiol, vol. 26, no. 10, Oct. 2016, pp. 3677–90. Pubmed, doi:10.1007/s00330-015-4180-7.
Journal cover image

Published In

Eur Radiol

DOI

EISSN

1432-1084

Publication Date

October 2016

Volume

26

Issue

10

Start / End Page

3677 / 3690

Location

Germany

Related Subject Headings

  • Radiography, Dual-Energy Scanned Projection
  • Radiation Dosage
  • Nuclear Medicine & Medical Imaging
  • Multidetector Computed Tomography
  • Kidney Neoplasms
  • Kidney Diseases, Cystic
  • Iodine
  • Humans
  • Equipment Design
  • Clinical Protocols