Dual Energy CT in Oncology

The aim of this book is fourfold: to describe the basic principles of Dual Energy CT (DECT) imaging, to explain how post-processing is utilized, to critically appraise the strengths and weaknesses of the technique in oncologic imaging, and above all, to d

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Dual Energy CT in Oncology

Carlo N. De Cecco • Andrea Laghi U. Joseph Schoepf • Felix G. Meinel Editors

Dual Energy CT in Oncology

Editors Carlo N. De Cecco Medical University of South Carolina Charleston, SC USA

U. Joseph Schoepf Medical University of South Carolina Charleston, SC USA

Andrea Laghi Sapienza University of Rome Rome Italy

Felix G. Meinel Ludwig-Maximilians-University Hospital Munich Germany

ISBN 978-3-319-19562-9 ISBN 978-3-319-19563-6 DOI 10.1007/978-3-319-19563-6

(eBook)

Library of Congress Control Number: 2015948219 Springer Cham Heidelberg New York Dordrecht London © Springer International Publishing Switzerland 2015 This work is subject to copyright. All rights are reserved by the Publisher, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed. The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. The publisher, the authors and the editors are safe to assume that the advice and information in this book are believed to be true and accurate at the date of publication. Neither the publisher nor the authors or the editors give a warranty, express or implied, with respect to the material contained herein or for any errors or omissions that may have been made. Printed on acid-free paper Springer International Publishing AG Switzerland is part of Springer Science+Business Media (www.springer.com)

Preface

Dual energy CT is an innovative imaging technique which has recently entered clinical practice. Despite its recent introduction, the number of CT scanners with dual energy capabilities is growing rapidly, and new clinical applications are already available or under investigation. With rising clinical interest and an established base of scanner technology, DECT will increasingly figure into clinical routine as radiologists further integrate DECT in their daily practice. As detailed in this book, DECT acquisition allows the simultaneous generation of multiple datasets including iodine density map, virtual monochromatic or virtual unenhanced images, and elemental decomposition analyses which aid the radiologist in addressing various diagnostic problems using a multiparametric approach. When routinely applied, these applications of DECT may be particularly useful in oncologic imaging, providing clear advantages in tumor detection, lesion characterization, and evaluation of response to therapy. A growing body of evidence demonstrating the value of DECT applications in different oncological fields is rapidly accumulating, and we strongly b