Application progress of dual-energy CT in pancreatic imaging_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

YUAN Yuan , HUANG Zixing ,  SONG Bin

Department of Radiology, West China Hospital, Sichuan University, Chengdu 610041, P.R.China;

Corresponding author：

SONG Bin, Email: cjr.songbin@vip.163.com

Keywords：

dual-energy CT; pancreas; iodine overlay; virtual non-enhanced imaging; monoenergetic imaging

DOI：

10.7507/1007-9424.201705022

Video：

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Objective To summarize the recent application progress of dual-energy CT in pancreatic imaging. Methods The domestic and international published literatures related to the application of dual-energy CT in pancreatic imaging in recent years were collected and reviewed. Results Dual-energy CT could provide the morphological image and function information of tissues and organs simultaneously. At present, the clinical application of dual-energy CT in pancreatic imaging included low tube voltage technology, iodine overlay, virtual non-enhanced imaging, and monoenergetic imaging. Conclusion Dual-energy CT could contribute to detecting pancreatic lesions, reducing radiation dose, and improving image quality in pancreatic imaging.

Citation： YUAN Yuan, HUANG Zixing, SONG Bin. Application progress of dual-energy CT in pancreatic imaging. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2017, 24(6): 756-759. doi: 10.7507/1007-9424.201705022 Copy

1.	林晓珠, 沈云, 陈克敏. CT 能谱成像的基本原理与临床应用研究进展. 中华放射学杂志, 2011, 45(8): 798-800.
2.	Behrendt FF, Schmidt B, Plumhans C, et al. Image fusion in dual energy computed tomography: effect on contrast enhancement, signal-to-noise ratio and image quality in computed tomography angiography. Invest Radiol, 2009, 44(1): 1-6.
3.	Chandarana H, Godoy MC, Vlahos I, et al. Abdominal aorta: evaluation with dual-source dual-energy multidetector CT after endovascular repair of aneurysmsdinitial observations. Radiology, 2008, 249(2): 692-700.
4.	Patel BN, Thomas JV, Lockhart ME, et al. Single-source dual-energy spectral multidetector CT of pancreatic adenocarcinoma: optimization of energy level viewing significantly increases lesion contrast. Clin Radiol, 2013, 68(2): 148-154.
5.	宋彬. 等闲识得双能面, 万紫千红总是春——CT 能量成像前景展望. 放射学实践, 2013, 28(12): 1190.
6.	Heye T, Nelson RC, Ho LM, et al. Dual-energy CT applications in the abdomen. AJR Am J Roentgenol, 2012, 199(5 Suppl): S64-S70.
7.	Mangold S, Thomas C, Fenchel M, et al. Virtual nonenhanced dual-energy CT urography with tin-filter technology: determinants of detection of urinary calculi in the renal collecting system. Radiology, 2012, 264(1): 119-125.
8.	Fulwadhva UP, Wortman JR, Sodickson AD. Use of dual-energy CT and iodine maps in evaluation of bowel disease. Radiographics, 2016, 36(2): 393-406.
9.	Mileto A, Sofue K, Marin D. 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, 2016, 26(10): 3677-3690.
10.	Bongers MN, Schabel C, Krauss B, et al. Noise-optimized virtual monoenergetic images and iodine maps for the detection of venous thrombosis in second-generation dual-energy CT (DECT): an ex vivo phantom study. Eur Radiol, 2015, 25(6): 1655-1664.
11.	Metzger SC, Koehm M, Wichmann JL, et al. Dual-energy CT in patients with suspected gouty arthritis: effects on treatment regimen and clinical outcome. Acad Radiol, 2016, 23(3): 267-272.
12.	Duan X, Li Z, Yu L, et al. Characterization of urinary stone composition by use of third-generation dual-source dual-energy CT with increased spectral separation. AJR Am J Roentgenol, 2015, 205(6): 1203-1207.
13.	Sudarski S, Hagelstein C, Weis M, et al. Dual-energy snap-shot perfusion CT in suspect pulmonary nodules and masses and for lung cancer staging. Eur J Radiol, 2015, 84(12): 2393-2400.
14.	Silva AC, Morse BG, Hara AK, et al. Dual-energy (spectral) CT: applications in abdominal imaging. Radiographics, 2011, 31(4): 1031-1046.
15.	潘昌杰, 钱农, 薛跃君, 等. 双能量 CT 单能谱成像技术在骨折金属固定术后的应用. 中华放射学杂志, 2011, 45(5): 496-499.
16.	Leng S, Yu L, Fletcher JG, et al. Maximizing iodine contrast-to-noise ratios in abdominal CT imaging through use of energy domain noise reduction and virtual monoenergetic dual-energy CT. Radiology, 2015, 276(2): 562-570.
17.	Johnson TR, Krauss B, Sedlmair M, et al. Material differentiation by dual energy CT: initial experience. Eur Radiol, 2007, 17(6): 1510-1517.
18.	袁元, 黄子星, 李真林, 等. 双源 CT 双能量扫描对急性坏死性胰腺炎影像诊断价值的初步探讨. 四川大学学报(医学版), 2011, 42(5): 691-694.
19.	Wichmann JL, Majenka P, Beeres M, et al. Single-portal-phase low-tube-voltage dual-energy CT for short-term follow-up of acute pancreatitis: evaluation of CT severity index, interobserver agreement and radiation dose. Eur Radiol, 2014, 24(11): 2927-2935.
20.	Marin D, Nelson RC, Barnhart H, et al. Detection of pancreatic tumors, image quality, and radiation dose during the pancreatic parenchymal phase: effect of a low-tube-voltage, high-tube-current CT technique–preliminary results. Radiology, 2010, 256(2): 450-459.
21.	Mileto A, Mazziotti S, Gaeta M, et al. Pancreatic dual-source dual-energy CT: is it time to discard unenhanced imaging? Clin Radiol, 2012, 67(4): 334-339.
22.	Megibow AJ. Are we really closer to predicting the development of pancreatic cancer? Radiology, 2010, 254(3): 642-646.
23.	袁元, 黄子星, 李真林, 等. 胰腺双能量 CT 虚拟平扫与真实平扫的初步对比研究. 放射学实践, 2013, 28(12): 1191-1195.
24.	Chu AJ, Lee JM, Lee YJ, et al. Dual-source, dual-energy multidetector CT for the evaluation of pancreatic tumours. Br J Radiol, 2012, 85(1018): e891-e898.
25.	Quiney B, Harris A, McLaughlin P, et al. Dual-energy CT increases reader confidence in the detection and diagnosis of hypoattenuating pancreatic lesions. Abdom Imaging, 2015, 40(4): 859-864.
26.	Brown CL, Hartman RP, Dzyubak OP, et al. Dual-energy CT iodine overlay technique for characterization of renal masses as cyst or solid: a phantom feasibility study. Eur Radiol, 2009, 19(5): 1289-1295.
27.	Gupta R, Phan CM, Leidecker C, et al. Evaluation of dual-energy CT for differentiating intracerebral hemorrhage from iodinated contrast material staining. Radiology, 2010, 257(1): 205-211.
28.	袁元, 黄子星, 李真林, 等. 双源 CT 双能量碘图对急性坏死性胰腺炎影像的诊断价值. 四川大学学报(医学版), 2012, 43(4): 597-600.
29.	钱蓉, 袁元, 黄子星, 等. 双源 CT 双能量扫描碘图对急性胰腺炎早期坏死灶的诊断价值. 中国普外基础与临床杂志, 2015, 22(3): 357-360.
30.	Lin XZ, Wu ZY, Tao R, et al. Dual energy spectral CT imaging of insulinoma-value in preoperative diagnosis compared with conventional multi-detector CT. Eur J Radiol, 2012, 81(10): 2487-2494.
31.	McNamara MM, Little MD, Alexander LF, et al. Multireader evaluation of lesion conspicuity in small pancreatic adenocarcinomas: complimentary value of iodine material density and low keV simulated monoenergetic images using multiphasic rapid kVp-switching dual energy CT. Abdom Imaging, 2015, 40(5): 1230-1240.
32.	Bamberg F, Dierks A, Nikolaou KA, et al. Metal artifact reduction by dual energy computed tomography using monoenergetic extrapolatin. Eur Radiol, 2011, 21(7): 1424-1429.
33.	Hardie AD, Picard MM, Camp ER, et al. Application of an advanced image-based virtual monoenergetic reconstruction of dual source dual-energy CT data at low keV increases image quality for routine pancreas imaging. J Comput Assist Tomogr, 2015, 39(5): 716-720.
34.	Yin Q, Zou X, Zai X, et al. Pancreatic ductal adenocarcinoma and chronic mass-forming pancreatitis: differentiation with dual-energy MDCT in spectral imaging mode. Eur J Radiol, 2015, 84(12): 2470-2476.
35.	Li HO, Guo J, Sun C, et al. Assessment of pancreatic adenocarcinoma: use of low-dose whole pancreatic CT perfusion and individualized dual-energy CT scanning. J Med Imaging Radiat Oncol, 2015, 59(5): 590-598.
36.	Yu L, Leng S, McCollough CH. Dual-energy CT-based monochromatic imaging. AJR Am J Roentgenol, 2012, 199(5 Suppl): S9-S15.

1. 林晓珠, 沈云, 陈克敏. CT 能谱成像的基本原理与临床应用研究进展. 中华放射学杂志, 2011, 45(8): 798-800.
2. Behrendt FF, Schmidt B, Plumhans C, et al. Image fusion in dual energy computed tomography: effect on contrast enhancement, signal-to-noise ratio and image quality in computed tomography angiography. Invest Radiol, 2009, 44(1): 1-6.
3. Chandarana H, Godoy MC, Vlahos I, et al. Abdominal aorta: evaluation with dual-source dual-energy multidetector CT after endovascular repair of aneurysmsdinitial observations. Radiology, 2008, 249(2): 692-700.
4. Patel BN, Thomas JV, Lockhart ME, et al. Single-source dual-energy spectral multidetector CT of pancreatic adenocarcinoma: optimization of energy level viewing significantly increases lesion contrast. Clin Radiol, 2013, 68(2): 148-154.
5. 宋彬. 等闲识得双能面, 万紫千红总是春——CT 能量成像前景展望. 放射学实践, 2013, 28(12): 1190.
6. Heye T, Nelson RC, Ho LM, et al. Dual-energy CT applications in the abdomen. AJR Am J Roentgenol, 2012, 199(5 Suppl): S64-S70.
7. Mangold S, Thomas C, Fenchel M, et al. Virtual nonenhanced dual-energy CT urography with tin-filter technology: determinants of detection of urinary calculi in the renal collecting system. Radiology, 2012, 264(1): 119-125.
8. Fulwadhva UP, Wortman JR, Sodickson AD. Use of dual-energy CT and iodine maps in evaluation of bowel disease. Radiographics, 2016, 36(2): 393-406.
9. Mileto A, Sofue K, Marin D. 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, 2016, 26(10): 3677-3690.
10. Bongers MN, Schabel C, Krauss B, et al. Noise-optimized virtual monoenergetic images and iodine maps for the detection of venous thrombosis in second-generation dual-energy CT (DECT): an ex vivo phantom study. Eur Radiol, 2015, 25(6): 1655-1664.
11. Metzger SC, Koehm M, Wichmann JL, et al. Dual-energy CT in patients with suspected gouty arthritis: effects on treatment regimen and clinical outcome. Acad Radiol, 2016, 23(3): 267-272.
12. Duan X, Li Z, Yu L, et al. Characterization of urinary stone composition by use of third-generation dual-source dual-energy CT with increased spectral separation. AJR Am J Roentgenol, 2015, 205(6): 1203-1207.
13. Sudarski S, Hagelstein C, Weis M, et al. Dual-energy snap-shot perfusion CT in suspect pulmonary nodules and masses and for lung cancer staging. Eur J Radiol, 2015, 84(12): 2393-2400.
14. Silva AC, Morse BG, Hara AK, et al. Dual-energy (spectral) CT: applications in abdominal imaging. Radiographics, 2011, 31(4): 1031-1046.
15. 潘昌杰, 钱农, 薛跃君, 等. 双能量 CT 单能谱成像技术在骨折金属固定术后的应用. 中华放射学杂志, 2011, 45(5): 496-499.
16. Leng S, Yu L, Fletcher JG, et al. Maximizing iodine contrast-to-noise ratios in abdominal CT imaging through use of energy domain noise reduction and virtual monoenergetic dual-energy CT. Radiology, 2015, 276(2): 562-570.
17. Johnson TR, Krauss B, Sedlmair M, et al. Material differentiation by dual energy CT: initial experience. Eur Radiol, 2007, 17(6): 1510-1517.
18. 袁元, 黄子星, 李真林, 等. 双源 CT 双能量扫描对急性坏死性胰腺炎影像诊断价值的初步探讨. 四川大学学报(医学版), 2011, 42(5): 691-694.
19. Wichmann JL, Majenka P, Beeres M, et al. Single-portal-phase low-tube-voltage dual-energy CT for short-term follow-up of acute pancreatitis: evaluation of CT severity index, interobserver agreement and radiation dose. Eur Radiol, 2014, 24(11): 2927-2935.
20. Marin D, Nelson RC, Barnhart H, et al. Detection of pancreatic tumors, image quality, and radiation dose during the pancreatic parenchymal phase: effect of a low-tube-voltage, high-tube-current CT technique–preliminary results. Radiology, 2010, 256(2): 450-459.
21. Mileto A, Mazziotti S, Gaeta M, et al. Pancreatic dual-source dual-energy CT: is it time to discard unenhanced imaging? Clin Radiol, 2012, 67(4): 334-339.
22. Megibow AJ. Are we really closer to predicting the development of pancreatic cancer? Radiology, 2010, 254(3): 642-646.
23. 袁元, 黄子星, 李真林, 等. 胰腺双能量 CT 虚拟平扫与真实平扫的初步对比研究. 放射学实践, 2013, 28(12): 1191-1195.
24. Chu AJ, Lee JM, Lee YJ, et al. Dual-source, dual-energy multidetector CT for the evaluation of pancreatic tumours. Br J Radiol, 2012, 85(1018): e891-e898.
25. Quiney B, Harris A, McLaughlin P, et al. Dual-energy CT increases reader confidence in the detection and diagnosis of hypoattenuating pancreatic lesions. Abdom Imaging, 2015, 40(4): 859-864.
26. Brown CL, Hartman RP, Dzyubak OP, et al. Dual-energy CT iodine overlay technique for characterization of renal masses as cyst or solid: a phantom feasibility study. Eur Radiol, 2009, 19(5): 1289-1295.
27. Gupta R, Phan CM, Leidecker C, et al. Evaluation of dual-energy CT for differentiating intracerebral hemorrhage from iodinated contrast material staining. Radiology, 2010, 257(1): 205-211.
28. 袁元, 黄子星, 李真林, 等. 双源 CT 双能量碘图对急性坏死性胰腺炎影像的诊断价值. 四川大学学报(医学版), 2012, 43(4): 597-600.
29. 钱蓉, 袁元, 黄子星, 等. 双源 CT 双能量扫描碘图对急性胰腺炎早期坏死灶的诊断价值. 中国普外基础与临床杂志, 2015, 22(3): 357-360.
30. Lin XZ, Wu ZY, Tao R, et al. Dual energy spectral CT imaging of insulinoma-value in preoperative diagnosis compared with conventional multi-detector CT. Eur J Radiol, 2012, 81(10): 2487-2494.
31. McNamara MM, Little MD, Alexander LF, et al. Multireader evaluation of lesion conspicuity in small pancreatic adenocarcinomas: complimentary value of iodine material density and low keV simulated monoenergetic images using multiphasic rapid kVp-switching dual energy CT. Abdom Imaging, 2015, 40(5): 1230-1240.
32. Bamberg F, Dierks A, Nikolaou KA, et al. Metal artifact reduction by dual energy computed tomography using monoenergetic extrapolatin. Eur Radiol, 2011, 21(7): 1424-1429.
33. Hardie AD, Picard MM, Camp ER, et al. Application of an advanced image-based virtual monoenergetic reconstruction of dual source dual-energy CT data at low keV increases image quality for routine pancreas imaging. J Comput Assist Tomogr, 2015, 39(5): 716-720.
34. Yin Q, Zou X, Zai X, et al. Pancreatic ductal adenocarcinoma and chronic mass-forming pancreatitis: differentiation with dual-energy MDCT in spectral imaging mode. Eur J Radiol, 2015, 84(12): 2470-2476.
35. Li HO, Guo J, Sun C, et al. Assessment of pancreatic adenocarcinoma: use of low-dose whole pancreatic CT perfusion and individualized dual-energy CT scanning. J Med Imaging Radiat Oncol, 2015, 59(5): 590-598.
36. Yu L, Leng S, McCollough CH. Dual-energy CT-based monochromatic imaging. AJR Am J Roentgenol, 2012, 199(5 Suppl): S9-S15.

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Application progress of dual-energy CT in pancreatic imaging

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