Dual Energy Computed Tomography Scans of the Bowel: Benefits, Pitfalls, and Future Directions

Radiol Clin North Am. 2018 Sep;56(5):805-819. doi: 10.1016/j.rcl.2018.05.002.

Abstract

Current computed tomography bowel imaging is challenging given the variable distension, content, and location of the bowel, the different appearance of tumors within and adjacent to bowel, and peristaltic artifacts. Published data remain sparse. Derangements in enhancement may be highlighted, image artifacts reduced, and radiation dose from multiphase scans minimized. This modality is suited for imaging bowel tumor detection and characterization, gastrointestinal bleeding, and bowel inflammation, and ischemia. Experimental results on computed tomography colonography and novel bowel contrast material offer hope for major improvements in bowel interrogation. It is likely to become increasingly valuable for bowel-related disease diagnosis and monitoring.

Keywords: Bowel; Computed tomography; Dual energy CT; Multi-energy CT.

Publication types

  • Review

MeSH terms

  • Humans
  • Intestinal Diseases / diagnostic imaging*
  • Intestines / diagnostic imaging*
  • Radiography, Dual-Energy Scanned Projection / methods*
  • Radiography, Dual-Energy Scanned Projection / trends
  • Tomography, X-Ray Computed / methods*
  • Tomography, X-Ray Computed / trends