Abdominal Radiology

, Volume 44, Issue 2, pp 406–421 | Cite as

Role of dual energy CT to improve diagnosis of non-traumatic abdominal vascular emergencies

  • Khalid W. Shaqdan
  • Anushri Parakh
  • Avinash R. Kambadakone
  • Dushyant V. SahaniEmail author
Invited article


Computed tomography angiography (CTA) is the modality of choice to evaluate abdominal vascular emergencies (AVE). CTA protocols are often complex and require acquisition of multiple phases to enable a variety of diagnosis such as acute bleeding, pseudoaneurysms, bowel ischemia, and dissection. With single energy CT (SECT), differentiating between calcium, coagulated blood, and contrast agents can be challenging based on their attenuation, especially when in small quantity or present as a mixture. With dual-energy CT (DECT), virtual monoenergetic (VM) and material decomposition (MD) image reconstructions enable more robust tissue characterization, improve contrast-enhancement, and reduce beam hardening artifacts. This article will demonstrate how radiologists can utilize DECT for various clinical scenarios in assessment of non-traumatic AVE.


Dual-energy CT Abdominal vascular emergencies Virtual monoenergetic images Material decomposition images 


Compliance with ethical standards


This study was not funded.

Conflict of interest

Dushyant Sahani received grant support from GE healthcare, Advisory Board of Allena Pharma, receives royalties from Elsevier publishing for textbook on Abdomen Imaging. Other authors declare that they have no conflict of interest.

Ethical approval

This article does not contain any studies with human participants performed by any of the authors.


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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2018

Authors and Affiliations

  • Khalid W. Shaqdan
    • 1
  • Anushri Parakh
    • 1
  • Avinash R. Kambadakone
    • 1
  • Dushyant V. Sahani
    • 1
    Email author
  1. 1.Department of RadiologyMassachusetts General Hospital, Harvard Medical SchoolBostonUSA

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