JOURNAL OF KAOHSIUNG MEDICAL ASSOCIATION 2011. vol.19, No.

CT
(Gemstone spectral imaging)CT
(ASIR)

(High definition)

(CT)

64CT

(CT-750HD)
201035

CT
64CT256
CT640CTCT
X

CTGE Healthcare

CT
CT-750HD
CT
(generator)0.5
(80
kVp140 kVp) (CT
)

500

CT-750HD
(

134

GOS)

GOS100

GOS4

CT
(polychromatic images)CT
(monochromatic
images)

CT-750HDCT
101(40-140keV)
(monochromatic images)

(Region of interest; ROI)CT

CT
CT-750HDCT

(40140 keV)

CT
(CT
density)CT(1)

1

CT-750HD

X
(1)
CT-750HD
(
; iodine images)
(; water images)

135

 JOURNAL OF KAOHSIUNG MEDICAL ASSOCIATION 2011. vol.19, No.

(calcium images)
CT-750HD

CT

MARs

CT
(lesion)
CT-750HD

:
CT

(hip arthroplasty)

(2)

CT(hip
prosthesis)

50-60
keV

CT
(polypoid mass)
colon preparation

(polypoid mass)

(3)
CT

tubular
adenoma

2(A)
CT

140 keV
(B)
MARs
(C)

136

(hemoperitoneum)
CT density

3(A)CT

(B)CT

5060 keV
(hypervascular)
19(hepatocellular
carcinoma)
(arterial phase)(portal venous
phase)
(numerous

137

nodules)12
7
(TACE)
(hepatic
arterial infusion chemotherapy)
CT
(mean SD) 2.1 2.839

3.1 3.459
(p< 0.001)(
4)

55keV
(hepatic dome)

CT-750HD
(5)

(moderatelydifferentiated adenocarcinoma)
(tubular adenocarcinoma)

 JOURNAL OF KAOHSIUNG MEDICAL ASSOCIATION 2011. vol.19, No.

4(A)55keV(B)(C)

5
ROI
(1)
(2)(3)

CT-750HD

(hemorrhagic cyst)
density
(hypodense)0

(hyperdense)

CT

CT
(6)(C)CT750HDROI

49keV
MIP
CT(D)
CT

(optimal CNR)CT
(CT angiography)
CT

(Virtual unenhanced images)

138

6 CCT
CT
CT
ROI
(B)

(A)
49keV
CT

110
3

CT

35%

CT

CT
De
Cecco CN2

(noise)(7)
CT
30.47 7.07%BMI30
kg/m 2Graser
A 3

(hypervascular)

Altenbernd J4CT
40kVp
80 kVp
3.37 1.28 (SD)
120 kVp (simulated weighted-average
120 kVp)2.57 1.2

Park JH 5CT42

80 kVp

139

 JOURNAL OF KAOHSIUNG MEDICAL ASSOCIATION 2011. vol.19, No.

75mm()
(A)5mm
(B)

(CNR)120 kVp
120 kVp80
kVp
Graser A
(nephrographic phase)CT

(contrast enhancement)
94.6%

83.27 29 (SD)
HU120 kVp49.40 23.00
HUMarin D
80 kVp140 kVp
80 kVp
/CNR
8.1 (140kVp5.9)

Raptopoulos
VCT
(focal fatty infiltration)
80
kVp()140 kVpCT
(CT density; attenuation
value)7 HU
10 HU
2.5
HU80 kVp120
kVpGupta RT
CT
(adenoma)
50%80 kVp
140 kVp

(hypovascular)

Robinson ECT

80 kVp78.37 24.6 (SD)

120 kVp56.89 17.9
(SD)CNR80 kVp

Macari MCT
80
kVp 120 kVp
80 kVp

140

(intracellular fat)
80 kVp
140 kVpCT80
kVp
50%
100%

CT

CT750HD

CT-750HD

(80 kVp)

(meglumine iotroxate)
CT(CT
cholangiography)
(80 kVp)

(bone-subtracted
angiographic-like images)CT

CT

:
1. Coursey CA, Nelson RC, Boll DT, et al. :
Dual-energy multidetector CT: how does
it work, what can it tell us, and when can
we use it in abdominopelvic imaging?
Radiographics. 2010;30(4):1037-55.

2. De Cecco CN, Buffa V, Fedeli S, et al.

Dual energy CT (DECT) of the liver:
conventional versus virtual unenhanced
images. Eur Radiol. 2010;20(12):2870-5.

3. Graser A, Johnson TR, Hecht EM,

et al. Dual-energy CT in patients

suspected of having renal masses: can

virtual nonenhanced images replace

CT
CT
CT

true nonenhanced images? Radiology.

2009;252(2):433-40.

141