Dual-Energy Computed Tomography in Urological Diseases: A Narrative Review

Author:

Coppola Andrea12ORCID,Tessitore Luigi12,Fontana Federico12ORCID,Piacentino Filippo12ORCID,Recaldini Chiara12,Minenna Manuela12,Capogrosso Paolo3,Minici Roberto4ORCID,Laganà Domenico45,Ierardi Anna Maria6ORCID,Carrafiello Gianpaolo6,D’Angelo Fabio78ORCID,Carcano Giulio29ORCID,Cacioppa Laura Maria1011ORCID,Dehò Federico23ORCID,Venturini Massimo12

Affiliation:

1. Diagnostic and Interventional Radiology Unit, Circolo Hospital, ASST Sette Laghi, 21100 Varese, Italy

2. Department of Medicine and Technological Innovation, Insubria University, 21100 Varese, Italy

3. Urology Unit, Circolo Hospital, ASST Sette Laghi, 21100 Varese, Italy

4. Radiology Unit, Dulbecco University Hospital, 88100 Catanzaro, Italy

5. Department of Experimental and Clinical Medicine, Magna Graecia University of Catanzaro, 88100 Catanzaro, Italy

6. Radiology Unit, IRCCS Ca Granda Ospedale Maggiore Policlinico, Via Sforza 35, 20122 Milan, Italy

7. Department of Medicine and Surgery, Insubria University, 21100 Varese, Italy

8. Orthopedic Surgery Unit, ASST Sette Laghi, 21100 Varese, Italy

9. Emergency and Transplant Surgery Department, ASST Sette Laghi, 21100 Varese, Italy

10. Department of Clinical, Special and Dental Sciences, University Politecnica delle Marche, 60126 Ancona, Italy

11. Division of Interventional Radiology, Department of Radiological Sciences, University Hospital “Azienda Ospedaliera Universitaria delle Marche”, 60126 Ancona, Italy

Abstract

Dual-Energy computed tomography (DECT) with its various advanced techniques, including Virtual Non-Contrast (VNC), effective atomic number (Z-eff) calculation, Z-maps, Iodine Density Index (IDI), and so on, holds great promise in the diagnosis and management of urogenital tumours. In this narrative review, we analyze the current status of knowledge of this technology to provide better lesion characterization, improve the staging accuracy, and give more precise treatment response assessments in relation to urological tumours.

Publisher

MDPI AG

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