Frontiers in Radiology (Apr 2022)

Dual-Energy CT in the Acute Setting: Bowel Trauma

  • Tanche Jimmy Wang,
  • Sarah Barrett,
  • Ismail Ali,
  • Faisal Khosa,
  • Savvas Nicolaou,
  • Nicolas Murray

DOI
https://doi.org/10.3389/fradi.2022.835834
Journal volume & issue
Vol. 2

Abstract

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Traumatic bowel and mesenteric injuries (TBMI) have significant morbidity and mortality. The physical examination is often limited and sometimes not feasible in the trauma patient. Multidetector CT (MDCT) detection of TBMI is challenging and can be life-saving. Dual-energy CT (DECT) utilizes iodine overlay, monoenergetic imaging, and metal artifact reduction to enhance the conspicuity of TBMI. DECT may improve the conspicuity of TBMI leading to increased diagnostic accuracy and confidence. The aim of the article is to review the state of the art and applications of DECT in bowel trauma.

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