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. 2025 Jul 15;130(9):1396–1408. doi: 10.1007/s11547-025-02044-5

Table 2.

Questions on the main areas of DECT use

Questions Answers options % of answers
Q1 In which diagnostic area do you routinely use DECT? Neuroradiology 18.5
Musculoskeletal/rheumatic diseases 20.70
Traumatic emergency 22.20
Non-traumatic emergency 34.80
CT angiography 45.20
Oncologic diseases 70.40
Q2 In which non-traumatic emergency scenario do you use DECT? I don’t perform urgency CT 17
Acute abdomen 17
Thoracic/abdominal hemorrhage 20
Acute vascular pathology 25.90
Intestinal ischemia 27.40
Renal litiasis 53.30
Pulmonary embolism 68.10
Q3 What musculoskeletal condition do you use DECT for? I don’t do MSK imaging 36
Extra-rachideal traumatism 8.90
Metabolic diseases 8.90
Infectious diseases 8.90
Degenerative diseases 9.60
Spinal traumatism 13.30
Rheumatologic diseases 17.80
Traumatic diseases 20
Post-surgical (to reduce beam hardening) 39.30
To analyze bone marrow edema 40.70
Q4 What clinical problems do you use DECT for? To reduce beam hardening artifacts 60
To reduce the amount of contrast media 60
To characterize material/spectral analysis (lithiasis, edema, etc.) 64.40
To improve contrast resolution 65.90
Q5 For which oncologic diseases do you use DECT? I don’t do oncologic imaging 18.50
Hematologic diseases 16.30
Head–neck diseases 29.60
Breast neoplasms 33.30
Thoracic neoplasms 36.30
Abdominal neoplasms 65.20
Q6 For which central nervous system diseases do you use DECT? I don’t do CNS imaging 65
Head injury: diagnosis 4.40
Head injury: control 7.40
Neuro-Oncology 14.10
Ischemic ictus (control) 14.80
Cerebral hemorrhage 15.60
Ischemic ictus (diagnosis) 19.37