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Original scientific paper

https://doi.org/10.55378/rv.50.1.3

Dual-energy CT in polytrauma

Alen Udovičić ; Department of Radiology, University Hospital Centre Zagreb, Croatia
Bepo Vasić ; Department of Radiology, University Hospital Centre Zagreb, Croatia
Marijana Pervan ; Department of Radiology, University Hospital Centre Zagreb, Croatia


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Abstract

Aim: To evaluate dual-energy CT (DECT) whole-body polytrauma protocols and quantify radiation dose reduction compared with a standard multiphase CT protocol.
Materials and Methods: This retrospective single-centre study included polytrauma patients, stratified into three groups: standard CT (n = 255), DECT-stable (n = 164), and DECT-unstable (n = 19). Radiation dose was assessed using the dose-length product (DLP).
Results: Median DLP was 5940 mGy·cm (standard), 2671 mGy·cm (DECT stable), and 3247.5 mGy·cm (DECT unstable), corresponding to dose reductions of 55.0% and 45.3%, respectively.
Conclusion: DECT protocols enable substantial radiation dose reduction while maintaining clinical workflow efficiency.

Keywords

polytrauma; computed tomography; dual-energy CT; split-bolus; virtual non-contrast; radiation dose; dose-length product (DLP)

Hrčak ID:

347486

URI

https://hrcak.srce.hr/347486

Publication date:

5.5.2026.

Article data in other languages: croatian

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