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Purpose: To compare the spectral performance of four combinations of kVp available in a third generation dual‐source CT (DSCT) on abdominal imaging. Methods: An image‐quality phantom was scanned with a DSCT using four kVp pairs (tube "A" voltage/tube "B" voltage): 100/Sn150 kVp, 90/Sn150 kVp, 80/Sn150 kVp, and 70/Sn150 kVp, classic parameters and dose level for abdomen examination (CTDIvol: 11 mGy). The noise power spectrum (NPS) and the task‐based transfer function (TTF) of two inserts were computed on virtual monochromatic images (VMIs) at 40/50/60/70 keV and for mixed, low‐, and high‐kVp images. Detectability index (d') was computed on VMIs and mixed images to model the detection task of liver metastasis (LM) and hepatocellular carcinoma (HCC). Iodine quantification accuracy was assessed using the Root Mean Square Deviation (RMSDiodine) and the iodine bias (IB). Results: Noise magnitude decreased by −55%± 0% between 40 and 70 keV for all kVp pairs. Compared to 70/Sn150 kVp, noise magnitude was increased by 9% ± 0% with 80/Sn150 kVp, by 16% ± 1% with 90/Sn150 kVp and by 24%± 1% with 100/Sn150 kVp. The average NPS spatial frequency (fav) shifted toward higher frequencies as energy level increased for all kVp pairs. Lowest fav values were found for 70/Sn150 kVp and highest for 100/Sn150 kVp. The value of TTF at 50% (f50) shifted toward lower frequencies with increasing energy level. The highest f50 values occurred for 100/Sn150 kVp and the lowest for 80/Sn150 kVp. For both lesions, d' was highest for 70/Sn150 kVp and lowest for 100/Sn150 kVp. Compared to 70/Sn150 kVp, d' decreased by −6% ± 3% with 80/Sn150 kVp, by −11% ± 2% with 90/Sn150 kVp and by −13%± 2% with 100/Sn150 kVp. For all acquisitions, the RSMDiodine and IB were the lowest for 100/Sn150 kVp (0.29 ± 0.10 mg/ml and 0.88 ± 0.30 mg/ml, respectively) and increased when the tube "A" voltage decreased (2.34 ± 0.29 mg/ml for 70/Sn150 kVp and 7.42 ± 0.51 mg/ml respectively). Conclusion: 70/Sn150 kVp presented the lowest image noise and highest detectability in VMIs of two small focal liver lesions. 100/Sn150 kVp presented the lowest image noise on mixed images and highest accuracy of iodine quantification in iodine images. [ABSTRACT FROM AUTHOR]

Purpose: Virtual monoenergetic images (VMIs) derived from dual‐energy computed tomography (DECT) have been explored for several clinical applications in recent years. However, VMIs at low and high keVs have high levels of noise. The aim of this study was to reduce image noise in VMIs by using a two‐step noise reduction technique. Methods: VMI was first denoised using a modified highly constrained backprojection (HYPR) method. After the first‐step denoising, a general‐threshold filtering method was performed. Two sets of anthropomorphic phantoms were scanned with a clinical dual‐source DECT system. DECT data (80/140Sn kV) were reconstructed as VMI series at 12 different energy levels (range, 40‐150 keV, interval, 10 keV). For comparison, the averaged VMIs obtained from 10 repeated DECT scans were used as the reference standard. The signal‐to‐noise ratio (SNR), contrast‐to‐noise ratio (CNR) and root‐mean‐square error (RMSE) were used to evaluate the quality of VMIs. Results: Compared to the original HYPR method, the proposed two‐step image denoising method could provide better performance in terms of SNR, CNR, and RMSE. In addition, the proposed method could achieve effective noise reduction while preserving edges and small structures, especially for low‐keV VMIs. Conclusion: The proposed two‐step image denoising method is a feasible method for reducing noise in VMIs obtained from a clinical DECT scanner. The proposed method can also reduce edge blurring and the loss of intensity in small lesions. [ABSTRACT FROM AUTHOR]