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The effects of the reduction of low-energy X-ray spectrum on lung perfusion images created by dual-energy CT have not been well evaluated. The aim of this study is to investigate the reliability of lung perfusion blood volume (PBV) images created by dual-energy CT (DECT) equipped with or without a tin filter, focusing on its accuracy adjacent to high-attenuation areas.

Quality Improvement of Dual-Energy Lung Perfusion Image by Reduction of Low-Energy X-Ray Spectrum: An Evaluation on Clinical Images