Dose uncertainty due to energy dependence in dual-energy computed tomography

Purpose: To evaluate the absolute dose uncertainty at 2 different energies and for the large and small bowtie filters in dual-energy computed tomography (DECT).Material and methods: Measurements were performed using DECT at 80 kV and 140 kilovoltage peak (kVp), and sin-gle-energy computed tomography (CT) at 120 kV. The absolute dose was calculated from the mass-energy absorption obtained from the half-value layer (HVL) of aluminium.Results: The difference in the water-to-air ratio of the mean mass energy-absorption coefficients at 80 kV and 140 kV was 2.0% for the small bow-tie filter and 3.0% for the large bow-tie filter. At lower tube voltages, the difference in the absorbed dose with the large and small bow-tie filters was larger.Conclusions: The absolute dose uncertainty due to energy dependence was 3.0%, which could be reduced with sin-gle-energy beams at 120 kV or by using the average effective energy measurement with dual-energy beams.