AbstractID: 10052 Title: Cardiac applications of dual energy CT, calcium scoring and perfusion studies Cardiac computed tomography (CT) has experienced a dramatic increase in clinical use over the past decade. Facilitating that rise in use have been numerous advances in CT technology – especially multi-slice and helical CT and decreases in gantry rotation times. More recent advances have allowed for significant reductions in radiation dose to the patient and the rebirth of dual energy imaging. Dual energy CT (the simultaneous acquisition of images at two X-ray tube voltages) has shown potential in its early usage to image myocardial perfusion much like a cardiac SPECT exam. This single scan pairs functional information with the anatomic imaging of CT coronary angiography at minimal cost of increased dose. Other promising dual energy cardiac CT applications include plaque characterization, iron imaging, and contrast enhanced calcium scoring. This lecture will provide an overview of recent advances in cardiac CT including 4-D imaging, calcium scoring, dose reduction strategies, and with a focus on dual energy CT applications. Educational Objectives: 1. Understand the history of cardiac CT 2. Understand the current and developing clinical uses of cardiac CT 3. Understand the different advantages conferred to cardiac CT by new advances in scanner technology