A primer on the use of dual-energy CT in the evaluation of commonly encountered neoplasms.

Technical improvements in the acquisition and display of dual-energy computed tomography (DECT) have made this technique increasingly applicable to clinical practice, particularly in the setting of oncologic imaging. DECT allows for qualitative and quantitative analysis of tissue composition beyond the standard anatomical evaluation possible with single-energy computed tomography. For example, DECT can be used to interrogate iodine and calcium concentrations and to increase iodine signal, which makes many pathologic processes more conspicuous and provides improved understanding of internal structure within mass lesions. A working understanding of common postprocessing DECT displays will allow radiologists to maximize the additional diagnostic information available in DECT examinations. In this article, we describe common strategies for DECT interrogation by organ system, which may improve the conspicuity and understanding of suspected malignancies.

Assessing the walkability of the workplace: a new audit tool.

PURPOSE: Walking can be incorporated into most people's daily routines if the process is made convenient by a well-designed built environment. Walkability rarely is assessed in the workplace, where adults spend much of their time. METHODS: From existing tools, we developed an instrument to audit walkability at a single government agency's facilities, which were located in multiple states. We used a five-point scale to evaluate nine elements of walkability: pedestrian facilities, pedestrian-vehicle conflicts, crosswalks, route maintenance, walkway width, roadway buffer, universal accessibility, aesthetics, and shade. Weighted scores ranged from 20 to 39 (poor), to 40 to 69 (fair), to 70 to 100 (good). RESULTS: Of 79 walking route segments surveyed on 10 agency campuses, 34% were rated poor, 32% fair, and 34% good. Repeat assessment of 20 walking route segments by three independent observers yielded similar scores. CONCLUSION: Facility planners may find this walkability instrument useful in identifying and eliminating barriers to convenient walking opportunities in workplaces such as office parks and university campuses.