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Fig 1.

Patient selection pathway and propensity score matching.

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Fig 1 Expand

Fig 2.

Distribution of propensity scores in the study population.

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Fig 2 Expand

Table 1.

Propensity score-matched patient characteristics.

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Table 1 Expand

Fig 3.

Distribution of artifacts (a) and subjective noise (b) between the low and the standard CM dose group. (low = low CM dose group, std = standard CM dose group, PT = pulmonary trunk, RLLPA = right lower lobe pulmonary artery, RIPV = right inferior pulmonary vein, SVC = superior vena cava, SC = subclavian vein, BC = brachiocephalic vein)

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Fig 3 Expand

Fig 4.

55-year-old male patient with dyspnea.

Dual-energy CTPA with advanced monoenergetic image reconstructions and administration of 6 g iodine shows good opacification of the pulmonary vasculature with emboli in the right and left pulmonary arteries (arrows) (a) and in both lower lobe arteries (arrows) (b). Coronal thick (30 mm) maximum intensity projection (MIP) reformation (c) demonstrates good opacification of the pulmonary artery system to the segmental level.

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Fig 4 Expand

Fig 5.

63-year-old male patient with chest pain and dyspnea.

Dual-energy CTPA with advanced monoenergetic image reconstructions and administration of 6 g iodine shows good opacification of the main pulmonary trunk and arteries (a) and a clot at the segmental level of the left lower lobe (arrow) (b). Coronal thick (30 mm) maximum intensity projection (MIP) reformation (c) demonstrates good opacification of the pulmonary artery system to the segmental level.

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Fig 5 Expand

Fig 6.

Mean values and standard deviation of attenuation (a) and contrast-to-noise ratio (CNR, b) at the different locations. (CM = contrast media, PT = pulmonary trunk, RLLPA = right lower lobe pulmonary artery, RIPV = right inferior pulmonary vein).

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Fig 6 Expand

Table 2.

CNR in the low and in the standard CM dose group.

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Table 2 Expand