The goal of this study was to investigate the use of dual-energy computed tomography (CT) in differentiating frequently encountered foreign material on CT images using a standard single-source CT scanner. We scanned 20 different, forensically relevant materials at two X-Ray energy levels (80 and 130kVp) on CT. CT values were measured in each object at both energy levels. Intraclass correlation coefficient (ICC) was used to determine intra-reader reliability. Analysis of variance (ANOVA) was performed to assess significance levels between X-Ray attenuation at 80 and 130kVp. T test was used to investigate significance levels between mean HU values of individual object pairings at single energy levels of 80 and 130kVp, respectively. ANOVA revealed that the difference in attenuation between beam energies of 80kVp compared to 130kVp was statistically significant (p<0.005) for all materials except brass and lead. ICC was excellent at 80kVp (0.999, p<0.001) and at 130kVp (0.998, p<0.001). T test showed that using single energy levels of 80 and 130kVp respectively 181/190 objects pairs could be differentiated from one another based on HU measurements. Using the combined information from both energy levels, 189/190 object pairs could be differentiated. Scanning with different energy levels is a simple way to apply dual-energy technique on a regular single-energy CT and improves the ability to differentiate foreign bodies with CT, based on their attenuation value
