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Secondary objectives included the level of knowledge of DECT among radiologists and some possible solutions to maximize its use.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Methods<\/jats:title>\n            <jats:p>Between February and March 2022, an anonymous questionnaire was conducted among the members of the Italian Society of Medical and Interventional Radiology (SIRM), using the Google form platform.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Results<\/jats:title>\n            <jats:p>A total of 261 radiologists (mean age 41\u2009\u00b1\u200911.7\u00a0years) from 90 Italian cities participated in the questionnaire. 42% of them worked in an academic center, and diagnostic imaging was the main area of work for most participants (87%). Most radiologists had some knowledge gap, especially those who did not have a DECT scanner available in their hospital (48.3%). Weekly use of DECT protocols varied widely between centers. Oncological imaging (70.4%) was the main area of use. Radiologists use DECT to improve contrast resolution (65.9%), characterize materials (64.4%), and reduce the amount of contrast agent (60%). 91.1% of participants reported that DECT improved their diagnostic accuracy.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusion<\/jats:title>\n            <jats:p>DECT scanners have become increasingly available in Italy in recent years, and their number is expected to increase with the NRRP. There is a wide variation in their use and in the expertise of radiologists, leading to a huge untapped potential, that can be improved by specific training. 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