In dual-energy CT (DECT), two CT datasets are acquired with different x-ray spectra. These spectra are generated using different tube potentials, partially also with additional filtration at 140 kVp. Spectral information can also be resolved by layer detectors or quantum-counting detectors. Several technical approaches-that is, sequential acquisition, rapid voltage switching, dual-source CT (DSCT), layer detector, quantum-counting detector-offer different spectral contrast and dose efficiency. Various postprocessing algorithms readily provide clinically relevant spectral information.