This is the first textbook in DECT focussing especially on the cardiovascular field. DECT was developed many years ago but has recently spread its clinical utility. Many new applications have been developed over the last years and the cardiovascular system has benefited from these advances. New protocols will be used in the near future which will help to optimize results obtained until now with single energy CT, such as a more precise quantification of coronary artery stenosis using either different monochromatic levels or material decomposition, reduction of beam hardening artifacts in perfusion studies and optimizing endovenous contrast, among others.