{Reference Type}: Journal Article {Title}: Dual-Energy Computed Tomography in Urological Diseases: A Narrative Review. {Author}: Coppola A;Tessitore L;Fontana F;Piacentino F;Recaldini C;Minenna M;Capogrosso P;Minici R;Laganà D;Ierardi AM;Carrafiello G;D'Angelo F;Carcano G;Cacioppa LM;Dehò F;Venturini M; {Journal}: J Clin Med {Volume}: 13 {Issue}: 14 {Year}: 2024 Jul 11 {Factor}: 4.964 {DOI}: 10.3390/jcm13144069 {Abstract}: Dual-Energy computed tomography (DECT) with its various advanced techniques, including Virtual Non-Contrast (VNC), effective atomic number (Z-eff) calculation, Z-maps, Iodine Density Index (IDI), and so on, holds great promise in the diagnosis and management of urogenital tumours. In this narrative review, we analyze the current status of knowledge of this technology to provide better lesion characterization, improve the staging accuracy, and give more precise treatment response assessments in relation to urological tumours.