The invention belongs to the technical field of perfusion and energy spectrum combined scanning, and discloses an image processing method capable of realizing CT perfusion and energy spectrum liver scanning simultaneously. According to the image processing method capable of realizing CT perfusion and energy spectrum liver scanning simultaneously, first, a CT machine is adopted for carrying out image locating and CT plain scanning on a patient, then, a contrast agent is injected, perfusion scanning and energy spectrum enhanced scanning are carried out, wherein the whole scanning period comprises 5 stages, the first stage and the third stage are perfusion scanning, the second stage, the fourth stage and the fifth stage are energy spectrum enhanced scanning, and through one-time scanning, perfusion and energy spectrum images are obtained simultaneously. The radiation dosage can be manually controlled and reduced, and therefore, the defects that in the existing similar technologies, the radiation dosage can not be regulated, and the radiation dosage is high are overcome; the perfusion image can provide the dynamic blood supply change characteristic of lesion, and the energy spectrum enhanced image can provide an image with the multiparameter mode beneficial for focus diagnosis and differential diagnosis; the perfusion image and the energy spectrum image can be obtained easily and conveniently through the one-time scanning method, thus abundant diagnosis information is provided for the clinic, and the radiation dosage of patients is reduced.