Value of dual energy CT in post resuscitation coma. Differentiating contrast retention and ischemic brain parenchyma

Applications of dual-energy computed tomography and virtual non-contrast technique in neuroimaging are still emerging. While the role of DECT in differentiating parenchymal hemorrhage and contrast media after mechanical revascularization is well recognized, the value of DECT in evaluation of brain i...

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Main Authors: Asra Nayab, MBBS, Eelco F. Wijdicks, MD, Patrick H. Luetmer, MD, Vance T. Lehman, MD
Format: Article
Language:English
Published: Elsevier 2022-10-01
Series:Radiology Case Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S1930043322005866
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author Asra Nayab, MBBS
Eelco F. Wijdicks, MD
Patrick H. Luetmer, MD
Vance T. Lehman, MD
author_facet Asra Nayab, MBBS
Eelco F. Wijdicks, MD
Patrick H. Luetmer, MD
Vance T. Lehman, MD
author_sort Asra Nayab, MBBS
collection DOAJ
description Applications of dual-energy computed tomography and virtual non-contrast technique in neuroimaging are still emerging. While the role of DECT in differentiating parenchymal hemorrhage and contrast media after mechanical revascularization is well recognized, the value of DECT in evaluation of brain ischemia in post resuscitation patients who have received intravenous (IV) iodinated contrast is not well documented. We present a challenging case where DECT helped explain hyperattenuation in cortical grey matter and deep grey nuclei as well as cerebellar hemispheres in a comatose patient post cardiac arrest following massive pulmonary embolism.
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spelling doaj.art-ed2b04adaf7a42428844baeb7a8abc7a2022-12-22T02:15:42ZengElsevierRadiology Case Reports1930-04332022-10-01171037223726Value of dual energy CT in post resuscitation coma. Differentiating contrast retention and ischemic brain parenchymaAsra Nayab, MBBS0Eelco F. Wijdicks, MD1Patrick H. Luetmer, MD2Vance T. Lehman, MD3Division of Neuroradiology Department of Radiology, Mayo Clinic Rochester, MN, USA; Radiology Education Office MA 2-00C Mayo Clinic 200 First Street SW Rochester, MN 55905, USA; Corresponding author.Department of Neurology and Neurocritical Care, Mayo Clinic Rochester, MN, USA; Division of Neurology and Neurocritical Care Mayo Clinic Rochester, MN, USADivision of Neuroradiology Department of Radiology, Mayo Clinic Rochester, MN, USA; Radiology Education Office MA 2-00C Mayo Clinic 200 First Street SW Rochester, MN 55905, USADivision of Neuroradiology Department of Radiology, Mayo Clinic Rochester, MN, USA; Radiology Education Office MA 2-00C Mayo Clinic 200 First Street SW Rochester, MN 55905, USAApplications of dual-energy computed tomography and virtual non-contrast technique in neuroimaging are still emerging. While the role of DECT in differentiating parenchymal hemorrhage and contrast media after mechanical revascularization is well recognized, the value of DECT in evaluation of brain ischemia in post resuscitation patients who have received intravenous (IV) iodinated contrast is not well documented. We present a challenging case where DECT helped explain hyperattenuation in cortical grey matter and deep grey nuclei as well as cerebellar hemispheres in a comatose patient post cardiac arrest following massive pulmonary embolism.http://www.sciencedirect.com/science/article/pii/S1930043322005866Dual-energy computed tomography (DECT)Virtual non-contrast (VNC)Brain ischemiaContrast retention
spellingShingle Asra Nayab, MBBS
Eelco F. Wijdicks, MD
Patrick H. Luetmer, MD
Vance T. Lehman, MD
Value of dual energy CT in post resuscitation coma. Differentiating contrast retention and ischemic brain parenchyma
Radiology Case Reports
Dual-energy computed tomography (DECT)
Virtual non-contrast (VNC)
Brain ischemia
Contrast retention
title Value of dual energy CT in post resuscitation coma. Differentiating contrast retention and ischemic brain parenchyma
title_full Value of dual energy CT in post resuscitation coma. Differentiating contrast retention and ischemic brain parenchyma
title_fullStr Value of dual energy CT in post resuscitation coma. Differentiating contrast retention and ischemic brain parenchyma
title_full_unstemmed Value of dual energy CT in post resuscitation coma. Differentiating contrast retention and ischemic brain parenchyma
title_short Value of dual energy CT in post resuscitation coma. Differentiating contrast retention and ischemic brain parenchyma
title_sort value of dual energy ct in post resuscitation coma differentiating contrast retention and ischemic brain parenchyma
topic Dual-energy computed tomography (DECT)
Virtual non-contrast (VNC)
Brain ischemia
Contrast retention
url http://www.sciencedirect.com/science/article/pii/S1930043322005866
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