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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Format: | Article |
Language: | English |
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Elsevier
2022-10-01
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Series: | Radiology Case Reports |
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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. |
first_indexed | 2024-04-14T03:07:40Z |
format | Article |
id | doaj.art-ed2b04adaf7a42428844baeb7a8abc7a |
institution | Directory Open Access Journal |
issn | 1930-0433 |
language | English |
last_indexed | 2024-04-14T03:07:40Z |
publishDate | 2022-10-01 |
publisher | Elsevier |
record_format | Article |
series | Radiology Case Reports |
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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