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Case: Dual Energy Coronary CTA for Evaluation of Chest Pain after RCA Revascularization

posted by Ralf Bauer, M.D. | Feb 2, 2011
Ralf Bauer, M.D.
  • Fig. 1 Prior to recanalization: Cardiac catheterization showed a prominent RV branch and in-stent occlusion of the mid and distal RCA.
  • Fig. 2 Curved multiplanar reformates showed in-stent thrombosis with occlusion beginning in the proximal RCA. In the RV branch, which was clearly visible on pre-interventional cath images, no contrast material filling could be delineated.
  • Fig. 3 Dual Energy iodine mapping showed a large area with decreased perfusion in the arterial phase in the inferoseptal wall extending from the base to the apex of the heart.
  • Fig. 4 Late enhancement was present in the inferoseptal wall corresponding to the perfusion defect in arterial phase.

In this case, Dual Energy coronary CTA was used to image a complication of interventional recanalization, i.e. acute in-stent thrombosis, while the initial clinical diagnosis of acute aortic dissection could reliably be ruled out. Read more

Technical Implementation of Dual Energy CT (T. Johnson)

posted by Thorsten R. C. Johnson, M.D. | Jan 4, 2010

This third article of our Dual Energy-series focuses on the technical implementation of Dual Energy technology. For Dual Energy scanning, the tube potentials are mostly set to 140 and 80 kVp to obtain the largest spectral difference. Weighted average images are calculated by the image reconstruction system to resemble normal 120 … Read more