Spiral dual energy CT angiography offers new opportunities for the assessing the relevance of pulmonary emboli. In an initial study at the University of Munich, we examined 24 patients with suspected pulmonary embolism. Exams were performed with a single acquisition, spiral dual energy CT angiography protocol on a SOMATOM Definition. Voxels … Read more

History A 72-year-old female patient suffering from severe dyspnea is referred for pulmonary CT angiography to rule out pulmonary embolism. Question CT angiography is performed to rule out pulmonary embolism, right heart dilatation or pulmonary hypertension. Diagnosis/Differential diagnosis Apart from acute pulmonary embolism, differential diagnoses include primary right heart failure, secondary pulmonary hypertension, congestive heart … Read more

Case History 67-year old with severe dyspnea and positive D-dimer test is referred for CT angiography to confirm or to rule out pulmonary embolism. Question The primary clinical concern … Read more

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CT angiography has emerged as the diagnostic standard for detecting pulmonary embolism. It has been shown that pulmonary emboli can be detected with high reliability even at segmental and subsegmental levels. Recent studies have shown the sensitivity of CTA to be 90 – 100 % and the specificity to be … Read more

In recent studies at Munich University, the combined Dual Source CT protocol for chest pain assessment showed a high sensitivity for the cause of chest pain. Due to its robust image quality even in high heart rates DSCT greatly improves diagnostic accuracy. In cases of acute chest pain, the initial focus … Read more

The Dual Source CT protocol for chest pain assessment proved to be a helpful tool offering a fast diagnostic workup and patient triage. The heart rate insensitivity of DSCT further increases the diagnostic accuracy of the method by improving coronary artery assessment in acutely ill patients. The initial symptoms of the … Read more