Dual-energy computed tomography in acute ischemic stroke: state-of-the-art.

Abstract:

:Dual-energy computed tomography (DECT) allows distinguishing between tissues with similar X-ray attenuation but different atomic numbers. Recent studies demonstrated that this technique has several areas of application in patients with ischemic stroke and a potential impact on patient management. After endovascular stroke therapy (EST), hyperdense areas can represent either hemorrhage or contrast staining due to blood-brain barrier disruption, which can be differentiated reliably by DECT. Further applications are improved visualization of early infarctions, compared to single-energy computed tomography, and prediction of transformation into infarction or hemorrhage in contrast-enhancing areas. In addition, DECT allows detection and evaluation of the material composition of intra-arterial clots after EST. This review summarizes the clinical state-of-the-art of DECT in patients with stroke, and features some prospects for future developments. KEY POINTS: • Dual-energy computed tomography (DECT) allows differentiation between tissues with similar X-ray attenuation but differentatomic numbers. • DECT has several areas of application in patients with ischemic stroke and a potential impact on patient management. • Prospects for future developments in DECT may improve treatment decision-making.

journal_name

Eur Radiol

journal_title

European radiology

authors

Mangesius S,Janjic T,Steiger R,Haider L,Rehwald R,Knoflach M,Widmann G,Gizewski E,Grams A

doi

10.1007/s00330-020-07543-9

subject

Has Abstract

pub_date

2020-12-14 00:00:00

eissn

0938-7994

issn

1432-1084

pii

10.1007/s00330-020-07543-9

pub_type

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