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 Radioljournal_title
European radiologyauthors
Mangesius S,Janjic T,Steiger R,Haider L,Rehwald R,Knoflach M,Widmann G,Gizewski E,Grams Adoi
10.1007/s00330-020-07543-9subject
Has Abstractpub_date
2020-12-14 00:00:00eissn
0938-7994issn
1432-1084pii
10.1007/s00330-020-07543-9pub_type
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