To review current CT in CT portal venography (CTPV) and its limitations
The standard contrast medium injection of the multiphase contrast-enhanced in liver can be used for CTPV with spectral CT
To demonstrate the improved image quality using late arterial phase as compared with that obtained using portal venous phase by presenting clinical images
1) Standard CT in CTPV and its limitations
low contrast between the portal vein and liver parenchyma results in poor depiction of the intrahepatic portal veins on CTPV images
CTPV images can be easily affected by various factors
limited effect on the portal veins to increase the contrast medium dose and/or injection rate
2) Normal multiphase contrast enhancement in liver can be used for CTPV with spectral CT
Optimal energy level of CTPV images in late arterial phase by presenting clinical images
Optimal energy level of CTPV images in portal venous phase by presenting clinical images
3) CTPV images using late arterial phase is better than that obtained using portal venous phase
high contrast between the portal vein and liver parenchyma in late arterial phase
no hepatic veins overlapped the portal veins
Wang, H,
Liu, A,
Liu, Y,
Machida, H,
Ueno, E,
CT Spectral Imaging in CT Portal Venography: Which Phase is Better, Late Arterial Phase or Portal Venous Phase. Radiological Society of North America 2014 Scientific Assembly and Annual Meeting, - ,Chicago IL.
http://archive.rsna.org/2014/14013843.html