Abstract Archives of the RSNA, 2014
CHE228
Chronic Thromboembolic Pulmonary Hypertension (CTEPH): Radiological Approach with Dual-energy CT Pulmonary Angiography. A One-stop Assessment
Education Exhibits
Presented in 2014
Certificate of Merit
Mariana Nelida Benegas Urteaga MD, Presenter: Nothing to Disclose
Marcelo Sanchez MD, Abstract Co-Author: Nothing to Disclose
Marta Burrel MD, PhD, Abstract Co-Author: Nothing to Disclose
Josep Guitart MD, Abstract Co-Author: Nothing to Disclose
Marta Barrufet MD, Abstract Co-Author: Nothing to Disclose
Teresa Maria de Caralt, Abstract Co-Author: Nothing to Disclose
Rosario Jesus Perea MD, PhD, Abstract Co-Author: Nothing to Disclose
1. To describe the CT findings of chronic thromboembolic disease at Dual CT angiography
2. To provide a differential diagnosis of pulmonary embolism and focal iodine defects in perfusion maps of dual CT
3. To explain that Dual-energy CT offers a “one-stop” assessment of anatomy and perfusion in CTEPH
1. Introduction
2. Dual energy CT pulmonary angiography technique
3. CT angiography features
a. Direct signs
b. Indirect signs
i. Related to pulmonary hypertension
ii. Related to systemic collateral supply
4. Dual-Energy CT imaging
a. Parenchymal findings
b. Virtual non contrast findings
i. Calcifications
ii. Tumoral uptake
c. Iodine maps of dual CT
5. Other imaging techniques
a. Digital Angiography. Correlation with dual source pulmonary angiography
b. Pulmonary scintigraphy. Correlation with iodine maps
6. Differential Diagnosis
a. CT angiography
i. Acute embolism
ii. Proximal interruption of the pulmonary artery
iii. Non thrombotic embolism
iv. Arteritis
v. Pulmonary artery sarcomas
b. Iodine maps
i. Artifacts
ii. Non thrombotic iodine defects: emphysema, constrictive bronchiolitis.
7. Pre and post thromboendarterectomy evaluation
8. Conclusions
http://abstract.rsna.org/uploads/2014/14018643/14018643_ftd2.pdf
Benegas Urteaga, M,
Sanchez, M,
Burrel, M,
Guitart, J,
Barrufet, M,
de Caralt, T,
Perea, R,
Chronic Thromboembolic Pulmonary Hypertension (CTEPH): Radiological Approach with Dual-energy CT Pulmonary Angiography. A One-stop Assessment. Radiological Society of North America 2014 Scientific Assembly and Annual Meeting, - ,Chicago IL.
http://archive.rsna.org/2014/14018643.html