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Erschienen in: The International Journal of Cardiovascular Imaging 8/2017

13.03.2017 | Original Paper

Dual-contrast agent photon-counting computed tomography of the heart: initial experience

verfasst von: Rolf Symons, Tyler E. Cork, Manu N. Lakshmanan, Robert Evers, Cynthia Davies-Venn, Kelly A. Rice, Marvin L. Thomas, Chia-Ying Liu, Steffen Kappler, Stefan Ulzheimer, Veit Sandfort, David A. Bluemke, Amir Pourmorteza

Erschienen in: The International Journal of Cardiovascular Imaging | Ausgabe 8/2017

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Abstract

To determine the feasibility of dual—contrast agent imaging of the heart using photon-counting detector (PCD) computed tomography (CT) to simultaneously assess both first-pass and late enhancement of the myocardium. An occlusion-reperfusion canine model of myocardial infarction was used. Gadolinium-based contrast was injected 10 min prior to PCD CT. Iodinated contrast was infused immediately prior to PCD CT, thus capturing late gadolinium enhancement as well as first-pass iodine enhancement. Gadolinium and iodine maps were calculated using a linear material decomposition technique and compared to single-energy (conventional) images. PCD images were compared to in vivo and ex vivo magnetic resonance imaging (MRI) and histology. For infarct versus remote myocardium, contrast-to-noise ratio (CNR) was maximal on late enhancement gadolinium maps (CNR 9.0 ± 0.8, 6.6 ± 0.7, and 0.4 ± 0.4, p < 0.001 for gadolinium maps, single-energy images, and iodine maps, respectively). For infarct versus blood pool, CNR was maximum for iodine maps (CNR 11.8 ± 1.3, 3.8 ± 1.0, and 1.3 ± 0.4, p < 0.001 for iodine maps, gadolinium maps, and single-energy images, respectively). Combined first-pass iodine and late gadolinium maps allowed quantitative separation of blood pool, scar, and remote myocardium. MRI and histology analysis confirmed accurate PCD CT delineation of scar. Simultaneous multi-contrast agent cardiac imaging is feasible with photon-counting detector CT. These initial proof-of-concept results may provide incentives to develop new k-edge contrast agents, to investigate possible interactions between multiple simultaneously administered contrast agents, and to ultimately bring them to clinical practice.
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Metadaten
Titel
Dual-contrast agent photon-counting computed tomography of the heart: initial experience
verfasst von
Rolf Symons
Tyler E. Cork
Manu N. Lakshmanan
Robert Evers
Cynthia Davies-Venn
Kelly A. Rice
Marvin L. Thomas
Chia-Ying Liu
Steffen Kappler
Stefan Ulzheimer
Veit Sandfort
David A. Bluemke
Amir Pourmorteza
Publikationsdatum
13.03.2017
Verlag
Springer Netherlands
Erschienen in
The International Journal of Cardiovascular Imaging / Ausgabe 8/2017
Print ISSN: 1569-5794
Elektronische ISSN: 1875-8312
DOI
https://doi.org/10.1007/s10554-017-1104-4

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