Third-generation dual-source dual-energy CT in pediatric congenital heart disease patients: state-of-the-art
Autor: | Maria Chiara Basile, Nicolò Schicchi, Andrea Giovagnoni, Paolo Esposto Pirani, Marco Fogante, Matteo Oliva, Giacomo Agliata, Andrea Agostini |
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Rok vydání: | 2019 |
Předmět: |
Heart Defects
Congenital medicine.medical_specialty Heart disease Contrast Media Radiation Dosage 030218 nuclear medicine & medical imaging Patient Cooperation Radiography Dual-Energy Scanned Projection 03 medical and health sciences 0302 clinical medicine Heart Rate medicine Dual source Humans Radiology Nuclear Medicine and imaging Organ Motion Child Neuroradiology medicine.diagnostic_test business.industry Respiration Infant Newborn Infant Interventional radiology General Medicine medicine.disease Third generation High heart rate 030220 oncology & carcinogenesis Child Preschool Radiology Dual energy ct business Artifacts Tomography X-Ray Computed Filtration |
Zdroj: | La Radiologia medica. 124(12) |
ISSN: | 1826-6983 |
Popis: | Cardiovascular computer tomography (CT) in pediatric congenital heart disease (CHD) patients is often challenging. This might be due to limited patient cooperation, the high heart rate, the complexity and variety of diseases and the need for radiation dose minimization. The recent developments in CT technology with the introduction of the third-generation dual-source (DS) dual-energy (DE) CT scanners well suited to respond to these challenges. DSCT is characterized by high-pitch, long anatomic coverage and a more flexible electrocardiogram-synchronized scan. DE provides additional clinical information about vascular structures, myocardial and lung perfusion and allows artifacts reduction. These advances have increased clinical indications and modified CT protocol for pediatric CHD patients. In our hospital, DSCT with DE technology has rapidly become an important imaging technique for both pre- and postoperative management of pediatric patients with CHDs. The aim of this article is to describe the state-of-the-art in DSCT protocol with DE technology in pediatric CHD patients, providing some case examples of our experience over an 18-month period. |
Databáze: | OpenAIRE |
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