Dynamic CT Angiography and CT Perfusion Employing a 320-Detector Row CT

被引:90
作者
Salomon, Eric J.
Barfett, Joe
Willems, Peter W. A.
Geibprasert, Sasikhan
Bacigaluppi, Susanna
Krings, Timo [1 ,2 ]
机构
[1] Univ Toronto, Toronto Western Hosp, Div Neuroradiol, Dept Med Imaging, Toronto, ON M5T 2S8, Canada
[2] Hosp Sick Children, Toronto, ON, Canada
关键词
CT angiography; CT perfusion; Stroke; Vascular malformations; DIAGNOSTIC CEREBRAL-ANGIOGRAPHY; MAGNETIC-RESONANCE ANGIOGRAPHY; ACUTE ISCHEMIC-STROKE; TIME-OF-FLIGHT; COMPUTED-TOMOGRAPHY; ARTERIOVENOUS-MALFORMATIONS; MR-ANGIOGRAPHY; CONTRAST; COMPLICATIONS;
D O I
10.1007/s00062-009-9019-7
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
The aim of this study is to report the authors' initial clinical experience of a 320-detector row computed tomography (CT) scanner in cerebrovascular disorders. Volumetric CT using the full 160-mm width of the 320 detector rows enables full brain coverage in a single rotation that allows for combined time-resolved whole-brain perfusion and four-dimensional CT angiography (CTA). The protocol for the combined dynamic CTA and CT perfusion (CTP) is presented, and its potential applications in stroke, stenoocclusive disease, arteriovenous malformations and dural shunts are reviewed based on clinical examples. The combined CTA/CTP data can provide visualization of dynamic flow and perfusion as well as motion of an entire volume at very short time intervals which is of importance in a variety of pathologies with altered cerebral hemodynamics. The broad coverage enabled by 320 detector rows offers z-axis coverage allowing for whole-brain perfusion and subtracted dynamic angiography of the entire intracranial circulation.
引用
收藏
页码:187 / 196
页数:10
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