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CC BY-NC-ND 4.0 · Indian J Radiol Imaging 2018; 28(04): 436-438
DOI: 10.4103/ijri.IJRI_35_18
Chest

Evaluation of lung transplant perfusion using iodine maps from novel spectral detector computed tomography

Nils Große Hokamp
Department of Radiology, University Hospitals Cleveland Medical Center, Cleveland, OH, USA
Department of Radiology, Case School of Medicine, Case Western Reserve University, Cleveland, OH, USA
,
Amit Gupta
Department of Radiology, University Hospitals Cleveland Medical Center, Cleveland, OH, USA
Department of Radiology, Case School of Medicine, Case Western Reserve University, Cleveland, OH, USA
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Subject Editor: Financial support and sponsorship Nil.
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Abstract

We report the case of a 51-year-old patient who underwent bilateral lung transplantation and presented with an unstable condition and sepsis 6 days after transplantation. The performed contrast enhanced spectral detector computed tomography (CT) using a dual-layer detector showed absence of perfusion in the left lung on iodine maps, although branches of the pulmonary artery were patent. This prompted retrospective evaluation of CT images and total venous occlusion of the left pulmonary veins was found. Here, iodine maps helped in raising conspicuity of loss of lung perfusion.

Keywords

Dual energy computed tomography - iodine-maps - lung transplantation - spectral detector computed tomography - quantitative imaging


Publication History

Article published online:
26 July 2021

© 2018. Indian Radiological Association. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

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