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Year : 2018  |  Volume : 28  |  Issue : 4  |  Page : 436-438
Evaluation of lung transplant perfusion using iodine maps from novel spectral detector computed tomography


Department of Radiology, University Hospitals Cleveland Medical Center; Department of Radiology, Case School of Medicine, Case Western Reserve University, Cleveland, OH, USA

Correspondence Address:
Dr. Nils Große Hokamp
Case Western Reserve University, Department of Radiology, 11000 Euclid Ave, Cleveland, OH, 44106
USA
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijri.IJRI_35_18

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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.


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