Differentiation of Hemorrhage from Contrast Enhancement Using Dual-Layer Spectral CT in Patients Transferred for Acute Stroke

Authors

Edwin Gulko, New York Medical College
Sana AliFollow
William Gomes, New York Medical College
Chirag Gandhi, New York Medical CollegeFollow
Hasit Mehta, New York Medical CollegeFollow

Author Type(s)

Faculty

DOI

10.1016/j.clinimag.2020.06.046

Journal Title

Clinical Imaging

First Page

75

Last Page

78

Document Type

Article

Publication Date

1-2021

Department

Neurosurgery

Second Department

Radiology

Abstract

Acute stroke patients transferred to thrombectomy capable centers (TCC), undergo a CT head exam upon arrival at the TCC to evaluate for ASPECTS decay and intracranial hemorrhage. In patients who received iodinated contrast prior to transfer, parenchymal enhancement may simulate hemorrhage on this post-transfer CT. We report two cases utilizing CT spectral imaging to differentiate between parenchymal contrast enhancement and hemorrhage in this setting. TCC may consider dual-energy or dual-layer (spectral) imaging for this patient cohort.

Recommended Citation

Gulko, E., Ali, S., Gomes, W., Gandhi, C., & Mehta, H. (2021). Differentiation of Hemorrhage from Contrast Enhancement Using Dual-Layer Spectral CT in Patients Transferred for Acute Stroke. Clinical Imaging, 69, 75-78. https://doi.org/10.1016/j.clinimag.2020.06.046