Flat Detector CT with Cerebral Pooled Blood Volume Perfusion in the Angiography Suite: From Diagnostics to Treatment Monitoring

C-arm flat-panel detector computed tomographic (CT) imaging in the angiography suite increasingly plays an important part during interventional neuroradiological procedures. In addition to conventional angiographic imaging of blood vessels, flat detector CT (FD CT) imaging allows simultaneous 3D vis...

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Bibliographic Details
Published in:Diagnostics (Basel) 2022-08, Vol.12 (8), p.1962
Main Authors: van der Zijden, Thijs, Mondelaers, Annelies, Voormolen, Maurits, Menovsky, Tomas, Niekel, Maarten, Jardinet, Thomas, Van Thielen, Thomas, D’Archambeau, Olivier, Parizel, Paul M
Format: Article
Language:English
Subjects:
Angiography
Anthropomorphism
Blood
Blood vessels
Cerebral circulation
Cerebrovascular disease
Clinical medicine
CT imaging
Feasibility studies
flat-panel CT
Health aspects
hemodynamics in cerebrovascular conditions
imaging of vascular diseases of the brain
interventional imaging
Magnetic resonance imaging
Medical imaging
Methods
Patient monitoring
Patients
perfusion imaging
Radiation
Review
Sensors
Stroke
Tomography
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Summary:C-arm flat-panel detector computed tomographic (CT) imaging in the angiography suite increasingly plays an important part during interventional neuroradiological procedures. In addition to conventional angiographic imaging of blood vessels, flat detector CT (FD CT) imaging allows simultaneous 3D visualization of parenchymal and vascular structures of the brain. Next to imaging of anatomical structures, it is also possible to perform FD CT perfusion imaging of the brain by means of cerebral blood volume (CBV) or pooled blood volume (PBV) mapping during steady state contrast administration. This enables more adequate decision making during interventional neuroradiological procedures, based on real-time insights into brain perfusion on the spot, obviating time consuming and often difficult transportation of the (anesthetized) patient to conventional cross-sectional imaging modalities. In this paper we review the literature about the nature of FD CT PBV mapping in patients and demonstrate its current use for diagnosis and treatment monitoring in interventional neuroradiology.
ISSN:2075-4418
2075-4418
DOI:10.3390/diagnostics12081962