Computed tomographic pulmonary angiography: Three cases of low-tube-voltage acquisition with a slow injection of contrast medium

Author:

Urikura Atsushi12ORCID,Yoshida Tsukasa1,Endo Masahiro3,Asakura Koiku1,Sato Rui4,Saiga Atsushi4,Moriguchi Michihisa5,Nakashima Kazuaki6ORCID,Aramaki Takeshi14

Affiliation:

1. Division of Diagnostic Radiology, Shizuoka Cancer Center, Shizuoka, Japan

2. Department of Radiological Technology, Radiological Diagnosis, National Cancer Center Hospital, Tokyo, Japan

3. Division of Comprehensive Radiology Center, Chiba University Hospital, Chiba-shi, Japan

4. Division of Interventional Radiology, Shizuoka Cancer Center, Shizuoka, Japan

5. Department of Gastroenterology and Hepatology, Kyoto Prefectural University of Medicine, Kyoto, JAPAN

6. Division of Breast Imaging and Intervention, Shizuoka Cancer Center, Shizuoka, Japan

Abstract

Acute pulmonary thromboembolism occurring during cancer treatment has been increasing with the number of cancer patients and chemotherapy cases. Computed tomographic pulmonary angiography (CTPA) for evaluating the pulmonary artery is generally performed using rapid injection of contrast medium. However, intravenous catheters for contrast medium injection might cause extravasation due to rapid injection. This case series describes three patients who underwent contrast-enhanced computed tomography combined with low-tube-voltage imaging and slow injection. Low-tube-voltage slow-injection CTPA can be an effective technique for obtaining high contrast enhancement while accommodating fragile veins and low injection rates.

Publisher

SAGE Publications

Subject

General Earth and Planetary Sciences,General Environmental Science

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