Revealing a Myocardial Perfusion Defect, unseen on MRI, using Adenosine-stress Dual Energy CT

Ralf W. Bauer, MD*, and Jan-Erik Scholtz, MD **,***|2017-01-17

* Clinic of Radiology and Nuclear Medicine, Cantonal Hospital St. Gallen, Switzerland
** Goethe University, Frankfurt am Main, Germany
Cardiac MR PET CT Program, Massachusetts General Hospital, Harvard Medical School, Boston, USA

A 68-year-old male patient, with a known history of coronary artery disease, was referred to our hospital due to unclear chest pain. Previously the patient had undergone percutaneous coronary angioplasty with stent placement. An adenosine-stress myocardial perfusion MRI was performed revealing no perfusion defect. Thereafter, the patient was referred for a coronary CT angiography with adenosine-stress myocardial perfusion using Dual Energy CT (DECT) mode.