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Pulmonary Bone Cement Embolism: CT Angiographic Evaluation with Material Decomposition Using Gemstone Spectral Imaging

  • Huh, Sun (Department of Radiology, Soonchunhyang University Hospital Bucheon) ;
  • Lee, Heon (Department of Radiology, Soonchunhyang University Hospital Bucheon)
  • Received : 2014.03.06
  • Accepted : 2014.05.08
  • Published : 2014.07.01

Abstract

We report a case of pulmonary bone cement embolism in a female who presented with dyspnea following multiple sessions of vertebroplasty. She underwent spectral CT pulmonary angiography and the diagnosis was made based on enhanced visualization of radiopaque cement material in the pulmonary arteries and a corresponding decrease in the parenchymal iodine content. Here, we describe the CT angiography findings of bone cement embolism with special emphasis on the potential benefits of spectral imaging, providing additional information on the material composition.

Keywords

Acknowledgement

Supported by : Soonchunhyang University

References

  1. Galibert P, Deramond H, Rosat P, Le Gars D. [Preliminary note on the treatment of vertebral angioma by percutaneous acrylic vertebroplasty]. Neurochirurgie 1987;33:166-168
  2. Krueger A, Bliemel C, Zettl R, Ruchholtz S. Management of pulmonary cement embolism after percutaneous vertebroplasty and kyphoplasty: a systematic review of the literature. Eur Spine J 2009;18:1257-1265 https://doi.org/10.1007/s00586-009-1073-y
  3. Barragan-Campos HM, Vallee JN, Lo D, Cormier E, Jean B, Rose M, et al. Percutaneous vertebroplasty for spinal metastases: complications. Radiology 2006;238:354-362 https://doi.org/10.1148/radiol.2381040841
  4. Choe DH, Marom EM, Ahrar K, Truong MT, Madewell JE. Pulmonary embolism of polymethyl methacrylate during percutaneous vertebroplasty and kyphoplasty. AJR Am J Roentgenol 2004;183:1097-1102 https://doi.org/10.2214/ajr.183.4.1831097
  5. Remy-Jardin M, Pistolesi M, Goodman LR, Gefter WB, Gottschalk A, Mayo JR, et al. Management of suspected acute pulmonary embolism in the era of CT angiography: a statement from the Fleischner Society. Radiology 2007;245:315-329 https://doi.org/10.1148/radiol.2452070397
  6. Lu GM, Wu SY, Yeh BM, Zhang LJ. Dual-energy computed tomography in pulmonary embolism. Br J Radiol 2010;83:707-718 https://doi.org/10.1259/bjr/16337436
  7. Lu GM, Zhao Y, Zhang LJ, Schoepf UJ. Dual-energy CT of the lung. AJR Am J Roentgenol 2012;199(5 Suppl):S40-S53 https://doi.org/10.2214/AJR.12.9112
  8. Sun YS, Zhang XY, Cui Y, Tang L, Li XT, Chen Y, et al. Spectral CT imaging as a new quantitative tool? Assessment of perfusion defects of pulmonary parenchyma in patients with lung cancer. Chin J Cancer Res 2013;25:722-728
  9. Ghaye B. Peripheral pulmonary embolism on multidetector CT pulmonary angiography. JBR-BTR 2007;90:100-108

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  1. Cement pulmonary embolism after percutaneous vertebroplasty in a patient with cushing's syndrome: A case report vol.25, pp.None, 2014, https://doi.org/10.1016/j.rmcr.2018.06.009
  2. The impact of incidental pulmonary cement embolism on mortality risk vol.49, pp.3, 2020, https://doi.org/10.1007/s11239-019-02027-0