{
  "abstract": "We report a 73-year-old male admitted for 2-year progressive dysuria, with incidental detection of abnormal cardiovascular signs on physical examination. Initial evaluation via energy-integrating detector computed tomography (EID-CT) coronary angiography and cranial magnetic resonance imaging identified key vascular abnormalities, while subsequent photon-counting detector CT (PCD-CT) combined cardio-cerebral computed tomography angiography (CTA) provided more detailed assessment of stenosis severity, plaque composition, and the entire vascular bed. The combined PCD-CT scan delineated synchronous lesions in detail: proximal left anterior descending (LAD) coronary artery plaque, ascending aortic dilatation with left coronary sinus aneurysm compressing the left atrium, and occlusion of the intracranial right vertebral artery. Importantly, PCD-CT cardio-cerebral CTA yielded a lower radiation dose compared with standalone EID-CT coronary angiography. With spectral reconstruction, the severity of LAD stenosis was re-evaluated and interpreted as mild stenosis, a lower grade than that assessed by EID-CT; meanwhile, 0.4 mm thin-slice imaging enabled detailed compositional analysis of the coronary plaque, with imaging features suggestive of a stable plaque. Based on multidisciplinary discussion integrating all imaging findings and clinical context, a treatment strategy was formulated: prioritize high-risk aortic lesion management, synchronously perform coronary artery bypass grafting for myocardial ischemia prevention, and electively address intracranial stenosis. This case demonstrates the preliminary clinical value of PCD-CT as a supportive imaging modality for the evaluation and multidisciplinary management of concurrent cardio-cerebrovascular diseases.",
  "abstract_shown": true,
  "affiliations": [
    "First Clinical Medical College of Lanzhou University, Lanzhou, 730000, China",
    "Siemens Healthineers (Shanghai) Co., Ltd, Shanghai, China"
  ],
  "article_type": "case report",
  "arxiv": null,
  "author_total": 9,
  "authors": [
    {
      "affs": [
        0
      ],
      "name": "Yuanyuan Wan, MBBS"
    },
    {
      "affs": [
        0
      ],
      "name": "Dandan Zou, MBBS"
    },
    {
      "name": "Jinhui Lan, MMSc"
    },
    {
      "affs": [
        1
      ],
      "name": "Fan Yang, MD"
    },
    {
      "affs": [
        1
      ],
      "name": "Jizhao Jiang, MD"
    },
    {
      "affs": [
        1
      ],
      "name": "Yongwei Liu, MD"
    },
    {
      "name": "Wei Tian, MD"
    },
    {
      "name": "Gang Wang, PhD"
    },
    {
      "name": "Yanli Zhang, MD"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/6pq7pk3yydt2y.bib",
  "cited_by": 0,
  "doi": "10.1016/j.radcr.2026.09.073",
  "fulltext_url": "http://www.sciencedirect.com/science/article/pii/S1930043326009027",
  "id": "6pq7pk3yydt2y",
  "issns": [
    "1930-0433"
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  "landing_url": "https://doi.org/10.1016/j.radcr.2026.09.073",
  "language": "en",
  "licence": "CC-BY-NC-ND",
  "licence_label": "CC BY-NC-ND",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by-nc-nd/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "heading",
      "Case Report"
    ],
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      "lcc",
      "R895-920"
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      "openalex",
      "2741|Cardiac Imaging and Diagnostics"
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  "pdf_url": "https://www.sciencedirect.com/science/article/pii/S1930043326009027/pdf",
  "pmcid": null,
  "pmid": "42960276",
  "published": "2026-10-22",
  "publisher": "Elsevier",
  "ris": "https://research.draconitic.com/paper/6pq7pk3yydt2y.ris",
  "sources": [
    {
      "first_seen": "2026-10-30T13:43:45Z",
      "native_id": "ead51e542b1547f48d70728ff95cf328",
      "source": "doaj",
      "url": "https://doi.org/10.1016/j.radcr.2026.09.073"
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    {
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      "url": "https://europepmc.org/article/MED/42960276"
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    {
      "first_seen": "2026-11-02T12:22:45Z",
      "native_id": "PMC13718805",
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      "url": "https://doi.org/10.1016/j.radcr.2026.09.073"
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  "subjects": [
    {
      "field": "medicine",
      "origin": "openalex:2741|Cardiac Imaging and Diagnostics",
      "subfield": "imaging"
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  ],
  "title": "One-stop photon-counting CT angiography for simultaneous assessment of cardio-cerebrovascular lesions: A case report",
  "title_text": "One-stop photon-counting CT angiography for simultaneous assessment of cardio-cerebrovascular lesions: A case report",
  "type": "peer-reviewed",
  "updated_at": "2026-11-02T12:22:45Z",
  "url": "https://research.draconitic.com/paper/6pq7pk3yydt2y",
  "venue": "Radiology Case Reports",
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}