ECR 2026: Abdominal Oncology - Detection of a paraganglioma with PCCT in a young patient

Daniel Stromer

R0 resection based on spectral PCCT is not just a surgical detail – it defines the patients prognosis.

https://players.brightcove.net/2744552178001/JIL8fZB4q_default/index.html?videoId=6390789109112

@Christian Booz, University Hospital Frankfurt, Germany

March 5, 2026 at ECR 2026 NAEOTOM CONNECT evening

Patient:

• 22 yo woman
• Upper abdominal pain and weight loss
• Recurrent vomiting and nausea
• Suspected abdominal mass in the upper abdomen

Clinical context:

• Staging CT for further assessment including iodine map

Findings:

• Neuroendocrine tumor, paraganglioma

Protocol

Parameter	Details
Scanner	NAEOTOM Alpha VB20
Scan area	Thorax + Abdomen
Scan mode	RoutineSpiraleFlexDosisQuantumplus
Scan length	590.3 mm
Scan direction	Caudo-cranial
Scan time	8.0 s
Tube voltage	140 kV
CTDIvol	8.09 mGy
DLP	519 mGy
Slice collimation	144 x 0.4 mm
Slice width	3mm / 1mm (MonoE / SPP, Iodine)
KeV level	MonoE 70
Spectral reconstruction	SPP, Iodine maps, VNC