Multidetector row computed tomographic angiography of the abdominal aorta and lower limbs arteries: A new diagnostic tool in patients with peripheral arterial occlusive disease
Multidetector row computed tomographic angiography of the abdominal aorta and lower limbs arteries: A new diagnostic tool in patients with peripheral arterial occlusive disease(325 views) Romano M, Amato B, Markabaoui K, Tamburrini O, Salvatore M
Keywords: Angiography, Aorta Abdominal, Arteries, Extremities, Tomography, X-Ray Computed, Abdominal Angiography, Abdominal Aorta, Adult, Aged, Antenna, Article, Clinical Article, Clinical Practice, Computer Assisted Tomography, Controlled Study, Diagnostic Accuracy, Digital Subtraction Angiography, Female, Gastrocnemius Muscle, Human, Image Analysis, Intermethod Comparison, Leg Artery, Peripheral Occlusive Artery Disease, Prediction And Forecasting, Radiologist, Sensitivity And Specificity, 80 And Over, Arterial Occlusive Diseases, Middle Aged, Peripheral Vascular Diseases, Predictive Value Of Tests, Spiral Computed,
Affiliations: *** IBB - CNR ***
Dept. of Radiology and Radiotherapy, Frederico II University, Naples, Italy
Inst. of Biostructures and Bioimages, National Research Council, Naples, Italy
Department of Surgery, Federico II University, Naples, Italy
Unit of Radiology, Magna Graecia University, Catanzaro, Italy
Via Luca da Penne 3, 80122 Naples, Italy
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Phillips, C. D., Bubash, L. A., CT angiography and MR angiography in the evaluation of extracranial carotid vascular disease (2002) Radiol Clin North Am, 40, pp. 783-798
Berg, M. H., Manninen, H. I., Rasanen, H. T., Vanninen, R. L., Jaakkola, P. A., CT angiography in the assessment of carotid artery atherosclerosis (2002) Acta Radiol, 43, pp. 116-124
Fishman, E. K., From the RSNA refresher courses. CT angiography: Clinical applications in the abdomen (2001) Radiographics, 21, pp. S3-16
Lawler, L. P., Fishman, E. K., Multi-detector row CT of thoracic disease with emphasis on 3D volume rendering and CT angiography (2001) Radiographics, 21, pp. 1257-1273
Rubin, G. D., Schmidt, A. J., Logan, L. J., Sofilos, M. C., Multi-detector row CT angiography of lower extremity arterial inflow and runoff: Initial experience (2001) Radiology, 221, pp. 146-158
Jones, T. R., Kaplan, R. T., Lane, B., Atlas, S. W., Rubin, G. D., Single-versus multi-detector row CT of the brain: Quality assessment (2001) Radiology, 219, pp. 750-755
Rubin, G. D., Data explosion: The challenge of multidetector-row CT (2000) Eur J Radiol, 36, pp. 74-80
Hu, H., He, H. D., Foley, W. D., Fox, S. H., Four multidetector-row helical CT: Image quality and volume coverage speed (2000) Radiology, 215, pp. 55-62
Zierler, R. E., Zierler, B. K., Duplex sonography of lower extremity arteries (1997) Semin Ultrasound CT MR, 18, pp. 39-56
Winterer, J. T., Schaefer, O., Uhrmeister, P., Zimmermann-Paul, G., Lehnhardt, S., Altehoefer, C., Contrast enhanced MR angiography in the assessment of relevant stenoses in occlusive disease of the pelvic and lower limb arteries: Diagnostic value of a 2-step examination protocol in comparison to conventional DSA (2002) Eur J Radiol, 41, pp. 153-160
Multidetector row computed tomographic angiography of the abdominal aorta and lower limbs arteries: A new diagnostic tool in patients with peripheral arterial occlusive disease
Aim. The aim of this study is to evaluate the accuracy of multidetector row CT angiography (MDCTA) of the abdominal aorta and lower extremities arteries in patients with peripheral arterial occlusive disease who did not receive any prior treatment whether interventional or surgical. Methods. Twenty-two patients with peripheral vascular occlusive disease (16 male, 6 female, age range 44-85 years) underwent MDCTA of the abdominal aorta and lower extremities. Digital substraction angiography (DSA) of the same districts was performed within 3 months. Images were blindly interpreted by 2 interventional radiologists and compared with the results of digital subtraction angiography. Results. Sensitivity and specificity of MDCTA were 92% and 94%, respectively, with positive and negative predictive values of 93% and 95%. Overall diagnostic accuracy was 93%. Normal arterial segments and 100% occlusions were correctly identified in all cases by MDCTA. Moderately stenotic segments interpretation in the calves appeared to be more controversial, but no statistical difference in accuracy in this district was noted with respect to accuracy in more proximal arteries. Conclusion. MDCTA of the abdominal aorta and lower extremities is a feasible, accurate imaging modality in clinical practice when compared to DSA.
Multidetector row computed tomographic angiography of the abdominal aorta and lower limbs arteries: A new diagnostic tool in patients with peripheral arterial occlusive disease
Multidetector row computed tomographic angiography of the abdominal aorta and lower limbs arteries: A new diagnostic tool in patients with peripheral arterial occlusive disease
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