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Multi-detector row CT angiography in patients with abdominal angina

Filippo Cademartiri1, Rolf H J M Raaijmakers, Jan W Kuiper

  • 1Department of Radiology, Erasmus Medical Center-Rotterdam, Dr Molenwaterplein 40, 3015 GD-Rotterdam, The Netherlands. filippocademartiri@hotmail.com

Radiographics : a Review Publication of the Radiological Society of North America, Inc
|July 17, 2004
PubMed

Insights

Multi-detector row CT angiography is effective for diagnosing abdominal angina (AA), a condition of reduced blood flow causing abdominal pain. This imaging technique evaluates vessel stenosis, collateral circulation, and vessel abnormalities, aiding in diagnosis and treatment.

Area of Science:

  • Vascular Surgery
  • Diagnostic Imaging
  • Gastroenterology

Background:

  • Abdominal angina (AA) presents as postprandial abdominal pain due to insufficient blood flow in the celiac trunk and mesenteric arteries.
  • Steno-occlusive diseases affecting abdominal vessels are often evaluated using multi-detector row computed tomographic (CT) angiography.

Purpose of the Study:

  • To assess the utility of multi-detector row CT angiography in diagnosing and evaluating abdominal angina.
  • To determine the effectiveness of CT angiography in visualizing abdominal vasculature and identifying stenosis.

Main Methods:

  • Utilized multi-detector row computed tomographic (CT) angiography with four- or 16-row scanners.
  • Evaluated patients with suspected steno-occlusive diseases of the abdominal vessels, specifically focusing on the celiac trunk and superior mesenteric artery (SMA).
  • Employed postprocessing techniques for visualization of complex vascular anatomy and abnormalities.

Main Results:

  • CT angiography effectively evaluates the degree of stenosis in the celiac trunk and SMA.
  • The modality demonstrates collateral circulation and visualizes small vessel abnormalities.
  • It aids in excluding other causes of vascular obstruction and facilitates follow-up after interventional treatment.

Conclusions:

  • Multi-detector row CT angiography is a highly effective tool for the diagnosis and evaluation of suspected abdominal angina.
  • Appropriate postprocessing techniques enhance the visualization and diagnostic capabilities of this imaging modality.
  • Further research is warranted to fully explore its performance and applications.

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