Vascular diseases of the thorax: evaluation with multidetector CT

Caroline Chiles1, J Jeffrey Carr

  • 1Division of Radiological Sciences, Department of Radiology, Wake Forest University School of Medicine, Medical Center Boulevard, Winston-Salem, NC 27157, USA. cchiles@wfubmc.edu

Insights

Multidetector CT is now the preferred imaging method for diagnosing aortic dissection and pulmonary embolism. Future advancements may extend CT

Area of Science:

  • Radiology and Medical Imaging
  • Cardiovascular Diseases
  • Thoracic Imaging

Background:

  • Thoracic vascular diseases requiring radiologic interpretation include aortic dissection, pulmonary embolism, and coronary artery disease.
  • Multidetector CT (MDCT) has significantly advanced thoracic imaging capabilities.
  • Angiography was historically the gold standard for many vascular assessments.

Purpose of the Study:

  • To highlight essential thoracic vascular diseases for radiologists.
  • To emphasize the role of MDCT in diagnosing specific vascular conditions.
  • To discuss the evolving use of CT in evaluating coronary artery disease.

Main Methods:

  • Review of current literature and clinical practice regarding thoracic vascular imaging.
  • Assessment of MDCT's diagnostic performance for aortic dissection and pulmonary embolism.
  • Discussion of CT's potential for coronary artery disease evaluation.

Main Results:

  • MDCT is the imaging modality of choice for aortic dissection and acute pulmonary embolism.
  • CT offers high spatial resolution, enabling detailed visualization of thoracic vasculature.
  • The transition from angiography to CT for these conditions has occurred over the past decade.

Conclusions:

  • Radiologists must be proficient in interpreting CT scans for key thoracic vascular diseases.
  • MDCT has become indispensable for diagnosing aortic dissection and pulmonary embolism.
  • CT is poised to become a primary tool for coronary artery disease assessment in the coming years.

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