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Updated: Jun 25, 2026

Multimodality Diagnosis of Mesenteric Ischemia
Published on: July 21, 2023
The role of noninvasive vascular imaging in splanchnic and mesenteric pathology
1Department of Radiology, Brigham and Women's Hospital, Boston, Massachusetts 02115, USA. hersoy@partners.org
Insights
Catheter angiography (CA) for mesenteric arterial diseases is invasive. Noninvasive CT angiography (CTA) and 3D Gd-MRA offer advanced alternatives for imaging mesenteric vessels.
Area of Science:
- Vascular Imaging
- Diagnostic Radiology
Background:
- Catheter angiography (CA) has been the standard for diagnosing mesenteric arterial diseases.
- CA is invasive and carries risks including radiation exposure and contrast material complications.
Observation:
- Computed tomography (CT) and magnetic resonance (MR) technologies have advanced significantly.
- These advancements have led to noninvasive imaging techniques like CT angiography (CTA) and 3D gadolinium-enhanced MR angiography (3D Gd-MRA).
Findings:
- CTA and 3D Gd-MRA provide noninvasive imaging of mesenteric vessels.
- This article reviews the applications, advantages, and limitations of CTA and 3D Gd-MRA.
Implications:
- CTA and 3D Gd-MRA represent significant progress in noninvasive diagnosis of mesenteric arterial diseases.
- These techniques may offer safer alternatives to traditional catheter angiography.
Abstract:
Traditionally, catheter angiography (CA) has been the mainstay of diagnosis for mesenteric arterial diseases. However, CA is invasive and is associated with complications that result from the procedure itself, depending on the experience of the operators, site of vascular access, ionized radiation that could be significant when combined with interventional procedures, and administered contrast material. During the past 2 decades, technical improvements in computed tomography (CT) and magnetic resonance hardware and methods have contributed new, noninvasive tools, specifically CT angiography (CTA) and 3-dimensional gadolinium-enhanced magnetic resonance angiography (3D Gd-MRA). This article outlines the current applications, strengths, and weaknesses of CTA and 3D Gd-MRA in imaging of the mesenteric vessels.
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