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Pediatric extremity multidetector computed tomographic angiography findings.

Berna Oguz1, Musturay Karcaaltincaba, Tuncay Hazirolan

  • 1Department of Radiology, Faculty of Medicine, Hacettepe University, Sihhiye, Ankara 06100, Turkey. oguzberna@yahoo.com

Journal of Computer Assisted Tomography
|October 13, 2009
PubMed
Summary

Multidetector computed tomographic angiography (MDCT) provides excellent diagnostic imaging for pediatric extremity vascular conditions. This noninvasive method effectively evaluates trauma, malformations, and congenital anomalies, potentially replacing conventional angiography.

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Area of Science:

  • Radiology
  • Pediatric Imaging
  • Vascular Imaging

Background:

  • Pediatric extremity vascular abnormalities require accurate diagnostic imaging.
  • Conventional angiography carries risks and limitations in pediatric patients.

Purpose of the Study:

  • To evaluate the diagnostic utility of multidetector computed tomographic angiography (MDCT) in pediatric extremity vascular conditions.
  • To demonstrate the imaging findings of MDCT in pediatric patients.

Main Methods:

  • MDCT angiography was performed on 20 pediatric patients using 16- and 64-row scanners.
  • Three-dimensional (3D) volume-rendered and maximum-intensity projection (MIP) images were generated.

Main Results:

  • MDCT examinations were technically satisfactory, even with metallic implants.
  • Diagnoses included occlusion, stenosis, pseudoaneurysm in trauma patients, and vascular invasion in osteosarcoma.
  • Sensitivity and specificity for detecting vascular invasion were 100% compared to pathology.

Conclusions:

  • MDCT angiography is a valuable noninvasive tool for pediatric extremity vascular evaluation.
  • It shows potential to serve as an alternative to conventional angiography for initial diagnosis.