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Multidetector computed tomographic pulmonary angiography: beyond acute pulmonary embolism
Kristopher W Cummings1, Sanjeev Bhalla
1Cardiothoracic Imaging, Mallinckrodt Institute of Radiology, Barnes-Jewish Hospital, St Louis, MO 63110, USA. cummingsk@mir.wustl.edu
Radiologic Clinics of North America
|December 10, 2009
Summary
Multidetector computed tomographic (MDCT) pulmonary angiography is expanding its use beyond acute pulmonary embolism. MDCT now aids in diagnosing chronic thromboembolic pulmonary hypertension and pulmonary arteriovenous malformations.
Area of Science:
- Radiology
- Cardiovascular Imaging
- Pulmonary Medicine
Background:
- Multidetector computed tomographic (MDCT) pulmonary angiography is a standard for acute pulmonary embolism.
- Technological advancements enable MDCT's use in complex pulmonary artery evaluations.
Purpose of the Study:
- To explore the application of MDCT in chronic thromboembolic pulmonary hypertension (CTEPH).
- To investigate the utility of MDCT in diagnosing pulmonary arteriovenous malformations (PAVMs).
- To highlight MDCT's potential in evaluating pulmonary arteries beyond acute conditions.
Main Methods:
- Review of MDCT technical parameters for CTEPH and PAVMs.
- Analysis of diagnostic findings specific to MDCT in these conditions.
- Correlation of MDCT findings with therapeutic implications.
Main Results:
- MDCT effectively visualizes pulmonary artery abnormalities in CTEPH.
- MDCT accurately identifies PAVMs, aiding in treatment planning.
- The study demonstrates MDCT's expanding role in pulmonary vascular imaging.
Conclusions:
- MDCT is a valuable tool for diagnosing CTEPH and PAVMs.
- MDCT offers comprehensive evaluation of pulmonary arteries, extending beyond acute embolism.
- This technology enhances diagnostic capabilities and informs treatment strategies for pulmonary vascular diseases.
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