Related Experiment Video

Updated: Apr 6, 2026

Reduction of Radiation Exposure during Endovascular Treatment of Peripheral Arterial Disease Combining Fiber Optic RealShape Technology and Intravascular Ultrasound
13:48

Reduction of Radiation Exposure during Endovascular Treatment of Peripheral Arterial Disease Combining Fiber Optic RealShape Technology and Intravascular Ultrasound

Published on: April 21, 2023

2.1K

Comparison of CT and MR angiography in evaluation of peripheral arterial disease before endovascular intervention

Alessandro Cina1, Carmine Di Stasi1, Vittorio Semeraro2

  • 1Department of Radiological Sciences, "Agostino Gemelli" Hospital, Catholic University, Rome, Italy.

Acta Radiologica (Stockholm, Sweden : 1987)
|July 18, 2015
PubMed

Insights

Multidetector computed tomography angiography (MDCTA) is more accurate than magnetic resonance angiography (MRA) for assessing peripheral arterial disease, especially in infrapopliteal segments. MDCTA offers higher confidence and shorter examination times for endovascular intervention planning.

Area of Science:

  • Vascular Surgery
  • Diagnostic Imaging
  • Interventional Radiology

Background:

  • Peripheral arterial disease (PAD) diagnosis relies on imaging techniques like MDCTA and MRA for treatment selection.
  • No direct comparative studies exist for MDCTA versus MRA in PAD patients eligible for both modalities before endovascular treatment.

Purpose of the Study:

  • To compare the diagnostic performance of MDCTA and MRA in patients with PAD undergoing endovascular intervention.

Main Methods:

  • A prospective study compared 64-slice MDCTA and 1.5T MRA in 35 PAD patients.
  • Both techniques were used to determine TASC II and runoff severity scores.
  • Selective angiography served as the reference standard for accuracy assessment.

Main Results:

  • MDCTA and MRA showed high accuracy in aorto-iliac (0.92) and femoro-popliteal (MDCTA 0.94, MRA 0.90) segments.
  • MDCTA demonstrated superior accuracy in infrapopliteal segments (0.96 vs. 0.9) and runoff assessment (0.92 vs. 0.85).
  • MDCTA provided greater confidence and reduced examination time.

Conclusions:

  • MDCTA is a reliable first-line investigation for PAD patients considered for endovascular procedures.
  • It is particularly recommended when severe infrapopliteal disease is suspected based on clinical or duplex ultrasound findings.
Abstract

Keywords:
Peripheral arterial diseaseendovascular proceduresmagnetic resonance angiography (MRA)multidetector computed tomography (MDCT)tibial arteries

More Related Videos

Time-Resolved, Dynamic Computed Tomography Angiography for Characterization of Aortic Endoleaks and Treatment Guidance via 2D-3D Fusion-Imaging09:32

Time-Resolved, Dynamic Computed Tomography Angiography for Characterization of Aortic Endoleaks and Treatment Guidance via 2D-3D Fusion-Imaging

Published on: December 9, 2021

3.6K
Predicting Amputation using Local Circulating Mononuclear Progenitor Cells in Angioplasty-treated Patients with Critical Limb Ischemia07:25

Predicting Amputation using Local Circulating Mononuclear Progenitor Cells in Angioplasty-treated Patients with Critical Limb Ischemia

Published on: September 22, 2020

3.9K

Related Concept Videos

Peripheral Arterial Disease II: Clinical Manifestations and Diagnostic Evaluation01:21

Peripheral Arterial Disease II: Clinical Manifestations and Diagnostic Evaluation

Clinical manifestationsPeripheral Arterial Disease (PAD) manifests through a range of symptoms, from the characteristic intermittent claudication to atypical presentations and severe complications in advanced stages. Intermittent claudication, a hallmark symptom of PAD, presents as exercise-induced muscle pain that typically resolves within minutes of rest. This pain is reproducible and stems from inadequate blood flow, leading to the accumulation of lactic acid produced during anaerobic...
682
Imaging Studies for Cardiovascular System V: CT01:28

Imaging Studies for Cardiovascular System V: CT

Cardiac computed tomography (CT) scanning is an advanced cardiac imaging technique that utilizes CT technology, with or without intravenous (IV) contrast, to produce accurate cross-sectional virtual slices of specific areas of the heart, coronary circulation, and major blood vessels such as the aorta, pulmonary veins, and arteries. The computer processes these slices to generate three-dimensional images. Multidetector CT (MDCT) is a rapid form of CT scanning that captures multiple slices...
581
Imaging Studies VII: Vascular Imaging01:19

Imaging Studies VII: Vascular Imaging

DefinitionRenal angiography, also known as renal arteriography, is an imaging technique used to obtain a comprehensive view of blood flow and the vascular structure of blood vessels in the kidneys and surrounding areas.PurposeRenal angiography detects blood vessel abnormalities in the kidneys, such as aneurysms, stenosis, thrombosis, vascular tumors, and renal artery stenosis. It evaluates kidney function and guides interventional treatments like angioplasty or stent placement.Pre-Procedure...
482
Venous Thrombosis II: Clinical Manifestations and Diagnostic Studies01:20

Venous Thrombosis II: Clinical Manifestations and Diagnostic Studies

The key difference between Superficial Vein Thrombosis (SVT) and Deep Vein Thrombosis (DVT) lies in their location and severity.Clinical ManifestationsSVT typically presents with localized pain, tenderness, and redness along the course of a superficial vein, often accompanied by a palpable, cord-like structure under the skin. This condition is usually less dangerous than DVT but can be uncomfortable and may lead to complications such as cellulitis or, rarely, a clot extension into the deep...
439
Peripheral Artery Disease III: Interprofessional Care01:27

Peripheral Artery Disease III: Interprofessional Care

Peripheral Artery Disease (PAD) is characterized by narrowed arteries that diminish blood flow to the extremities. Effective management of PAD requires an interprofessional approach involving various healthcare professionals. The critical aspects of interprofessional care for PAD patients focus on risk factor modification, drug therapy, exercise therapy, nutrition therapy, critical limb ischemia care, and interventional radiology and surgical procedures.The primary treatment goal for PAD...
587
Imaging Studies for Cardiovascular System IV: CMRI01:21

Imaging Studies for Cardiovascular System IV: CMRI

Cardiovascular magnetic resonance imaging, or CMRI, is a non-invasive diagnostic test that employs a magnetic field and radiofrequency waves to create precise images of the heart and arteries. It provides comprehensive information about cardiac anatomy, function, perfusion, and tissue characterization without ionizing radiation.IndicationsCMRI diagnoses various heart conditions, including tissue damage from heart attacks, ischemic heart disease, myocarditis, aortic issues (tears, aneurysms,...
542