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Time-Resolved, Dynamic Computed Tomography Angiography for Characterization of Aortic Endoleaks and Treatment Guidance via 2D-3D Fusion-Imaging
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Intimal Problems: A Pictorial Review of Nontraumatic Aortic Disease at Multidetector Computed Tomography

Abigail V Berniker1, Justin E Mackey1, Oleg M Teytelboym1

  • 1Department of Radiology, Mercy Catholic Medical Center, Darby, PA.

Current Problems in Diagnostic Radiology
|September 16, 2015
PubMed

Insights

Nontraumatic aortic diseases can cause severe outcomes. Multidetector computed tomography (MDCT) imaging is crucial for diagnosing conditions like aortic dissection and aneurysms, aiding prompt patient care.

Area of Science:

  • Radiology
  • Cardiovascular Imaging
  • Vascular Medicine

Background:

  • Nontraumatic aortic diseases represent a significant cause of morbidity and mortality.
  • Accurate and timely diagnosis is essential for effective patient management.

Purpose of the Study:

  • To review the multidetector computed tomography (MDCT) imaging features of common and uncommon nontraumatic aortic diseases.
  • To highlight potential imaging mimics and pitfalls in the diagnosis of these conditions.

Main Methods:

  • Review of multidetector computed tomography (MDCT) findings.
  • Discussion of imaging characteristics for various aortic pathologies.

Main Results:

  • Detailed description of MDCT appearances for aortic dissection, intramural hematoma, penetrating atherosclerotic ulcer, pseudoaneurysm, aneurysm, acute thrombus, chronic occlusion, and vasculitis.
  • Identification of common imaging mimics and diagnostic challenges.

Conclusions:

  • MDCT is a vital tool for diagnosing a wide range of nontraumatic aortic diseases.
  • Radiologists' confidence in identifying these entities can expedite care and improve patient outcomes.

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