Computed Tomography Angiography of the Thoracic Aorta
Jonathan A Scheske1, Jonathan H Chung2, Suhny Abbara3
1Department of Radiology, Massachusetts General Hospital, Harvard Medical School, 55 Fruit Street, GRB-295, Boston, MA 02114, USA.
Insights
Multidetector-row computed tomography (MDCT) offers a comprehensive view of thoracic aorta diseases. Electrocardiogram-gated MDCT is becoming the standard for accurate aortic assessment, providing reproducible imaging results.
Area of Science:
- Radiology
- Cardiovascular Imaging
- Thoracic Diseases
Background:
- Diseases of the thoracic aorta encompass a wide spectrum of conditions.
- Accurate imaging is crucial for diagnosis and management.
- Multidetector-row computed tomography (MDCT) has advanced thoracic imaging capabilities.
Purpose of the Study:
- To review the multidetector-row computed tomography (MDCT) imaging appearance of common thoracic aorta diseases.
- To highlight the role of electrocardiogram-gated MDCT in thoracic aorta assessment.
Main Methods:
- Review of common thoracic aorta pathologies visualized with MDCT.
- Focus on electrocardiogram-gated MDCT technique.
Main Results:
- MDCT effectively visualizes the diverse pathologies of the thoracic aorta.
- Electrocardiogram-gated MDCT provides reproducible and operator-independent imaging.
- This technique is emerging as the reference standard for thoracic aorta evaluation.
Conclusions:
- MDCT is a valuable tool for assessing thoracic aorta diseases.
- Electrocardiogram-gated MDCT represents a significant advancement in thoracic aorta imaging.
- The technique ensures reliable and consistent image acquisition for clinical practice.
Abstract:
This article reviews the multidetector-row computed tomography (MDCT) imaging appearance of common entities that are part of the wide spectrum of diseases involving the thoracic aorta. Electrocardiogram-gated MDCT is poised to become the reference standard method in assessing the thoracic aorta. Reproducible images of the aorta can be acquired independent of operator skill.
Related Concept Videos
Computed Tomography
The technique was invented in the 1970s and is based on the principle that as X-rays pass through the body, they are absorbed or reflected at different levels. In the technique, a patient lies on a motorized platform while a computerized axial tomography (CAT) scanner rotates...
Imaging Studies for Cardiovascular System V: CT
Thoracic Aorta
Aneurysm II: Clinical Manifestations and Diagnostic Studies
Imaging Studies III: Computed Tomography
Radiological Investigation III: Pulmonary Angiogram and PET Scan
Pulmonary Angiogram
A Pulmonary Angiogram is an invasive procedure involving injecting a contrast medium through a catheter threaded into the pulmonary artery or the right side of the heart to visualize the pulmonary vasculature. Computed Tomography (CT) scans have mainly replaced this...


