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Updated: Mar 13, 2026

Author Spotlight: Using Point-of-Care Ultrasound for Comprehensive Evaluation of the Abdominal Aorta
Published on: September 8, 2023
Cross-sectional imaging of aortic infections
D J Murphy1, A R Keraliya2, M D Agrawal2
1Division of Non-invasive Cardiovascular Imaging, Department of Radiology, Brigham and Women's Hospital, 75 Francis Street, Boston, MA, 02115, USA. murphy.84@gmail.com.
Abstract:
Aortic infections are uncommon clinical entities, but are associated with high rates of morbidity and mortality. In this review, we focus on the cross-sectional imaging appearance of aortic infections, including aortic valve endocarditis, pyogenic aortitis, mycotic aneurysm and aortic graft infections, with an emphasis on CT, MRI and PET/CT appearance. Teaching Points • Aortic infections are associated with high morbidity and mortality. • CT, MRI and FDG PET/CT play complementary roles in aortic infection imaging. • Radiologists should be vigilant for aortic infection manifestations to ensure timely diagnosis.
Insights
Aortic infections, though rare, lead to severe illness and death. This review highlights how CT, MRI, and PET/CT scans aid in diagnosing these infections, emphasizing the need for radiologist vigilance.
Area of Science:
- Radiology
- Infectious Diseases
- Cardiovascular Imaging
Background:
- Aortic infections represent uncommon but severe clinical conditions.
- These infections are associated with significant morbidity and mortality rates.
Approach:
- This review focuses on the cross-sectional imaging findings of various aortic infections.
- Emphasis is placed on the appearance of aortic valve endocarditis, pyogenic aortitis, mycotic aneurysms, and aortic graft infections.
- Key imaging modalities discussed include computed tomography (CT), magnetic resonance imaging (MRI), and positron emission tomography/computed tomography (PET/CT).
Key Points:
- CT, MRI, and FDG PET/CT offer complementary roles in the diagnosis of aortic infections.
- Radiologists must maintain vigilance for imaging manifestations of aortic infections.
- Timely diagnosis through advanced imaging is crucial for patient outcomes.
Conclusions:
- Aortic infections require prompt recognition due to their high associated risks.
- Multimodality imaging is essential for comprehensive evaluation and diagnosis.
- Radiologist awareness and expertise are critical for effective management of aortic infections.
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