Computed tomography for aortic assessment in children
1Medical Imaging, Ann & Robert H. Lurie Children's Hospital of Chicago, 225 E. Chicago Ave., Box 9, Chicago, IL, 60611, USA. ligriffin@luriechildrens.org.
Insights
Pediatric imagers need to understand aortic pathology, covering congenital and acquired conditions. This review details CT imaging techniques and interpretation for common and critical aortic diseases in children.
Area of Science:
- Pediatric radiology
- Cardiovascular imaging
Background:
- The aorta is a critical major blood vessel.
- Understanding aortic pathology is essential for pediatric imagers.
- Aortic diseases in children encompass congenital and acquired conditions.
Purpose of the Study:
- To review common and high-impact aortic pathologies in pediatric patients.
- To familiarize pediatric imagers with CT imaging features of aortic diseases.
- To provide guidance on CT acquisition, processing, and interpretation for aortic pathology.
Main Methods:
- Review of anatomical and acquired aortic pathologies.
- Discussion of technical considerations for CT acquisition and processing.
- Highlighting interpretation pearls and pitfalls.
Main Results:
- Aortic pathology is categorized into congenital and acquired entities.
- CT imaging plays a crucial role in diagnosing aortic diseases.
- Specific imaging features, technical tips, and interpretation challenges are presented.
Conclusions:
- Familiarity with aortic pathology on CT is vital for pediatric radiologists.
- This review equips imagers with knowledge for accurate diagnosis and reporting.
- Effective CT strategies enhance the management of pediatric aortic conditions.
Abstract:
Because the aorta is the major vessel of the body, basic knowledge of aortic pathology is essential to the pediatric imager. This review divides aortic pathology into anatomical (e.g., congenital abnormalities) and acquired (e.g., vasculitis, trauma) entities, providing a brief description of pathology, technical considerations in CT acquisition and processing, and some pearls and pitfalls of interpretation. The objective of this paper is to familiarize general pediatric imagers with imaging features of common as well as high-impact aortic pathology on CT and prepare them for acquisition and reporting.
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