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Present status of abdominal aorta imaging by computed tomography
The Journal of Cardiovascular Surgery
|January 1, 1985
Summary
Computed tomography (CT) scanning accurately diagnoses abdominal aortic aneurysms in all cases. This safe and effective imaging technique evaluates aneurysm size, location, and extension, aiding in diagnosis and follow-up.
Area of Science:
- Vascular Surgery
- Diagnostic Imaging
- Radiology
Background:
- Abdominal aortic aneurysms (AAAs) are a significant cause of morbidity and mortality.
- Accurate diagnosis and evaluation are crucial for effective management.
- Computed tomography (CT) scanning has emerged as a key imaging modality.
Purpose of the Study:
- To review a seven-year experience with CT scanning for diagnosing and evaluating abdominal aortic aneurysms.
- To assess the accuracy and utility of CT in various clinical scenarios, including acute situations.
Main Methods:
- Retrospective review of 226 patients with suspected abdominal aortic aneurysms.
- Analysis of CT scan findings for diagnosis, location, size, extension, and thrombus presence.
- Comparison with other diagnostic techniques and surgical confirmation where applicable.
Main Results:
- CT scanning successfully diagnosed aneurysms in all patients studied.
- Precise delineation of aneurysm location, size, extension, and thrombus was achieved.
- CT identified unsuspected thoracic aorta and iliac artery involvement and demonstrated aortic rupture or leakage when present.
Conclusions:
- CT scanning is a safe, easy, and accurate method for diagnosing and evaluating abdominal aortic aneurysms.
- It provides comprehensive information for diagnosis, follow-up, and assessment of disease extension.
- CT compares favorably with other available imaging technologies for aneurysmal disease.