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Superior vena caval obstruction: detection using CT.

R E Bechtold, N T Wolfman, N Karstaedt

    Radiology
    |November 1, 1985
    PubMed
    Summary
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    Contrast-enhanced chest CT can diagnose superior vena caval obstruction (SVCO) even when symptoms are hidden. This imaging technique is valuable for patients with upper chest masses, detecting occult SVCO without physical signs.

    Area of Science:

    • Radiology
    • Thoracic Imaging
    • Oncology

    Background:

    • Upper chest masses can present with or without superior vena caval obstruction (SVCO).
    • Clinically occult SVCO may be missed without specific diagnostic considerations.

    Purpose of the Study:

    • To evaluate the utility of contrast-enhanced chest CT in diagnosing clinically occult superior vena caval obstruction (SVCO).
    • To assess the prevalence of SVCO in patients with upper chest masses.

    Main Methods:

    • Retrospective review of 210 chest computed tomographic (CT) examinations.
    • Analysis of cases demonstrating upper chest masses and superior vena caval obstruction (SVCO).

    Main Results:

    • 16 cases of SVCO were identified among 210 chest CTs for upper chest masses.

    Related Experiment Videos

  • 11 of the 16 SVCO cases were clinically occult at the time of imaging.
  • Two occult cases later became clinically apparent.
  • Conclusions:

    • Contrast-enhanced chest CT is effective in diagnosing clinically occult SVCO.
    • Consider chest CT for patients with upper chest masses, even without physical signs of SVCO.