Spiral CT angiography of the aorta

Imaging of the aorta and its branches has benefitted greatly from the development of spiral CT techniques, which are relatively fast and noninvasive. The volumetric acquisition of spatial information has permitted the computer to reformat images for inspection of the vessels by several methods from an infinite number of viewing angles. Most aortic diseases-including congenital anomalies, dissection, aneurysm, trauma, inflammation, infection, and thromboembolic disease-can be depicted with this technology. In selected cases, spiral CT may be the only imaging modality needed for the surgical planning of aortic repair. This report discusses the CT angiography technique, its application to a variety of disease states, its role relative to other imaging modalities, and guidelines for patient selection.