| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
|
|
|
|||||||
|
|||||||||
1 Department of Radiology, Ishinomaki Red Cross Hospital, 1-7-10 Yoshino,
Ishinomaki, Miyagi 986-8522, Japan.
2 Department of Diagnostic Radiology, Tohoku University Graduate School of
Medicine, 1-1 Seiryo, Aoba, Sendai, Miyagi 980-8574, Japan.
OBJECTIVE. The aim of our study was to evaluate the efficacy of MDCT angiography in the assessment of lower limb peripheral arterial occlusive disease.
MATERIALS AND METHODS. Twenty-four patients (representing 27 cases) with symptomatic lower extremity peripheral arterial occlusive disease underwent both MDCT angiography and digital subtraction angiography of the aortoiliac and lower extremity arteries. For data analysis, the arterial system was divided into 10 segments. Each segment was classified as normal, mildly stenotic, moderately stenotic, severely stenotic, or occluded. In evaluating MDCT angiographic findings, cross-sectional images were mainly observed by scrolling. The diagnostic accuracy of MDCT angiography was determined, using digital subtraction angiography as the standard reference. The extent of calcification in each segment was also assessed on MDCT angiography and was classified as absent, mildly calcified, or severely calcified.
RESULTS. Of the 480 segments studied, 470 were assessable on both digital subtraction angiography and MDCT angiography. On digital subtraction angiography, 142 stenoocclusive segments (20 mildly stenotic, 14 moderately stenotic, 25 severely stenotic, and 83 occluded) were detected. With regard to the detection of segments that had more than mild stenosis, the sensitivity, specificity, and accuracy of MDCT angiography were 99.2%, 99.1%, and 99.1%, respectively. In the 421 noncalcified and mildly calcified segments, the sensitivity, specificity, and accuracy of MDCT angiography for the detection of more-than-mild stenosis were 100%, 100%, and 100%, respectively.
CONCLUSION. MDCT angiography is a reliable method for evaluating the aortoiliac and lower extremity arteries.
CiteULike 
Complore 
Connotea 
Del.icio.us 
Digg 
Reddit 
Technorati What's this?
This article has been cited by other articles:
|
|
 |
|
  R. Schernthaner, D. Fleischmann, A. Stadler, M. Schernthaner, J. Lammer, and C. Loewe Value of MDCT Angiography in Developing Treatment Strategies for Critical Limb Ischemia Am. J. Roentgenol., May 1, 2009; 192(5): 1416 - 1424. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 R. Met, S. Bipat, D. A. Legemate, J. A. Reekers, and M. J. W. Koelemay Diagnostic Performance of Computed Tomography Angiography in Peripheral Arterial Disease: A Systematic Review and Meta-analysis JAMA, January 28, 2009; 301(4): 415 - 424. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 P. H. Lin, C. Bechara, P. Kougias, T. T. Huynh, S. A. LeMaire, and J. S. Coselli Assessment of Aortic Pathology and Peripheral Arterial Disease Using Multidetector Computed Tomographic Angiography Vascular and Endovascular Surgery, January 1, 2009; 42(6): 583 - 598. [Abstract] [PDF]
|
|
|
|
 |
|
 S. C. Josephs, H. A. Rowley, G. D. Rubin, and for Writing Group 3 Atherosclerotic Peripheral Vascular Disease Symposium II: Vascular Magnetic Resonance and Computed Tomographic Imaging Circulation, December 16, 2008; 118(25): 2837 - 2844. [Full Text] [PDF]
|
|
|
|
 |
|
 S. W. Anderson, B. R. Foster, and J. A. Soto Upper Extremity CT Angiography in Penetrating Trauma: Use of 64-Section Multidetector CT Radiology, December 1, 2008; 249(3): 1064 - 1073. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
R. Sugita, T. Yamazaki, N. Fujita, T. Naitoh, M. Kobari, and S. Takahashi Cystic Artery and Cystic Duct Assessment with 64-Detector Row CT before Laparoscopic Cholecystectomy Radiology, July 1, 2008; 248(1): 124 - 131. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 E. K. Fishman, K. M. Horton, and P. T. Johnson Multidetector CT and Three-dimensional CT Angiography for Suspected Vascular Trauma of the Extremities RadioGraphics, May 1, 2008; 28(3): 653 - 665. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
R. Schernthaner, D. Fleischmann, F. Lomoschitz, A. Stadler, J. Lammer, and C. Loewe Effect of MDCT Angiographic Findings on the Management of Intermittent Claudication Am. J. Roentgenol., November 1, 2007; 189(5): 1215 - 1222. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
S. Thurnher, S. Miller, G. Schneider, C. Ballarati, G. Bongartz, C. U. Herborn, S. Schoenberg, M. A. Cova, G. Morana, K. Niazi, et al. Diagnostic Performance of Gadobenate Dimeglumine Enhanced MR Angiography of the Iliofemoral and Calf Arteries: A Large-Scale Multicenter Trial Am. J. Roentgenol., November 1, 2007; 189(5): 1223 - 1237. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. H. Heijenbrok-Kal, M. C. J. M. Kock, and M. G. M. Hunink Lower Extremity Arterial Disease: Multidetector CT Angiography Meta-Analysis Radiology, November 1, 2007; 245(2): 433 - 439. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
T. Albrecht, E. Foert, R. Holtkamp, M. A. Kirchin, C. Ribbe, F. K. Wacker, M. Kruschewski, and B. C. Meyer 16-MDCT Angiography of Aortoiliac and Lower Extremity Arteries: Comparison with Digital Subtraction Angiography Am. J. Roentgenol., September 1, 2007; 189(3): 702 - 711. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J. E. Roos, D. Fleischmann, A. Koechl, T. Rakshe, M. Straka, A. Napoli, A. Kanitsar, M. Sramek, and E. Groeller Multipath Curved Planar Reformation of the Peripheral Arterial Tree in CT Angiography Radiology, July 1, 2007; 244(1): 281 - 290. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
R. Ouwendijk, M. C. J. M. Kock, L. C. van Dijk, M. R. H. M. van Sambeek, T. Stijnen, and M. G. M. Hunink Vessel Wall Calcifications at Multi-Detector Row CT Angiography in Patients with Peripheral Arterial Disease: Effect on Clinical Utility and Clinical Predictors Radiology, November 1, 2006; 241(2): 603 - 608. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
P. T. Johnson and E. K. Fishman IV Contrast Selection for MDCT: Current Thoughts and Practice Am. J. Roentgenol., February 1, 2006; 186(2): 406 - 415. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
T. D. Bui, D. Gelfand, S. Whipple, S. E. Wilson, R. M. Fujitani, R. Conroy, H. Pham, and I. L. Gordon Comparison of CT and Catheter Arteriography for Evaluation of Peripheral Arterial Disease Vascular and Endovascular Surgery, November 1, 2005; 39(6): 481 - 490. [Abstract] [PDF]
|
|
|
|
|
|
M. C. J. M. Kock, M. E. A. P. M. Adriaensen, P. M. T. Pattynama, M. R. H. M. van Sambeek, H. van Urk, T. Stijnen, and M. G. M. Hunink DSA versus Multi-Detector Row CT Angiography in Peripheral Arterial Disease: Randomized Controlled Trial Radiology, November 1, 2005; 237(2): 727 - 737. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. M. Miller-Thomas, O. C. West, and A. M. Cohen Diagnosing Traumatic Arterial Injury in the Extremities with CT Angiography: Pearls and Pitfalls RadioGraphics, October 1, 2005; 25(suppl_1): S133 - S142. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
H. Ota, K. Takase, H. Rikimaru, M. Tsuboi, T. Yamada, A. Sato, S. Higano, T. Ishibashi, and S. Takahashi Quantitative Vascular Measurements in Arterial Occlusive Disease RadioGraphics, September 1, 2005; 25(5): 1141 - 1158. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
D. Fleischmann and G. D. Rubin Quantification of Intravenously Administered Contrast Medium Transit through the Peripheral Arteries: Implications for CT Angiography Radiology, September 1, 2005; 236(3): 1076 - 1082. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J. K. Willmann, B. Baumert, T. Schertler, S. Wildermuth, T. Pfammatter, F. R. Verdun, B. Seifert, B. Marincek, and T. Bohm Aortoiliac and Lower Extremity Arteries Assessed with 16-Detector Row CT Angiography: Prospective Comparison with Digital Subtraction Angiography Radiology, September 1, 2005; 236(3): 1083 - 1093. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 G H Roditi and G Harold Magnetic resonance angiography and computed tomography angiography for peripheral arterial disease Imaging, August 1, 2004; 16(3): 205 - 229. [Abstract] [Full Text] [PDF]
|
|
| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
