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Lu D, Li CL, Lv WF, et al. Diagnostic value of multislice computerized tomography angiography for aortic dissection: A comparison with DSA. Exp Ther Med. 2016;13(2):405-412doi: 10.3892/etm.2016.3985.
Lu, D., Li, C. L., Lv, W. F., Ni, M., Deng, K. X., Zhou, C. Z., Xiao, J. K., Zhang, Z. F., & Zhang, X. M. (2017). Diagnostic value of multislice computerized tomography angiography for aortic dissection: A comparison with DSA. Experimental and therapeutic medicine, 13(2), 405-412. https://doi.org/10.3892/etm.2016.3985
Lu, Dong, et al. "Diagnostic value of multislice computerized tomography angiography for aortic dissection: A comparison with DSA." Experimental and therapeutic medicine vol. 13,2 (2017): 405-412. doi: https://doi.org/10.3892/etm.2016.3985
Lu D, Li CL, Lv WF, Ni M, Deng KX, Zhou CZ, Xiao JK, Zhang ZF, Zhang XM. Diagnostic value of multislice computerized tomography angiography for aortic dissection: A comparison with DSA. Exp Ther Med. 2017 Feb;13(2):405-412. doi: 10.3892/etm.2016.3985. Epub 2016 Dec 19. PMID: 28352308; PMCID: PMC5348692.
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Exp Ther Med. 2017 Feb;13(2):405-412. doi: 10.3892/etm.2016.3985. Epub 2016 Dec 19.

Diagnostic value of multislice computerized tomography angiography for aortic dissection: A comparison with DSA.

Experimental and therapeutic medicine

Dong Lu, Cheng-Li Li, Wei-Fu Lv, Ming Ni, Ke-Xue Deng, Chun-Ze Zhou, Jing-Kun Xiao, Zhen-Feng Zhang, Xing-Ming Zhang

Affiliations

  1. Department of Interventional MRI, Shandong Provincial Medical Imaging Research Institute, Shandong University, Jinan, Shandong 250021, P.R. China; Department of Radiology, Affiliated Anhui Provincial Hospital of Anhui Medical University, Hefei, Anhui 230001, P.R. China.
  2. Department of Interventional MRI, Shandong Provincial Medical Imaging Research Institute, Shandong University, Jinan, Shandong 250021, P.R. China.
  3. Department of Radiology, Affiliated Anhui Provincial Hospital of Anhui Medical University, Hefei, Anhui 230001, P.R. China.
  4. PET/CT Center, Affiliated Anhui Provincial Hospital of Anhui Medical University, Hefei, Anhui 230001, P.R. China.

PMID: 28352308 PMCID: PMC5348692 DOI: 10.3892/etm.2016.3985

Abstract

The aim of the present study was to compare multislice computed tomography angiography (MSCTA) and digital subtraction angiography (DSA) in the diagnosis of aortic dissection. In total, 49 patients with aortic lesions received enhanced computed tomography scanning, and three-dimensional (3D) images were reconstructed by volume rendering (VR), maximum intensity projection (MIP), multiplanar reformation (MPR) and curved planar reconstruction (CPR). The display rate of the entry tear site, intimal flap, true and false lumen from each reconstruction method was calculated. For 30 patients with DeBakey type III aortic dissection, the entry tear site and size of the first intimal flap, aortic maximum diameter at the orifice of left subclavian artery (LSCA), distance between the first entry tear site and the orifice of LSCA, and maximum diameter of aortic true and false lumens were measured prior to implantation of endovascular covered stent-grafts. Data obtained by MSCTA and DSA were then compared. For the entry tear site, MPR, CPR and VR provided a display rate of 95.92, 95.92 and 18.37%, respectively, and the display rate of the intimal flap was 100% in the three methods. MIP did not directly display the entry tear site and intimal flap. For true and false lumens, MPR, CPR, and VR showed a display rate of 100%, while MIP only provided a display rate of 67.35%. When MSCTA was compared with DSA, there was a significant difference in the display of entry site number and position (P<0.05), whereas no significant difference was shown in the measurement of aortic maximum diameter at the orifice of LSCA and the maximum diameter of true and false lumens (P>0.05). In conclusion, among the 3D post-processing reconstruction methods of MSCTA used, MPR and CPR were optimal, followed by VR, and MIP. MSCTA may be the preferable imaging method to diagnose aortic dissection and evaluate treatment of endovascular-covered stent-grafting, preoperatively.

Keywords: aortic dissection; aortography; endovascular-covered stent-grafting; imaging technique; multislice computed tomography angiography

References

  1. Semin Thorac Cardiovasc Surg. 2008 Winter;20(4):340-7 - PubMed
  2. J Cardiovasc Surg (Torino). 2010 Feb;51(1):85-93 - PubMed
  3. JNMA J Nepal Med Assoc. 2005 Jan-Mar;44(157):8-12 - PubMed
  4. Nan Fang Yi Ke Da Xue Xue Bao. 2008 Feb;28(2):293-5 - PubMed
  5. Radiology. 2006 Mar;238(3):841-52 - PubMed
  6. AJR Am J Roentgenol. 2001 Jul;177(1):207-11 - PubMed
  7. Neuroradiol J. 2010 Mar;23(1):55-61 - PubMed
  8. Eur J Radiol. 2009 Dec;72 (3):483-8 - PubMed
  9. Vojnosanit Pregl. 2013 Dec;70(12 ):1117-23 - PubMed
  10. Dakar Med. 2004;49(1):28-31 - PubMed
  11. Interact Cardiovasc Thorac Surg. 2008 Apr;7(2):244-8 - PubMed
  12. Radiology. 1997 Apr;203(1):23-31 - PubMed
  13. Semin Thorac Cardiovasc Surg. 2005 Fall;17(3):214-23 - PubMed
  14. Radiology. 1997 Apr;203(1):32-6 - PubMed
  15. AJR Am J Roentgenol. 2003 Apr;180(4):1085-91 - PubMed
  16. Exp Ther Med. 2016 Mar;11(3):923-928 - PubMed
  17. Radiographics. 2003 Oct;23 Spec No:S93-110 - PubMed
  18. Exp Ther Med. 2012 Jan;3(1):31-36 - PubMed
  19. Eur Heart J. 1987 Feb;8(2):186-9 - PubMed
  20. Zhonghua Wai Ke Za Zhi. 2005 Apr 1;43(7):423-5 - PubMed
  21. Radiographics. 2010 Mar;30(2):445-60 - PubMed

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