Skip to main content

Clinical Applications of 3D Imaging in Thoracic Vascular Pathology: Pulmonary Vascular Applications

  • Chapter
  • 885 Accesses

Abstract

The chest vasculature profits particularly from 3D imaging. In principle, with regard to 3D image quality, it is irrelevant whether the data set is acquired with magnetic resonance angiography (MRA) or computed tomography angiography (CTA), but near isotropic spatial resolution is an important prerequisite for optimal results. The challenges, however, encountered by MRA and CTA are different: MRA suffers mainly from limited coverage and inhomogeneous signal intensity within the vessels, whereas CTA has problems with image noise and superimposing bone. Both are influenced by the fact that, frequently, not only the systemic or pulmonary vascular system but multiple portions of both vascular systems are enhanced simultaneously and may have to be separated by processing. Separate display of systemic veins, pulmonary veins, pulmonary arteries, or systemic arteries is frequently challenging and requires major postprocessing.

This is a preview of subscription content, log in via an institution.

Buying options

Chapter
USD   29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD   169.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD   219.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Learn about institutional subscriptions

Suggested Reading

MRA: Technique

  • Amano Y, Takahama K, Kumita S (2008) Non-contrast-enhanced MR angiography of the thoracic aorta using cardiac and navigator-gated magnetization-prepared three-dimensional steady-state free precession. J Magn Reson Imaging 27:504–509

    Article  PubMed  Google Scholar 

  • Gebker R, Gomaa O, Schnackenburg B et al (2007) Comparison of different MRI techniques for the assessment of thoracic aortic pathology: 3D contrast enhanced MR angiography, turbo spin echo and balanced steady state free precession. Int J Cardio-vasc Imaging 23:747–756

    Article  Google Scholar 

  • Kawel N, Jhooti P, Dashti D et al (2011) MR-imaging of the thoracic aorta: 3D-ECG-and respiratory-gated bSSFP imaging using the CLAWS algorithm versus contrast-enhanced 3D-MRA. Eur J Radiol 2011 doi:10.1016/j.ejrad.2010.12.040

    Google Scholar 

  • Krishnam MS, Tomasian A, Deshpande V et al (2008) Noncontrast 3D steady-state free-precession magnetic resonance angiography of the whole chest using nonselective radiofrequency excitation over a large field of view: comparison with single-phase 3D contrast-enhanced magnetic resonance angiography. Invest Radiol 43:411–420

    Article  PubMed  Google Scholar 

MRA: Aorta

  • Didier D, Saint-Martin C, Lapierre C et al (2006) Coarctation of the aorta: pre and postoperative evaluation with MRI and MR angiography; correlation with echocardiography and surgery. Int J Cardiovasc Imaging 22:457–475

    Article  PubMed  CAS  Google Scholar 

  • François CJ, Tuite D, Deshpande V et al (2008) Unenhanced MR angiography of the thoracic aorta: initial clinical evaluation. AJR Am J Roentgenol 190:902–906

    Article  PubMed  Google Scholar 

  • Krishnam MS, Tomasian A, Malik S et al (2010) Image quality and diagnostic accuracy of unenhanced SSFP MR angiography compared with conventional contrast-enhanced MR angiography for the assessment of thoracic aortic diseases. Eur Radiol 20:1311–1320

    Article  PubMed  Google Scholar 

MRA: Congenital Abnormalities

  • Naehle CP, Kaestner M, Müller A et al (2010) First-pass and steady-state MR angiography of thoracic vasculature in children and adolescents. JACC Cardiovasc Imaging 3:504–513

    Article  PubMed  Google Scholar 

  • Prakash A, Torres AJ, Printz BF et al (2007) Usefulness of magnetic resonance angiography in the evaluation of complex congenital heart disease in newborns and infants. Am J Cardiol 100:715–721

    Article  PubMed  Google Scholar 

  • Tomasian A, Lohan DG, Laub G et al (2008) Noncontrast 3D steady state free precession magnetic resonance angiography of the thoracic central veins using nonselective radiofrequency excitation over a large field of view: initial experience. Invest Radiol 43:306–313

    Article  PubMed  Google Scholar 

CTA: Technique

  • Bae KT (2010) Optimization of contrast enhancement in thoracic MDCT. Radiol Clin North Am 48:9–29

    Article  PubMed  Google Scholar 

  • Blanke P, Bulla S, Baumann T et al (2010) Thoracic aorta: prospective electrocardiographically triggered CT angiography with dual-source CT-feasibility, image quality, and dose reduction. Radiology 255:207–217

    Article  PubMed  Google Scholar 

  • Frush DP (2009) Thoracic cardiovascular CT: technique and applications. Pediatr Radiol 39(Suppl 3):464–470

    Article  PubMed  Google Scholar 

  • Lawler LP, Fishman EK (2001) Multi-detector row CT of thoracic disease with emphasis on 3D volume rendering and CT angiography. Radiographics 21:1257–1273

    PubMed  CAS  Google Scholar 

  • Schindera ST, Graca P, Patak MA et al (2009) Thoracoabdominal-aortoiliac multidetector-row CT angiography at 80 and 100 kVp: assessment of image quality and radiation dose. Invest Radiol 44:650–655

    Article  PubMed  Google Scholar 

CTA: Aorta

  • Agarwal PP, Chughtai A, Matzinger FR, Kazerooni EA (2009) Multidetector CT of thoracic aortic aneurysms. Radiographics 29:537–552

    Article  PubMed  Google Scholar 

  • Aladham F, Sundaram B, Williams DM, Quint LE (2010) Traumatic aortic injury: computerized tomographic findings at presentation and after conservative therapy. J Comput Assist Tomogr 34:388–394

    Article  PubMed  Google Scholar 

  • Chung JH, Ghoshhajra BB, Rojas CA et al (2010) CT angiography of the thoracic aorta. Radiol Clin North Am 48:249–264

    Article  PubMed  Google Scholar 

  • Hoang JK, Martinez S, Hurwitz LM (2009) MDCT angiography after open thoracic aortic surgery: pearls and pitfalls. AJR Am J Roentgenol 192:W20–W27

    Article  PubMed  Google Scholar 

  • Johnson PT, Horton KM, Fishman EK (2010) Aortic valve and ascending thoracic aorta: Evaluation with isotropic MDCT. AJR Am J Roentgenol 195:1072–1081

    Article  PubMed  Google Scholar 

CTA: Congenital Abnormalities

  • Berko NS, Jain VR, Godelman A et al (2009) Variants and anomalies of thoracic vasculature on computed tomographic angiography in adults. J Comput Assist Tomogr 33:523–528

    Article  PubMed  Google Scholar 

  • Carette MF, Parrot A, Fartoukh M et al (2009) [Normal and abnormal systemic pulmonary circulation: CT imaging features]. J Radiol 90:1789–1800

    Article  PubMed  CAS  Google Scholar 

  • Jakanani GC, Adair W (2010) Frequency of variations in aortic arch anatomy depicted on multidetector CT. Clin Radiol 65:481–487

    Article  PubMed  CAS  Google Scholar 

  • Maldonado JA, Henry T, Gutiérrez FR (2010) Congenital thoracic vascular anomalies. Radiol Clin North Am 48:85–115

    Article  PubMed  Google Scholar 

  • Oguz B, Haliloglu M, Karcaaltincaba M (2007) Paediatric multidetector CT angiography: spectrum of congenital thoracic vascular anomalies. Br J Radiol 80:376–383

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2011 Springer-Verlag Italia

About this chapter

Cite this chapter

Prokop, M. (2011). Clinical Applications of 3D Imaging in Thoracic Vascular Pathology: Pulmonary Vascular Applications. In: Hodler, J., von Schulthess, G.K., Zollikofer, C.L. (eds) Diseases of the Heart and Chest, Including Breast 2011–2014. Springer, Milano. https://doi.org/10.1007/978-88-470-1938-6_20

Download citation

  • DOI: https://doi.org/10.1007/978-88-470-1938-6_20

  • Publisher Name: Springer, Milano

  • Print ISBN: 978-88-470-1937-9

  • Online ISBN: 978-88-470-1938-6

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics