Abstract
CT venography employs the use of contrast material-enhanced CT imaging to evaluate the venous system. In this chapter CT venography of the extremities, pulmonary, mesenteric, renal, pelvic, and iliocaval venous systems are described. The respective indications, findings on imaging, scanning protocols, advantages, and limitations are outlined in detail under each section. CT venography has potential benefits both alone and in conjunction with other modalities and can allow more informed diagnosis and pretreatment planning in a variety of clinical settings.
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References
Braun SD, Platzek I et al (2016) Clinical relevance of computed tomography pulmonary venography. Heart Lung Circ 25(12):1154–1163
Bruce D, Loud PA et al (2001) Combined CT venography and pulmonary angiography: how much venous enhancement is routinely obtained? AJR Am J Roentgenol 176(5):1281–1285
Butros SR, Liu R et al (2013) Venous compression syndromes: clinical features, imaging findings and management. Br J Radiol 86(1030):20130284
Cham MD, Yankelevitz DF et al (2005) Thromboembolic disease detection at indirect CT venography versus CT pulmonary angiography. Radiology 234(2):591–594
Chung JW, Yoon CJ et al (2004) Acute iliofemoral deep vein thrombosis: evaluation of underlying anatomic abnormalities by spiral CT venography. J Vasc Interv Radiol 15(3):249–256
Desjardins B, Rybicki FJ et al (2012) ACR appropriateness criteria(R) suspected upper extremity deep vein thrombosis. J Am Coll Radiol 9(9):613–619
Dronkers CE, Klok FA et al (2016) Current and future perspectives in imaging of venous thromboembolism. J Thromb Haemost 14(9):1696–1710
Duwe KM, Shiau M et al (2000) Evaluation of the lower extremity veins in patients with suspected pulmonary embolism: a retrospective comparison of helical CT venography and sonography. 2000 ARRS executive council award I. American Roentgen ray Society. AJR Am J Roentgenol 175(6):1525–1531
Freedman J, Ganeshan A et al (2010) Pelvic congestion syndrome: the role of interventional radiology in the treatment of chronic pelvic pain. Postgrad Med J 86(1022):704–710
Graf O, Boland GW et al (1997) Anatomic variants of mesenteric veins: depiction with helical CT venography. AJR Am J Roentgenol 168(5):1209–1213
Kang HK, Jeong YY et al (2002) Three-dimensional multi-detector row CT portal venography in the evaluation of portosystemic collateral vessels in liver cirrhosis. Radiographics 22(5):1053–1061
Kim R, Lee W et al (2017) Anatomic variations of lower extremity venous system in varicose vein patients: demonstration by three-dimensional CT venography. Acta Radiol 58(5):542–549
Kulkarni NM, Sahani DV et al (2012) Indirect computed tomography venography of the lower extremities using single-source dual-energy computed tomography: advantage of low-kiloelectron volt monochromatic images. J Vasc Interv Radiol 23(7):879–886
Maki DD, Kumar N et al (2000) Distribution of thrombi in acute lower extremity deep venous thrombosis: implications for sonography and CT and MR venography. AJR Am J Roentgenol 175(5):1299–1301
Marston W, Fish D et al (2011) Incidence of and risk factors for iliocaval venous obstruction in patients with active or healed venous leg ulcers. J Vasc Surg 53(5):1303–1308
Mavili E, Ozturk M et al (2009) Direct CT venography for evaluation of the lower extremity venous anomalies of Klippel-Trenaunay syndrome. AJR Am J Roentgenol 192(6):W311–W316
Min SK, Kim SY et al (2010) Role of three-dimensional computed tomography venography as a powerful navigator for varicose vein surgery. J Vasc Surg 51(4):893–899
Reid JH (2004) Multislice CT pulmonary angiography and CT venography. Br J Radiol 77(Spec Issue 1):S39–S45
Sabharwal R, Boshell D et al (2007) Multidetector spiral CT venography in the diagnosis of upper extremity deep venous thrombosis. Australas Radiol 51(Suppl):B253–B256
Sato K, Orihashi K et al (2011) Three-dimensional CT venography: a diagnostic modality for the preoperative assessment of patients with varicose veins. Ann Vasc Dis 4(3):229–234
Silva AC, Morse BG et al (2011) Dual-energy (spectral) CT: applications in abdominal imaging. Radiographics 31(4):1031–1046; discussion 47–50
Somarouthu B, Abbara S et al (2010) Diagnosing deep vein thrombosis. Postgrad Med 122(2):66–73
Sundaram B, Kuriakose JW et al (2015) Thoracic central venous evaluation: comparison of first-pass direct versus delayed-phase indirect multidetector CT venography. Clin Imaging 39(3):412–416
Walsh G, Redmond S (2002) Does addition of CT pelvic venography to CT pulmonary angiography protocols contribute to the diagnosis of thromboembolic disease? Clin Radiol 57(6):462–465
Yamada Y, Mori H et al (2000) CT assessment of the inferior peripancreatic veins: clinical significance. AJR Am J Roentgenol 174(3):677–684
Zhao L, Winklhofer S et al (2016) Dual energy CT (DECT) monochromatic imaging: added value of adaptive statistical iterative reconstructions (ASIR) in portal venography. PLoS One 11(6):e0156830
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Grewal, S., Sutphin, P., Kalva, S.P. (2018). CT Venography. In: Nikolaou, K., Bamberg, F., Laghi, A., Rubin, G.D. (eds) Multislice CT. Medical Radiology(). Springer, Cham. https://doi.org/10.1007/174_2017_159
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DOI: https://doi.org/10.1007/174_2017_159
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