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Gefässchirurgie

, Volume 14, Issue 2, pp 143–157 | Cite as

Aktuelle Bildgebung der Aorta

  • H. von Tengg-KobligkEmail author
  • T.F. Weber
  • S. Ley
  • V. Hankel
  • F. Rengier
  • D. Kotelis
  • D. Böckler
  • H.-U. Kauczor
CME Weiterbildung • Zertifizierte Fortbildung

Zusammenfassung

Die aktuelle Bildgebung der Aorta hat in den letzten Jahren an Vielfalt und Qualität gewonnen. Neben der Verifizierung und Dokumentation einer klinischen Verdachtsdiagnose stellt sie die Grundlage für die Indikationsstellung, die Wahl des Therapieverfahrens (konservativ, operativ, interventionell), die Therapieplanung und die Nachsorge dar. Neben der B-Mode- und der Duplexsonographie sowie der transösophagealen Echokardiographie (TEE) spielen heute v. a. die kontrastmittelunterstützten Schnittbildverfahren, die Computertomographie (CT) mit der Option zur CT-Angiographie (CTA) und die Magnetresonanztomographie (MRT) mit der Option der MR-Angiographie (MRA) eine wesentliche Rolle. Der folgende Beitrag beschreibt aus Sicht des Radiologen in einer Klinik der Maximalversorgung die Möglichkeiten der CTA und MRA für die Abklärung aortaler Pathologien.

Schlüsselwörter

Aorta Aortale Pathologien Computertomographie Angiographie Magnetresonanztomographie 

State-of-the-art aortic imaging

Abstract

Current imaging of the aorta saw an improvement in terms of diversity and quality in recent years. In addition to verifying and documenting a clinical suspicion, it provides the basis for establishing an indication, choosing a therapy (conservative, surgical, interventional), as well as therapy planning and follow-up. Besides B-mode and duplex sonography, as well as transesophageal echocardiography (TEE), contrast-enhanced cross-sectional imaging, computer tomography (CT), with the option for CT angiography (CTA), and magnetic resonance tomography (MRT), with the option for MR angiography (MRA), play a significant role. The present article describes the possibilities offered by CTA and MRA for the diagnosis of aortic pathologies from the point of view of the radiologist in a maximum care hospital.

Keywords

Aorta Aortic pathologies Computed tomography Angiography Magnetic resonance tomography 

Notes

Interessenkonflikt

Der korrespondierende Autor gibt an, dass kein Interessenkonflikt besteht.

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Copyright information

© Springer Medizin Verlag 2009

Authors and Affiliations

  • H. von Tengg-Kobligk
    • 1
    Email author
  • T.F. Weber
    • 2
  • S. Ley
    • 2
  • V. Hankel
    • 1
  • F. Rengier
    • 1
    • 2
  • D. Kotelis
    • 3
  • D. Böckler
    • 3
  • H.-U. Kauczor
    • 2
  1. 1.Radiologie – E010Deutsches Krebsforschungszentrum (DKFZ)HeidelbergDeutschland
  2. 2.Diagnostische und Interventionelle RadiologieUniversitätsklinikum HeidelbergHeidelbergDeutschland
  3. 3.Klinik für Gefäßchirurgie, Vaskuläre und Endovaskuläre ChirurgieChirurgische Universitätsklinik HeidelbergHeidelbergDeutschland

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