Abstract
Multislice computed tomography angiography (CTA) has been found feasible for the evaluation of visceral vasculature. The development of multislice technology has overcome past limitations. First, the faster scanning speed increases volume coverage during a single breath-hold and improves the exploitation of contrast medium. Second, the better spatial resolution results in nearly isotropic voxels allowing reconstruction of high-resolution three-dimensional images with different algorithms. Volume rendering is capable of displaying the visceral vasculature from any external vantage point. Compared to conventional angiography, CTA not only delineates vessels but also depicts the anatomical relationship to adjacent structures and allows the evaluation of perfused organs. CTA also has become an emerging tool for the pre- and postinterventional assessment of vascular anatomy. The purpose of this pictorial essay is to present a spectrum of visceral vascular diseases and interventional and surgical therapies, and to highlight the role of postprocessing for their evaluation.
Similar content being viewed by others
References
Prokop M (1998) CT angiography of the abdominal arteries. Abdom Imaging 23:462–468
Schoepf UJ, Becker CR, Hofmann LK, Das M, Flohr T, Ohnesorge BM, Baumert B, Rolnick J, Allen JM, Raptopoulos V (2003) Multislice CT angiography. Eur Radiol 13:1946–1961
Rubin GD, Shiau MC, Schmidt AJ, Fleischmann D, Logan L, Leung AN, Jeffrey RB, Napel S (1999) Computed tomographic angiography: historical perspective and new state-of-the-art using multi detector-row helical computed tomography. J Comput Assist Tomogr 23 [Suppl 1]:S83–S90
Kalra MK, Maher MM, Saini S (2003) Multislice CT: update on radiation and screening. Eur Radiol 13:M129–M133
Johnson PT, Heath DG, Bliss DF, Cabral B, Fishman EK (1996) Three-dimensional CT: real-time interactive volume rendering. AJR Am J Roentgenol 167:581–583
McKinsey JF, Gewertz BL (1997) Acute mesenteric ischemia. Surg Clin North Am 77:307–318
Trompeter M, Brazda T, Remy CT, Vestring T, Reimer P (2002) Non-occlusive mesenteric ischemia: etiology, diagnosis, and interventional therapy. Eur Radiol 12:1179–1187
Fleischmann D (2003) MDCT of renal and mesenteric vessels. Eur Radiol 13:M94–M101
Taourel PG, Deneuville M, Pradel JA, Regent D, Bruel JM (1996) Acute mesenteric ischemia: diagnosis with contrast-enhanced CT. Radiology 199:632–636
Kirkpatrick ID, Kroeker MA, Greenberg HM (2003) Biphasic CT with mesenteric CT angiography in the evaluation of acute mesenteric ischemia: initial experience. Radiology 229:91–98
Lee R, Tung HK, Tung PH, Cheung SC, Chan FL (2003) CT in acute mesenteric ischaemia. Clin Radiol 58:279–287
Ernst S, Luther B, Zimmermann N, Bohner H, Wilke R, Feindt P, Furst G (2003) Current diagnosis and therapy of non-occlusive mesenteric ischemia (in German). Rofo 175:515–523
Slavin RE, Gonzalez-Vitale JC (1976) Segmental mediolytic arteritis: a clinical pathologic study. Lab Invest 35:23–29
Frauenfelder T, Wildermuth S, Marincek B, Boehm T (2004) Nontraumatic emergent abdominal vascular conditions: advantages of multi-detector row CT and three-dimensional imaging. Radiographics 24:481–496
Chan RJ, Goodman TA, Aretz TH, Lie JT (1998) Segmental mediolytic arteriopathy of the splenic and hepatic arteries mimicking systemic necrotizing vasculitis. Arthritis Rheum 41:935–938
Piccoli G, Gasparini D, Smania S, Sponza M, Marzio A, Vit A, Bazzocchi M (2003) Multislice CT angiography in the assessment of peripheral aneurysms. Radiol Med (Torino) 106:504–511
Acknowledgements
This work was supported by the National Center of Competence in Research, Computer Aided and Image Guided Medical Interventions of the Swiss National Science Foundation.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Wildermuth, S., Leschka, S., Alkadhi, H. et al. Multislice CT in the pre- and postinterventional evaluation of mesenteric perfusion. Eur Radiol 15, 1203–1210 (2005). https://doi.org/10.1007/s00330-005-2654-8
Received:
Revised:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00330-005-2654-8