Document Detail


Application of dynamic computed tomography to physiologic imaging of renal artery stenosis before and after angioplasty.
MedLine Citation:
PMID:  2967709     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
This study describes the application of dynamic Computed Tomography (CT) of the kidneys to the diagnosis and evaluation of the physiology of renal artery stenosis before and after angioplasty. The CT imaging parameters are discussed in relationship to findings from other imaging modalities, which include renal arteriography, intravenous digital subtraction angiography, and radionuclide renography. Time density graphs of the renal cortex and medulla were obtained by the use of region of interest cursors, and the corticomedullary junction time (CMJT) was determined. The CMJT was prolonged in the setting of renal artery stenosis and was improved after angioplasty. Simple visual inspection alone provided sufficient information to diagnose renal artery stenosis. The pathophysiology of renal artery stenosis and the meaning of the abnormal findings is discussed. Dynamic CT provides a unique noninvasive means for cross-sectional physiologic imaging. The role of dynamic CT in the evaluation of renovascular hypertension and physiologic imaging in other areas requires further investigation.
Authors:
J Mukai; P Sabel
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  American journal of physiologic imaging     Volume:  1     ISSN:  0885-8276     ISO Abbreviation:  Am J Physiol Imaging     Publication Date:  1986  
Date Detail:
Created Date:  1988-07-25     Completed Date:  1988-07-25     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8610225     Medline TA:  Am J Physiol Imaging     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  33-43     Citation Subset:  IM    
Affiliation:
Department of Radiology, St. Vincent Hospital, Worcester, Massachusetts 01604.
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MeSH Terms
Descriptor/Qualifier:
Angioplasty, Balloon*
Humans
Hypertension, Renovascular / physiopathology,  radiography,  therapy
Kidney / physiopathology,  radiography*
Male
Middle Aged
Renal Artery Obstruction / physiopathology,  radiography*,  therapy
Tomography, X-Ray Computed / methods*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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