Document Detail

Diagnostic imaging in lower limb atherosclerosis.
MedLine Citation:
PMID:  12696282     Owner:  NLM     Status:  MEDLINE    
At present, there are a number of diagnostic imaging procedures for the evaluation of lower limb atherosclerosis. In particular, MR-angiography with contrast medium and multislice CT are rapidly developing. However, their role in clinical practice is still to be defined. In this article, first, the functional anatomy of peripheral arterial system divided into inflow arteries (aortoiliac trunk), outflow arteries (femoropoplietal trunk) and runoff arteries (leg and foot vessels), is examined. Then, image extraction with color-Doppler US, inflow MR-angiography with contrast material, multislice CT and angiography is briefly illustrated. The corresponding advantages and disadvantages, are indicated. The findings of combined imaging in relation to the various stages of atherosclerosis are analyzed. In particular, intimal thickening leading to occlusion is considered with respect to both morphology and flow alterations. Based on these considerations, the use of the different procedures is discussed in relation to the clinical presentation (no symptoms, claudication or pain, trophic lesions, during postoperative follow-up). For each stage, questions the radiologist should address for a correct approach and the best cost/benefit ratio, are described.
C Di Stasi; A Cina; R Manfredi; S Colafati
Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Rays     Volume:  26     ISSN:  0390-7740     ISO Abbreviation:  Rays     Publication Date:    2001 Oct-Dec
Date Detail:
Created Date:  2003-04-16     Completed Date:  2003-05-20     Revised Date:  2005-11-16    
Medline Journal Info:
Nlm Unique ID:  7707724     Medline TA:  Rays     Country:  Italy    
Other Details:
Languages:  eng     Pagination:  277-89     Citation Subset:  IM    
Istituto di Radiologia, Università Cattolica del S. Cuore, Policlinico A. Gemelli, Largo A. Gemelli 8,00168 Roma, Italy.
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MeSH Terms
Arteriosclerosis / diagnosis*
Contrast Media
Diagnostic Imaging*
Leg / blood supply*
Peripheral Vascular Diseases / diagnosis*
Reg. No./Substance:
0/Contrast Media

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