| Pediatric extremity multidetector computed tomographic angiography findings. | |
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MedLine Citation:
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PMID: 19820509 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVES: To show results of pediatric extremity multidetector computed tomographic (MDCT) angiography studies and to demonstrate diagnostic imaging findings in pediatric patients. METHODS: Multidetector computed tomographic angiography studies were performed in 20 patients using 16- and 64-row MDCT scanners. Three-dimensional volume-rendered and maximum-intensity projection images were obtained from axial images to display vascular structures. RESULTS: All MDCT examinations were technically satisfactory. Metallic implants were present in 3 patients, and angiographic examinations were diagnostic in these patients. Occlusion, stenosis, and pseudoaneurysm were diagnosed in patients with trauma (n = 10). Vascular invasion was diagnosed in 1 patient with osteosarcoma. Compared with pathologic examination results, the sensitivity and specificity of MDCT to detect vascular invasion (n = 3) were both 100%. Three patients with vascular malformation underwent computed tomographic angiography to assess vascular supply of vascular malformations. Computed tomographic angiography showed vascular anatomy in 2 patients with congenital anomalies before and after flap transposition and in 1 patient with suspected thoracic outlet syndrome. Computed tomographic angiography showed brachial artery occlusion in a patient with Blalock-Taussing shunt. CONCLUSIONS: Multidetector computed tomographic angiography is a noninvasive technique that could replace conventional angiography as the initial diagnostic study for vascular evaluation of extremities in pediatric patients. |
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Authors:
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Berna Oguz; Musturay Karcaaltincaba; Tuncay Hazirolan; Gursel Leblecioglu; Mithat Haliloglu |
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Publication Detail:
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Type: Evaluation Studies; Journal Article |
Journal Detail:
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Title: Journal of computer assisted tomography Volume: 33 ISSN: 1532-3145 ISO Abbreviation: J Comput Assist Tomogr Publication Date: 2009 Sep-Oct |
Date Detail:
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Created Date: 2009-10-12 Completed Date: 2009-11-02 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 7703942 Medline TA: J Comput Assist Tomogr Country: United States |
Other Details:
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Languages: eng Pagination: 770-5 Citation Subset: IM |
Affiliation:
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Department of Radiology, Faculty of Medicine, Hacettepe University, Sihhiye, Ankara 06100, Turkey. oguzberna@yahoo.com |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adult Aneurysm, False / radiography Angiography / methods* Arm / blood supply, radiography Arm Injuries / radiography Arteries / injuries* Child Child, Preschool Constriction, Pathologic / radiography Diagnosis, Differential Feasibility Studies Female Humans Imaging, Three-Dimensional Leg / blood supply, radiography Leg Injuries / radiography Male Sensitivity and Specificity Thoracic Outlet Syndrome / radiography Tomography, X-Ray Computed / methods* Vascular Malformations / radiography*, therapy Vascular Neoplasms / radiography* Veins / injuries* Young Adult |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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