Document Detail


Prevalence of extravascular collateral findings during 64-slice CT angiography of the abdominal aorta and lower limbs.
MedLine Citation:
PMID:  20574706     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: The aim of this study was to assess the prevalence of extravascular collateral findings during 64-slice CT angiography of the abdominal aorta (AA-CTA) and lower limbs (LL-CTA). MATERIALS AND METHODS: The images of 536 AA-CTA and LL-CTA examinations performed for suspected aortic and peripheral vascular disease in 500 patients were retrospectively reviewed. Two radiologists evaluated the 5-mm axial images independently using appropriate window settings for the area under investigation. Collateral findings were divided according to their clinical significance into significant, nonsignificant and meriting further investigation. RESULTS: No collateral findings were identified in 97/500 patients (19.4%). In the remaining patients, 821 collateral findings were detected, of which 43 (5.24%) were classified as significant, 135 (16.44%) as meriting further investigation and 643 (78.32%) as nonsignificant. The findings indicative of the presence of a malignant lesion totalled 36 (4.5%). CONCLUSIONS: AA-CTA and LL-CTA demonstrate a nonnegligible prevalence of collateral findings, many of them major. It therefore appears that the evaluation should focus not only on the image reconstructions to identify vascular disease, but also on the native axial images to detect incidental findings.
Authors:
M Belgrano; F Pozzi Mucelli; A Spadacci; R Pizzolato; R Zappetti; M Cova
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Publication Detail:
Type:  Journal Article     Date:  2010-06-23
Journal Detail:
Title:  La Radiologia medica     Volume:  115     ISSN:  1826-6983     ISO Abbreviation:  Radiol Med     Publication Date:  2010 Sep 
Date Detail:
Created Date:  2010-10-08     Completed Date:  2010-11-08     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0177625     Medline TA:  Radiol Med     Country:  Italy    
Other Details:
Languages:  eng; ita     Pagination:  983-96     Citation Subset:  IM    
Affiliation:
Unità Clinico Operativa di Radiologia, Università degli Studi di Trieste, Ospedale di Cattinara, Strada di Fiume 447, 34149 Trieste, Italy. belgranom@gmail.com
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MeSH Terms
Descriptor/Qualifier:
Angiography*
Aorta, Abdominal / radiography*
Aortic Diseases / radiography
Aortography
Humans
Incidental Findings*
Lower Extremity / blood supply*,  radiography*
Peripheral Vascular Diseases / radiography
Prevalence
Radiographic Image Interpretation, Computer-Assisted
Retrospective Studies
Tomography, X-Ray Computed*

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


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