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CT Angiography
 
(CTA) A computed tomographic angiography or computerized tomography angiogram is a diagnostic imaging test that combines conventional CT technique with that of traditional angiography to create images of the blood vessels in the body - from brain vessels to arteries of the lungs, kidneys, arms and legs.
High resolution CT scans with thin slices and intravenous injection of iodinated contrast material provide detailed images of vascular anatomy and the adjacent bony structures. CTA requires rapid scanning as the imaging data are typically acquired during the first pass of a bolus of contrast medium. The selection of acquisition timing is important to optimize the contrast enhancement, which is dependent on contrast injection methods, imaging techniques and patient variations in weight, age and health. CT angiography is less invasive compared to conventional angiography and the data can be rendered in three dimensions.

CTA techniques are commonly used to:
point Detect pulmonary embolism with computed tomography pulmonary angiography;
point rule out coronary artery disease with coronary CT angiography;
point evaluate heart disease with cardiac CT;
point identify aneurysms, dissections, narrowing, obstruction and other vessel disease in the aorta or major blood vessels;
See also Cardiovascular Imaging, Magnetic Resonance Angiography MRA, Coronary Angiogram, Computed Tomography Dose Index and Computed or Computerized Axial Tomography.
  Further Reading:
  Basics:
Multislice CT angiography: a practical guide to CT angiography in vascular imaging and interventionOpen this link in a new window
'The development of multidetector CT (MDCT) has revolutionized CT angiography (CTA). Not only are new techniques now in the remit ...'
2004 by bjr.birjournals.org    
 •• There are 7 news about 'CT Angiography'.
Coronary CT Angiography
 
(CCTA) Coronary computed tomography angiography is a diagnostic imaging procedure to visualize the coronary arteries. CCTA is a non-invasive angiogram that allows the assessment of narrowed and clogged arteries that can cause heart attack and stroke.
Coronary CTA is a non-invasive alternative to traditional angiography that offers detailed images of heart function, resulting in faster, more accurate diagnosis. It helps stratify cardiac risk in patients with low to intermediate likelihood of coronary artery disease. For some patients with chest pain, coronary CTA can rule out the need for cardiac catheterization.
Coronary imaging requires a very fast CT scan, because the coronary arteries and other cardiac structures move rapidly during the cardiac cycle. The current 'state of the art' 64 slice multi-detector row CT systems rotate around the patient in less than 500 ms. The data must be acquired monitored by an electrocardiogram, which allows the computer to reconstruct retrospectively slices at different small segments of the cardiac cycle. This cardiac synchronization reduces motion artifacts in the coronary arteries and provides movies of the beating heart and valve motion.
See also Coronary Angiogram, Calcium Score, Cardiac Phase, Cine Mode and Defibrillator.
  Further Reading:
  Basics:
Coronary CTA(.ppt)Open this link in a new window
'CT Plaque density. Hounsfield Units (HU) used to ...'
by www.coronarycta.com    
Cardiac CT & Coronary CTAOpen this link in a new window
'The first attempts to image the heart were in the very early days of computed tomography (CT) in the 1970?s. However, due to the ...'
by www.bocaradiology.com    
Cardiac Computed Tomography:(.pdf)Open this link in a new window
'Defining the need: what is possible with CT in the office ...'
by www.acc.org    
  News & More:
Which Contrast Agent For Coronary CT Angiography?(.pdf)Open this link in a new window
'Although excellent sensitivity has been reported for computed tomography angiography (CTA) in the detection of significant ...'
October 2008 by publishing.eur.nl    
 •• There are 2 news about 'Coronary CT Angiography'.
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Abdomen CT
 
A computed tomography (CT) of the abdomen images the region from the thoracic diaphragm to the pelvic groin. The computed tomography technique uses x-rays to differentiate tissues by their different radiation absorption rates.
Oral contrast material can be given to opacify the bowel before scanning. An i.v. injection of a contrast agent (x-ray dye) improves the visualization of organs like liver, spleen, pancreas and kidneys and provides additional information about the blood supply.
Spiral- or helical CT, including improvements in detector technology support faster image acquisition with higher quality. Advanced CT systems can usually obtain a CT scan of the whole abdomen during a single breath hold. This speed increases the detection of small lesions (caused by differences in breathing on consecutive scans) and is beneficial especially in pediatric, elderly or critically-ill patients.
Changes in patient weight require variations in x-ray tube potential to maintain constant detector energy fluence. An increased x-ray tube potential improves the contrast to noise resolution (CNR).

An abdominal CT is typically used to help diagnose the cause of abdominal pain and diseases such as:
point appendicitis, diverticulitis;
point kidney and gallbladder calcifications;
point abscesses and inflammations;
point cancer, metastases and other tumors;
point pancreatitis;
point vascular disorders.

Other indications for CT scanning of the abdomen/pelvis include planning radiation treatments, guide biopsies and other minimally invasive procedures. Advanced techniques include for example 3D CT angiography, multiphasic contrast-enhanced imaging, virtual cystoscopy, virtual colonoscopy, CT urography and CT densitometry.
See also Contrast Enhanced Computed Tomography.
  Further Reading:
  Basics:
ABDOMINAL CT PROTOCOLS(.pdf)Open this link in a new window
Friday, 3 August 2007 by www.utsouthwestern.edu    
  News & More:
Impact of Abdominal CT on the Management of Patients Presenting to the Emergency Department with Acute Abdominal PainOpen this link in a new window
'OBJECTIVE. The purpose of this study is to document the impact of CT performed in the emergency department of patients presenting ...'
Monday, 23 August 1999 by www.ajronline.org    
Angiography
 
Angiography means the imaging of veins and arteries. The examination is called angiogram.
See also CT Angiography, Coronary Angiogram, Digital Subtraction Angiography, Venography and Magnetic Resonance Angiography MRA.
 •• There are 9 news about 'Angiography'.
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Contrast Enhanced Computed Tomography
 
(CECT) Contrast agents are used during contrast enhanced computed (or computerized) tomography examinations to highlight specific tissues and parts of the body. Bones can be clearly seen on x-ray images, the visualization of some other organs and soft tissues is more difficult. Sufficient contrast is important in perceiving a difference in the density between areas of a CT image. The identification of a disease may be challenging due to very low contrast between pathological tissues (for example tumors, metastases and abscesses), normal organ structures and surrounding tissues.
Contrast agents are used in CT angiography (CTA) to delineate vessels, in multiphasic CT studies to provide dynamic information of blood supply (e.g., liver CT) and in CECT studies of various body parts to achieve opacification of tissue of interest (e.g., kidney CT) in relation to the background tissue. Contrast enhanced multi-detector row CT (MDCT) replaces several conventional diagnostic imaging methods such as intravenous urography, cholangiography, or catheter angiography, due to advanced CT studies with fast examination times, high contrast enhancement, perfusion measurement and multiplanar reformatting capabilities.
  Further Reading:
  Basics:
Weight-based intravenous contrast injection parameters for Enhanced CT Scanning.Open this link in a new window
by www.halls.md    
Contrast Enhancement in Cardiovascular MDCT: Effect of Body Weight, Height, Body Surface Area, Body Mass Index, and ObesityOpen this link in a new window
'Objective: The purpose of our study was to evaluate the effect of body weight, height, body surface area (BSA), body mass index ...'
Monday, 19 May 2008 by www.medscape.com    
  News & More:
CT Clinical Practice: IV Contrast AdministrationOpen this link in a new window
'Administering IV contrast in the setting of renal insufficiency 1. At what level of serum creatinine do you become anxious ...'
by www.ctisus.org    
MANUAL ON CONTRAST MEDIAOpen this link in a new window
'Version 6 of the Manual on Contrast Media was published in May, 2008 as a web-based product. Content changes may take place as a ...'
May 2008 by www.acr.org    
 •• There is 1 news about 'Contrast Enhanced Computed Tomography'.
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