New and evolving concepts in CT for abdominal vascular imaging

Jorge M. Fuentes-Orrego, Daniella Pinho, Naveen M. Kulkarni, Mukta Agrawal, Brian B. Ghoshhajra, Dushyant V. Sahani

Research output: Contribution to journalArticle

12 Citations (Scopus)

Abstract

Computed tomographic (CT) angiography has become the standard of care, supplanting invasive angiography for comprehensive initial evaluation of acute and chronic conditions affecting the vascular system in the abdomen and elsewhere. Over the past decade, the capabilities of CT have improved substantially; simultaneously, the expectations of the referring physician and vascular surgeons have also evolved. Increasingly, CT angiography is used as an imaging biomarker for treatment selection and assessment of effectiveness. However, the growing use of CT angiography has also introduced some challenges, as potential radiation-associated and contrast media–induced risks need to be addressed. These concerns can be partly confronted by modifying scanning parameters (applying a low tube voltage) with or without using software-based solutions. Most recently, multienergy technology has endowed CT with new capabilities offering improved CT angiographic imag e qualityand novel plaque characterization while decreasing radiation and iodine dose. In this article, we discuss current and new approaches using both conventional and multienergy CT for studying vascular disease in the abdomen. We propose various approaches to overcoming commonly encountered image quality challenges in CT angiography. In addition, we describe supplemental strategies for improving patient safety that leverage the available technology.

Original languageEnglish (US)
Pages (from-to)1363-1384
Number of pages22
JournalRadiographics
Volume34
Issue number5
DOIs
StatePublished - Jan 1 2014

Fingerprint

Blood Vessels
Angiography
Abdomen
Radiation
Technology
Standard of Care
Patient Safety
Vascular Diseases
Iodine
Software
Biomarkers
Physicians
Therapeutics

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Medicine(all)

Cite this

Fuentes-Orrego, J. M., Pinho, D., Kulkarni, N. M., Agrawal, M., Ghoshhajra, B. B., & Sahani, D. V. (2014). New and evolving concepts in CT for abdominal vascular imaging. Radiographics, 34(5), 1363-1384. https://doi.org/10.1148/rg.345130070

New and evolving concepts in CT for abdominal vascular imaging. / Fuentes-Orrego, Jorge M.; Pinho, Daniella; Kulkarni, Naveen M.; Agrawal, Mukta; Ghoshhajra, Brian B.; Sahani, Dushyant V.

In: Radiographics, Vol. 34, No. 5, 01.01.2014, p. 1363-1384.

Research output: Contribution to journalArticle

Fuentes-Orrego, JM, Pinho, D, Kulkarni, NM, Agrawal, M, Ghoshhajra, BB & Sahani, DV 2014, 'New and evolving concepts in CT for abdominal vascular imaging', Radiographics, vol. 34, no. 5, pp. 1363-1384. https://doi.org/10.1148/rg.345130070
Fuentes-Orrego JM, Pinho D, Kulkarni NM, Agrawal M, Ghoshhajra BB, Sahani DV. New and evolving concepts in CT for abdominal vascular imaging. Radiographics. 2014 Jan 1;34(5):1363-1384. https://doi.org/10.1148/rg.345130070
Fuentes-Orrego, Jorge M. ; Pinho, Daniella ; Kulkarni, Naveen M. ; Agrawal, Mukta ; Ghoshhajra, Brian B. ; Sahani, Dushyant V. / New and evolving concepts in CT for abdominal vascular imaging. In: Radiographics. 2014 ; Vol. 34, No. 5. pp. 1363-1384.
@article{18de1f6072e94d5484850d7c8e75d1fe,
title = "New and evolving concepts in CT for abdominal vascular imaging",
abstract = "Computed tomographic (CT) angiography has become the standard of care, supplanting invasive angiography for comprehensive initial evaluation of acute and chronic conditions affecting the vascular system in the abdomen and elsewhere. Over the past decade, the capabilities of CT have improved substantially; simultaneously, the expectations of the referring physician and vascular surgeons have also evolved. Increasingly, CT angiography is used as an imaging biomarker for treatment selection and assessment of effectiveness. However, the growing use of CT angiography has also introduced some challenges, as potential radiation-associated and contrast media–induced risks need to be addressed. These concerns can be partly confronted by modifying scanning parameters (applying a low tube voltage) with or without using software-based solutions. Most recently, multienergy technology has endowed CT with new capabilities offering improved CT angiographic imag e qualityand novel plaque characterization while decreasing radiation and iodine dose. In this article, we discuss current and new approaches using both conventional and multienergy CT for studying vascular disease in the abdomen. We propose various approaches to overcoming commonly encountered image quality challenges in CT angiography. In addition, we describe supplemental strategies for improving patient safety that leverage the available technology.",
author = "Fuentes-Orrego, {Jorge M.} and Daniella Pinho and Kulkarni, {Naveen M.} and Mukta Agrawal and Ghoshhajra, {Brian B.} and Sahani, {Dushyant V.}",
year = "2014",
month = "1",
day = "1",
doi = "10.1148/rg.345130070",
language = "English (US)",
volume = "34",
pages = "1363--1384",
journal = "Radiographics",
issn = "0271-5333",
publisher = "Radiological Society of North America Inc.",
number = "5",

}

TY - JOUR

T1 - New and evolving concepts in CT for abdominal vascular imaging

AU - Fuentes-Orrego, Jorge M.

AU - Pinho, Daniella

AU - Kulkarni, Naveen M.

AU - Agrawal, Mukta

AU - Ghoshhajra, Brian B.

AU - Sahani, Dushyant V.

PY - 2014/1/1

Y1 - 2014/1/1

N2 - Computed tomographic (CT) angiography has become the standard of care, supplanting invasive angiography for comprehensive initial evaluation of acute and chronic conditions affecting the vascular system in the abdomen and elsewhere. Over the past decade, the capabilities of CT have improved substantially; simultaneously, the expectations of the referring physician and vascular surgeons have also evolved. Increasingly, CT angiography is used as an imaging biomarker for treatment selection and assessment of effectiveness. However, the growing use of CT angiography has also introduced some challenges, as potential radiation-associated and contrast media–induced risks need to be addressed. These concerns can be partly confronted by modifying scanning parameters (applying a low tube voltage) with or without using software-based solutions. Most recently, multienergy technology has endowed CT with new capabilities offering improved CT angiographic imag e qualityand novel plaque characterization while decreasing radiation and iodine dose. In this article, we discuss current and new approaches using both conventional and multienergy CT for studying vascular disease in the abdomen. We propose various approaches to overcoming commonly encountered image quality challenges in CT angiography. In addition, we describe supplemental strategies for improving patient safety that leverage the available technology.

AB - Computed tomographic (CT) angiography has become the standard of care, supplanting invasive angiography for comprehensive initial evaluation of acute and chronic conditions affecting the vascular system in the abdomen and elsewhere. Over the past decade, the capabilities of CT have improved substantially; simultaneously, the expectations of the referring physician and vascular surgeons have also evolved. Increasingly, CT angiography is used as an imaging biomarker for treatment selection and assessment of effectiveness. However, the growing use of CT angiography has also introduced some challenges, as potential radiation-associated and contrast media–induced risks need to be addressed. These concerns can be partly confronted by modifying scanning parameters (applying a low tube voltage) with or without using software-based solutions. Most recently, multienergy technology has endowed CT with new capabilities offering improved CT angiographic imag e qualityand novel plaque characterization while decreasing radiation and iodine dose. In this article, we discuss current and new approaches using both conventional and multienergy CT for studying vascular disease in the abdomen. We propose various approaches to overcoming commonly encountered image quality challenges in CT angiography. In addition, we describe supplemental strategies for improving patient safety that leverage the available technology.

UR - http://www.scopus.com/inward/record.url?scp=84907057699&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84907057699&partnerID=8YFLogxK

U2 - 10.1148/rg.345130070

DO - 10.1148/rg.345130070

M3 - Article

C2 - 25208285

AN - SCOPUS:84907057699

VL - 34

SP - 1363

EP - 1384

JO - Radiographics

JF - Radiographics

SN - 0271-5333

IS - 5

ER -