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Computed tomography angiography (also called CT angiography or CTA) is a computed tomography technique used for angiography—the visualization of arteries and veins—throughout the human body. Using contrast injected into the blood vessels, images are created to look for blockages, aneurysms (dilations of walls), dissections (tearing of walls ...
CT pulmonary angiogram showing segmental and subsegmental pulmonary emboli on both sides. Further information: Pulmonary embolism CTPA was introduced in the 1990s as an alternative to ventilation/perfusion scanning (V/Q scan), which relies on radionuclide imaging of the blood vessels of the lung.
Coronary CT angiography (CTA or CCTA) is the use of computed tomography (CT) angiography to assess the coronary arteries of the heart.The patient receives an intravenous injection of radiocontrast and then the heart is scanned using a high speed CT scanner, allowing physicians to assess the extent of occlusion in the coronary arteries, usually in order to diagnose coronary artery disease.
The risks of CT scan radiation are especially important in patients undergoing recurrent CT scans within a short time span of one to five years. [ 157 ] [ 158 ] [ 159 ] Some experts note that CT scans are known to be "overused," and "there is distressingly little evidence of better health outcomes associated with the current high rate of scans."
A CT pulmonary angiogram, in this case showing pulmonary embolism of saddle-type, which becomes more radiolucent than the radiocontrast filled blood surrounding it (but it may be indistinguishable without radiocontrast). Contrast CT, or contrast-enhanced computed tomography (CECT), is X-ray computed tomography (CT) using radiocontrast.
A typical coronary CT calcium scan is done without the use of radiocontrast agent but it can also be performed using contrast-enhanced images as well, such as in coronary CT angiography. [4] The exam is best performed with cardiac gating to eliminate motion but can also be estimated in the presence of motion.
After an angiogram, a sudden shock can cause a little pain at the surgery area, but heart attacks and strokes usually do not occur, as they may in bypass surgery. The risk of complications from angiography can be reduced with a prior CT scan by providing clinicians with more information about number and positioning of the clots in advance. [19 ...
Pulmonary angiography is useful as the confirmation test where the non-invasive imaging such as CT pulmonary angiography is inconclusive on determining the presence of pulmonary embolism. [1] The accuracy of pulmonary angiography may be higher than clinical examination, arterial blood gas results, and ventilation/perfusion scan. [2]