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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.
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 ...
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.
Selective pulmonary angiogram revealing significant thrombus (labelled A) causing a central obstruction in the left main pulmonary artery. Pulmonary angiography (or pulmonary arteriography,conventional pulmonary angiography, selective pulmonary angiography) is a medical fluoroscopic procedure used to visualize the pulmonary arteries and much less frequently, the pulmonary veins.
Computed tomography of the chest or chest CT is a group of computed tomography scan protocols used in medical imaging to evaluate the lungs and search for lung disorders. Contrast agents are sometimes used in CT scans of the chest to accentuate or enhance the differences in radiopacity between vascularized and less vascularized structures, but ...
Ventilation/perfusion scans, sometimes called a VQ (V=Ventilation, Q=perfusion) scan, is a way of identifying mismatched areas of blood and air supply to the lungs. It is primarily used to detect a pulmonary embolus. The perfusion part of the study uses a radioisotope tagged to the blood which shows where in the lungs the blood is perfusing.
Angiography is also commonly performed to identify vessels narrowing in patients with leg claudication or cramps, caused by reduced blood flow down the legs and to the feet; in patients with renal stenosis (which commonly causes high blood pressure) and can be used in the head to find and repair stroke. These are all done routinely through the ...
High-resolution CT image showing ground-glass opacities in the periphery of both lungs in a patient with COVID-19 (red arrows). The adjacent normal lung tissue with lower attenuation appears as darker areas. Ground-glass opacity (GGO) is a finding seen on chest x-ray (radiograph) or computed tomography (CT) imaging of the lungs.