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MDCT compared with digital subtraction angiography for assessment of lower extremity arterial occlusive disease: importance of reviewing cross-sectional images.

MDCT compared with digital subtraction angiography for assessment of lower extremity arterial occlusive disease: importance of reviewing cross-sectional images. Research Abstract Details 

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  • MDCT compared with digital subtraction angiography for assessment of lower extremity arterial occlusive disease: importance of reviewing cross-sectional images. Abstract Text:

    hideki otaHideki Ota,kei takaseKei Takase,kazumasa igarashiKazumasa Igarashi,yoshihiro chibaYoshihiro Chiba,kenichi hagaKenichi Haga,haruo saitoHaruo Saito,shoki takahashiShoki Takahashi,

    OBJECTIVE: The aim of our study was to evaluate the efficacy of MDCT angiography in the assessment of lower limb peripheral arterial occlusive disease. MATERIALS AND METHODS: Twenty-four patients (representing 27 cases) with symptomatic lower extremity peripheral arterial occlusive disease underwent both MDCT angiography and digital subtraction angiography of the aortoiliac and lower extremity arteries. For data analysis, the arterial system was divided into 10 segments. Each segment was classified as normal, mildly stenotic, moderately stenotic, severely stenotic, or occluded. In evaluating MDCT angiographic findings, cross-sectional images were mainly observed by scrolling. The diagnostic accuracy of MDCT angiography was determined, using digital subtraction angiography as the standard reference. The extent of calcification in each segment was also assessed on MDCT angiography and was classified as absent, mildly calcified, or severely calcified. RESULTS: Of the 480 segments studied, 470 were assessable on both digital subtraction angiography and MDCT angiography. On digital subtraction angiography, 142 stenoocclusive segments (20 mildly stenotic, 14 moderately stenotic, 25 severely stenotic, and 83 occluded) were detected. With regard to the detection of segments that had more than mild stenosis, the sensitivity, specificity, and accuracy of MDCT angiography were 99.2%, 99.1%, and 99.1%, respectively. In the 421 noncalcified and mildly calcified segments, the sensitivity, specificity, and accuracy of MDCT angiography for the detection of more-than-mild stenosis were 100%, 100%, and 100%, respectively. CONCLUSION: MDCT angiography is a reliable method for evaluating the aortoiliac and lower extremity arteries.

    MDCT compared with digital subtraction angiography for assessment of lower extremity arterial occlusive disease: importance of reviewing cross-sectional images. Publishing Authors By Initials

    h otaH Ota,k takaseK Takase,k igarashiK Igarashi,y chibaY Chiba,k hagaK Haga,h saitoH Saito,s takahashiS Takahashi,

    For similar tomography, x-ray computed research abstracts see: tomography, x-ray computed research

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    MDCT compared with digital subtraction angiography for assessment of lower extremity arterial occlusive disease: importance of reviewing cross-sectional images. Journal Published:

    PUBLICATION TYPE: Journal Article

    Journal: AJR. American journal of roentgenology

    VOLUME: 182

    Page Numbers: 201-9

    Journal Abbreviation:

    ISSN: 0361-803X

    DAY: 15

    MONTH: Jan

    YEAR: 2004

    MDCT compared with digital subtraction angiography for assessment of lower extremity arterial occlusive disease: importance of reviewing cross-sectional images. Information

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    LANGUAGE: eng

    NlmUniqueID: 7708173

    MDCT compared with digital subtraction angiography for assessment of lower extremity arterial occlusive disease: importance of reviewing cross-sectional images. Keywords Mesh Terms:

    KEYWORDS: Tomography, X-Ray Computed

    MESH TERMS: radiography

    Chemical & Substance for Abstract: MDCT compared with digital subtraction angiography for assessment of lower extremity arterial occlusive disease: importance of reviewing cross-sectional images. Information

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    Grant and Affiliation Information for MDCT compared with digital subtraction angiography for assessment of lower extremity arterial occlusive disease: importance of reviewing cross-sectional images.

    AFFILIATION: Department of Radiology, Ishinomaki Red Cross Hospital, 1-7-10 Yoshino, Ishinomaki, Miyagi 986-8522, Japan.

    Country: United States

    United States Research PublicationUnited States Research Publication

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    MEDLINETA: AJR Am J Roentgenol

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