“…3,[19][20][21][22][23] Advantages of MDCT over other imaging modalities in the diagnosis of AAS include rapid image acquisition, near universal emergency access and the ability to image and reconstruct the entire aorta in three-dimensional planes. [23][24][25] Furthermore, the ability of MDCT to accurately assess branch vessel involvement and identify aberrant vascular anatomy is vital in determining the surgical and endovascular management of AAS. [26][27][28] MDCT scanners with $64 detector rows should be used to image patients with suspected AAS, to consistently provide isotropic resolution in three dimensions, enabling the acquired image data set to be reconstructed in the optimal plane with respect to the aorta and its branch vessels.…”
Section: Acute Aortic Syndrome Risk Factors and Clinical Presentationmentioning
The term "acute aortic syndrome" (AAS) encompasses several non-traumatic life-threatening pathologies of the thoracic aorta presenting in patients with a similar clinical profile. These include aortic dissection, intramural haematoma and penetrating atherosclerotic ulcers. These different pathological entities can be indistinguishable on clinical grounds alone and may be confused with other causes of chest pain, including myocardial infarction. Multidetector-row CT (MDCT) is the current modality of choice for imaging AAS with a sensitivity and specificity approaching 100%. Early diagnosis and accurate radiological classification is associated with improved clinical outcomes in AAS. We review the characteristic radiological features of the different pathologies that encompass AAS and highlight the vital role of MDCT in determining the management of these life-threatening conditions.
“…3,[19][20][21][22][23] Advantages of MDCT over other imaging modalities in the diagnosis of AAS include rapid image acquisition, near universal emergency access and the ability to image and reconstruct the entire aorta in three-dimensional planes. [23][24][25] Furthermore, the ability of MDCT to accurately assess branch vessel involvement and identify aberrant vascular anatomy is vital in determining the surgical and endovascular management of AAS. [26][27][28] MDCT scanners with $64 detector rows should be used to image patients with suspected AAS, to consistently provide isotropic resolution in three dimensions, enabling the acquired image data set to be reconstructed in the optimal plane with respect to the aorta and its branch vessels.…”
Section: Acute Aortic Syndrome Risk Factors and Clinical Presentationmentioning
The term "acute aortic syndrome" (AAS) encompasses several non-traumatic life-threatening pathologies of the thoracic aorta presenting in patients with a similar clinical profile. These include aortic dissection, intramural haematoma and penetrating atherosclerotic ulcers. These different pathological entities can be indistinguishable on clinical grounds alone and may be confused with other causes of chest pain, including myocardial infarction. Multidetector-row CT (MDCT) is the current modality of choice for imaging AAS with a sensitivity and specificity approaching 100%. Early diagnosis and accurate radiological classification is associated with improved clinical outcomes in AAS. We review the characteristic radiological features of the different pathologies that encompass AAS and highlight the vital role of MDCT in determining the management of these life-threatening conditions.
“…[13][14][15][16] Risk of aneurysm rupture increases with AAA diameter, with less than a 0.5% annual risk of rupture for an aneurysm less than 4.0 cm in diameter, compared with a 30% to 50% risk of rupture within 1 year for an AAA greater than or equal to 8.0 cm. 17 In addition to size, other risk factors for AAA rupture include aneurysm expansion rate, smoking, and uncontrolled hypertension.…”
“…70 Posterior aortic wall involvement, a lobular mass, and anterior displacement of the aorta from the adjacent vertebrae are features that suggest a retroperitoneal mass rather than an inflammatory aneurysm. 14,71 In addition, PET-CT may show increased FDG uptake within the wall of an inflammatory AAA. Although this finding also is nonspecific, it may be useful to monitor treatment response.…”
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.