Multi Detector Row Computed Tomography Imaging In Acute Aortic Syndrome外语英文电子书.pdfVIP

Clinical Radiology (2005) 60, 1256–1267 PICTORIAL REVIEW Multi-detector row computed tomography: Imaging in acute aortic syndrome a,* b a N.E. Manghat , G.J. Morgan-Hughes , C.A. Roobottom Departments of aClinical Radiology, and bCardiology, Derriford Hospital, Plymouth, Devon, UK Received 16 February 2005; received in revised form 1 June 2005; accepted 17 June 2005 KEYWORDS Acute aortic syndromes (AAS) encompass a spectrum of emergencies. These include Aorta; Aneurysm; those non-traumatic disease entities of the aorta namely, penetrating athero- Chest pain; Computed sclerotic ulcer, intramural haematoma, dissection and aneurysm rupture. The tomography; Dissec- various types of AAS cannot be reliably differentiated on clinical grounds alone. tion; Trauma Acute thoracic aortic injury is usually included in this group even though clinical presentation is different, i.e., in the context of trauma, the imaging features are very similar. Differentiation of AAS from acute coronary syndrome (ACS) is important, however, it must be remembered that ACS may occur as a result of AAS. Now electrocardiogram (ECG)-gating technology is widely available, ECG-gated multi-detector row computed tomography (MDCT) is a powerful clinical tool in the acute emergency setting, which enables rapid and specific diagnosis of aortic pathology. ECG-gated MDCT significantly reduces motion artefact, avoids p