Aortitis CT: Difference between revisions
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==Overview== | ==Overview== | ||
[[CT scan]] with the administration of iodinated contrast (CTA) may be diagnostic of aortitis. Findings on CT suggestive of aortitis include thickening of the aortic wall and periaortic [[inflammation]]. CT scan may also be helpful in the diagnosis of the complications of aortitis | [[CT scan]] with the administration of iodinated contrast (CTA) may be diagnostic of aortitis. Findings on CT suggestive of aortitis include thickening of the aortic wall and periaortic [[inflammation]]. CT scan may also be helpful in the diagnosis of the complications of aortitis.<ref name="pmid18541754">{{cite journal| author=Gornik HL, Creager MA| title=Aortitis. | journal=Circulation | year= 2008 | volume= 117 | issue= 23 | pages= 3039-51 | pmid=18541754 | doi=10.1161/CIRCULATIONAHA.107.760686 | pmc=PMC2759760 | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=18541754}}Accessed on September 14th, 2015</ref> | ||
==Computed Tomography== | ==Computed Tomography== | ||
[[CT scan]] | [[CT scan]] using iodinated contrast (CTA) may be diagnostic of aortitis. Findings on CT suggestive of acute aortitis include:<ref name="pmid18541754">{{cite journal| author=Gornik HL, Creager MA| title=Aortitis. | journal=Circulation | year= 2008 | volume= 117 | issue= 23 | pages= 3039-51 | pmid=18541754 | doi=10.1161/CIRCULATIONAHA.107.760686 | pmc=PMC2759760 | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=18541754}}Accessed on September 14th, 2015</ref> | ||
*Thickening of the aortic wall | *Thickening of the aortic wall | ||
*Periaortic [[inflammation]] | *Periaortic [[inflammation]] | ||
Findings on CT suggestive of aortitis due to [[giant cell arteritis]] and [[Takayasu arteritis]] include:<ref name="pmid24925329">{{cite journal| author=Hartlage GR, Palios J, Barron BJ, Stillman AE, Bossone E, Clements SD et al.| title=Multimodality imaging of aortitis. | journal=JACC Cardiovasc Imaging | year= 2014 | volume= 7 | issue= 6 | pages= 605-19 | pmid=24925329 | doi=10.1016/j.jcmg.2014.04.002 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=24925329 }} </ref> | |||
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! style="background: #4479BA; width: 200px;" | {{fontcolor|#FFF|Aortitis due to specfic disease}} | |||
! style="background: #4479BA; width: 400px;" | {{fontcolor|#FFF|CT scan findings}} | |||
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:Giant cell arteritis | |||
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*Mural thickening | *Mural thickening | ||
*Frank [[aneurysm]] | *Frank [[aneurysm]] | ||
*Long segment thickening with smooth distal tapering, commonly found in the [[descending aorta]] and [[subclavian arteries]] | *Long segment thickening with smooth distal tapering, commonly found in the [[descending aorta]] and [[subclavian arteries]] | ||
*Annuloaortic [[ectasia]] | *Annuloaortic [[ectasia]] | ||
*Ascending [[ | *Ascending aortic dilation | ||
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:Takayasu arteritis | |||
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*A “double ring” appearance, due to a brightly enhanced outer ring of inflamed media and [[adventitia]] surrounding poorly enhanced edematous [[intima]] | |||
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==References== | ==References== | ||
{{Reflist|2}} | {{Reflist|2}} | ||
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{{WS}} | {{WS}} | ||
[[CME Category::Cardiology]] | |||
[[Category:Cardiology]] | |||
[[Category:Disease]] | |||
[[Category:Mature chapter]] | |||
[[Category:Medicine]] | |||
[[Category:Up-To-Date]] | |||
[[Category:Up-To-Date cardiology]] | |||
Latest revision as of 20:26, 29 July 2020
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Maliha Shakil, M.D. [2]
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Aortitis Microchapters |
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Diagnosis |
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Treatment |
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Case Studies |
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Aortitis CT On the Web |
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American Roentgen Ray Society Images of Aortitis CT |
Overview
CT scan with the administration of iodinated contrast (CTA) may be diagnostic of aortitis. Findings on CT suggestive of aortitis include thickening of the aortic wall and periaortic inflammation. CT scan may also be helpful in the diagnosis of the complications of aortitis.[1]
Computed Tomography
CT scan using iodinated contrast (CTA) may be diagnostic of aortitis. Findings on CT suggestive of acute aortitis include:[1]
- Thickening of the aortic wall
- Periaortic inflammation
Findings on CT suggestive of aortitis due to giant cell arteritis and Takayasu arteritis include:[2]
| Aortitis due to specfic disease | CT scan findings |
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References
- ↑ 1.0 1.1 Gornik HL, Creager MA (2008). "Aortitis". Circulation. 117 (23): 3039–51. doi:10.1161/CIRCULATIONAHA.107.760686. PMC 2759760. PMID 18541754.Accessed on September 14th, 2015
- ↑ Hartlage GR, Palios J, Barron BJ, Stillman AE, Bossone E, Clements SD; et al. (2014). "Multimodality imaging of aortitis". JACC Cardiovasc Imaging. 7 (6): 605–19. doi:10.1016/j.jcmg.2014.04.002. PMID 24925329.