Patent ductus arteriosus CT: Difference between revisions

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__NOTOC__
__NOTOC__
{{Patent ductus arteriosus}}
{{Patent ductus arteriosus}}
{{CMG}}; '''Associate Editor-In-Chief:''' [[Priyamvada Singh|Priyamvada Singh, M.B.B.S.]] [mailto:psingh@perfuse.org], {{CZ}}, '''Assistant Editor-In-Chief:''' [[Kristin Feeney|Kristin Feeney, B.S.]] [mailto:kfeeney@perfuse.org]
{{CMG}}; '''Associate Editor-In-Chief:''' [[Priyamvada Singh|Priyamvada Singh, M.B.B.S.]] [mailto:psingh13579@gmail.com], {{CZ}},{{RG}} '''Assistant Editor-In-Chief:''' [[Kristin Feeney|Kristin Feeney, B.S.]] [mailto:kfeeney@elon.edu]
==Overview==
==Overview==
Computed tomography can be helpful as a diagnostic tool in conditions where the echocardiographic findings are inconclusive.
[[Computed tomography]] can be helpful as a diagnostic tool in conditions where the [[echocardiographic]] findings are inconclusive.
 
==CT==  
==Computed tomography==  
[[Computed tomography]] ([[CT]]) can be used as a diagnostic modality in [[congenital heart disease]]s. <ref name="GoiteinFuhrman2005">{{cite journal|last1=Goitein|first1=Orly|last2=Fuhrman|first2=Carl R.|last3=Lacomis|first3=Joan M.|title=Incidental Finding on MDCT of Patent Ductus Arteriosus: Use of CT and MRI to Assess Clinical Importance|journal=American Journal of Roentgenology|volume=184|issue=6|year=2005|pages=1924–1931|issn=0361-803X|doi=10.2214/ajr.184.6.01841924}}</ref>
Computed tomography (CT) can be used as a diagnostic modality in congenital heart diseases.  
<ref name="MakOng2014">{{cite journal|last1=Mak|first1=MS|last2=Ong|first2=CC|last3=Tay|first3=EL|last4=Teo|first4=LL|title=Clinics in diagnostic imaging (155)|journal=Singapore Medical Journal|volume=55|issue=09|year=2014|pages=462–467|issn=00375675|doi=10.11622/smedj.2014113}}</ref>
'''Advantages'''
<ref name="Armand2014">{{cite journal|last1=Armand|first1=Sandbad|title=Comparison of diagnostic accuracy of dual-source CT and conventional angiography in detecting congenital heart diseases|journal=Polish Journal of Radiology|volume=79|year=2014|pages=164–168|issn=0137-7183|doi=10.12659/PJR.890732}}</ref>
 
* Provides additional anatomic details compared to echocardiography
* It is done faster compared to MRI, thus avoiding the need for anesthesia in small children.  
 
'''Disadvantage'''


===Advantages===
* Provides additional [[anatomic]] details compared to [[echocardiography]].
* It is done faster compared to [[MRI]], thus avoiding the need for [[anesthesia]] in small children.
===Disadvantages===
* Costly
* Costly
* Radiation can have long terms side-effect on growing children.
* [[Radiation]] can have long terms side-effect on growing [[children]].


[[File:CT image showing the PDA.jpg|alt=CT image showing the PDA|center|thumb|642x642px|(a) A volume rendering [[Computed tomography|CT]] image showing the [[Patent ductus arteriosus|PDA]] (red arrow). (b) A curved planar [[Computed tomography|CT]] reformation image showing the [[Thoracic aortic aneurysm|TAA]] (red arrow; diameter, 41 mm). (c) A curved planar [[Computed tomography|CT]] reformation image showing the [[Patent ductus arteriosus|PDA]] (red arrow; diameter, 6 mm) with contrast enhancement and [[calcification]]. Case courtesy by Toshiki Kuno et al<ref>{{Cite web|url=https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4336929/|title=Successful Stent Graft Insertion for Endovascular Aneurysm Repair and Closure of Patent Ductus Arteriosus in an Adult Patient|last=|first=|date=|website=|archive-url=|archive-date=|dead-url=|access-date=}}</ref>]]
[[File:Computed tomographic of PDA.jpg|alt=PDA|center|thumb|916x916px|Computed tomographic angiographic findings show PDA with a 5.5-7 mm luminal width interposed between the roof of the left pulmonary artery and descending aorta. Case courtesy by Bahram Pishgoo et al<ref>{{Cite web|url=https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4251482/|title=A rare presentation of patent ductus arteriosus in an adult patient with normal pulmonary hypertension and limb edema|last=|first=|date=|website=|archive-url=|archive-date=|dead-url=|access-date=}}</ref>]]
<br />
==References==
==References==
{{reflist|2}}
{{reflist|2}}

Latest revision as of 17:48, 13 March 2020

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor-In-Chief: Priyamvada Singh, M.B.B.S. [2], Cafer Zorkun, M.D., Ph.D. [3],Ramyar Ghandriz MD[4] Assistant Editor-In-Chief: Kristin Feeney, B.S. [5]

Overview

Computed tomography can be helpful as a diagnostic tool in conditions where the echocardiographic findings are inconclusive.

CT

Computed tomography (CT) can be used as a diagnostic modality in congenital heart diseases. [1] [2] [3]

Advantages

Disadvantages

CT image showing the PDA
(a) A volume rendering CT image showing the PDA (red arrow). (b) A curved planar CT reformation image showing the TAA (red arrow; diameter, 41 mm). (c) A curved planar CT reformation image showing the PDA (red arrow; diameter, 6 mm) with contrast enhancement and calcification. Case courtesy by Toshiki Kuno et al[4]
PDA
Computed tomographic angiographic findings show PDA with a 5.5-7 mm luminal width interposed between the roof of the left pulmonary artery and descending aorta. Case courtesy by Bahram Pishgoo et al[5]


References

  1. Goitein, Orly; Fuhrman, Carl R.; Lacomis, Joan M. (2005). "Incidental Finding on MDCT of Patent Ductus Arteriosus: Use of CT and MRI to Assess Clinical Importance". American Journal of Roentgenology. 184 (6): 1924–1931. doi:10.2214/ajr.184.6.01841924. ISSN 0361-803X.
  2. Mak, MS; Ong, CC; Tay, EL; Teo, LL (2014). "Clinics in diagnostic imaging (155)". Singapore Medical Journal. 55 (09): 462–467. doi:10.11622/smedj.2014113. ISSN 0037-5675.
  3. Armand, Sandbad (2014). "Comparison of diagnostic accuracy of dual-source CT and conventional angiography in detecting congenital heart diseases". Polish Journal of Radiology. 79: 164–168. doi:10.12659/PJR.890732. ISSN 0137-7183.
  4. "Successful Stent Graft Insertion for Endovascular Aneurysm Repair and Closure of Patent Ductus Arteriosus in an Adult Patient".
  5. "A rare presentation of patent ductus arteriosus in an adult patient with normal pulmonary hypertension and limb edema".

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