Acute aortic syndromes: A second look at dual-phase CT

American Journal of Roentgenology

Volumn 200, Issue 4, 2013, Pages 805-811

  Lovy, Andrew J ^a   Rosenblum, Jessica K ^a   Levsky, Jeffrey M ^a   Godelman, Alla ^a   Zalta, Benjamin ^a   Jain, Vineet R ^a   Haramati, Linda B ^a  

^a ALBERT EINSTEIN COLLEGE OF MEDICINE   (United States)

Author keywords

Acute aortic syndrome; Aortic dissection; CT; Radiation exposure

Indexed keywords

IODIXANOL; IOPROMIDE; CONTRAST MEDIUM; DIAGNOSTIC AGENT; DRUG DERIVATIVE; IODOBENZOIC ACID DERIVATIVE; IOHEXOL;

ABDOMINAL RADIOGRAPHY; ACUTE AORTIC SYNDROME; ADULT; AGED; AORTA DISEASE; AORTA DISSECTION; AORTA RUPTURE; ARTICLE; CLINICAL ARTICLE; COMPUTED TOMOGRAPHIC ANGIOGRAPHY; CONTRAST ENHANCEMENT; CONTROLLED STUDY; DIAGNOSTIC TEST ACCURACY STUDY; DISEASE CLASSIFICATION; DRUG CONTRAINDICATION; FEMALE; HEMATOMA; HUMAN; MALE; MULTIDETECTOR COMPUTED TOMOGRAPHY; PENETRATING ATHEROSCLEROTIC ULCER; PRIORITY JOURNAL; RADIATION EXPOSURE; RETROSPECTIVE STUDY; SENSITIVITY AND SPECIFICITY; THORAX RADIOGRAPHY; ACUTE DISEASE; AORTOGRAPHY; CASE CONTROL STUDY; CHI SQUARE DISTRIBUTION; COMPUTER ASSISTED TOMOGRAPHY; METHODOLOGY; MIDDLE AGED; NONPARAMETRIC TEST; RADIATION DOSE; RADIOGRAPHY; STATISTICAL MODEL; SYNDROME; VERY ELDERLY;

ACUTE DISEASE; AGED; AGED, 80 AND OVER; AORTIC DISEASES; AORTOGRAPHY; CASE-CONTROL STUDIES; CHI-SQUARE DISTRIBUTION; CONTRAST MEDIA; FEMALE; HUMANS; IOHEXOL; LINEAR MODELS; MALE; MIDDLE AGED; RADIATION DOSAGE; RETROSPECTIVE STUDIES; SENSITIVITY AND SPECIFICITY; STATISTICS, NONPARAMETRIC; SYNDROME; TOMOGRAPHY, X-RAY COMPUTED; TRIIODOBENZOIC ACIDS;

MLCS; MLOWN;

EID: 84878227053     PISSN: 0361803X     EISSN: 15463141     Source Type: Journal    
DOI: 10.2214/AJR.12.8797     Document Type: Article

References (19)

1. Olsson C, Thelin S, Stahle E, Ekbom A, Granath F. Thoracic aortic aneurysm and dissection: increasing prevalence and improved outcomes reported in a nationwide population-based study of more than 14,000 cases from 1987 to 2002. Circulation 2006; 114: 2611-2618
2. Clouse WD, Hallett JW Jr, Schaff HV, et al. Acute aortic dissection: population-based incidence compared with degenerative aortic aneurysm rupture. Mayo Clin Proc 2004; 79: 176-180
3. Meszaros I, Morocz J, Szlavi J, et al. Epidemiology and clinicopathology of aortic dissection. Chest 2000; 117: 1271-1278
4. Shiga T, Wajima Z, Apfel CC, Inoue T, Ohe Y. Diagnostic accuracy of transesophageal echocardiography, helical computed tomography, and magnetic resonance imaging for suspected thoracic aortic dissection: systematic review and meta-analysis. Arch Intern Med 2006; 166: 1350-1356
5. Castaner E, Andreu M, Gallardo X, Mata JM, Cabezuelo MA, Pallardo Y. CT in nontraumatic acute thoracic aortic disease: typical and atypical features and complications. RadioGraphics 2003; 23(spec no):S93-S110
6. Willoteaux S, Lions C, Gaxotte V, Negaiwi Z, Beregi JP. Imaging of aortic dissection by helical computed tomography (CT). Eur Radiol 2004; 14: 1999-2008
7. Sebastia C, Pallisa E, Quiroga S, Alvarez-Castells A, Dominguez R, Evangelista A. Aortic dissection: diagnosis and follow-up with helical CT. RadioGraphics 1999; 19: 45-60; quiz, 149-150
8. Batra P, Bigoni B, Manning J, et al. Pitfalls in the diagnosis of thoracic aortic dissection at CT angiography. RadioGraphics 2000; 20: 309-320
9. Mettler FA Jr, Huda W, Yoshizumi TT, Mahesh M. Effective doses in radiology and diagnostic nuclear medicine: a catalog. Radiology 2008; 248: 254-263
10. Smith-Bindman R, Lipson J, Marcus R, et al. Ra- diation dose associated with common computed tomography examinations and the associated lifetime attributable risk of cancer. Arch Intern Med 2009; 169: 2078-2086
11. Larson DB, Johnson LW, Schnell BM, Salisbury SR, Forman HP. National trends in CT use in the emergency department: 1995-2007. Radiology 2011; 258: 164-173
12. Namasivayam S, Kalra MK, Torres WE, Small WC. Adverse reactions to intravenous iodinated contrast media: a primer for radiologists. Emerg Radiol 2006; 12: 210-215
13. Bellin E, Fletcher DD, Geberer N, Islam S, Srivastava N. Democratizing information creation from health care data for quality improvement, research, and education: the Montefiore Medical Center Experience. Acad Med 2010; 85: 1362-1368
14. Huda W, Ogden KM, Khorasani MR. Converting dose-length product to effective dose at CT. Radiology 2008; 248: 995-1003
15. Gondrie MJ, Mali WP, Jacobs PC, Oen AL, van der Graaf Y. Cardiovascular disease: prediction with ancillary aortic findings on chest CT scans in routine practice. Radiology 2010; 257: 549-559
16. Achneck H, Modi B, Shaw C, et al. Ascending thoracic aneurysms are associated with decreased systemic atherosclerosis. Chest 2005; 128: 1580- 1586
17. Sugawara J, Hayashi K, Yokoi T, Tanaka H. Ageassociated elongation of the ascending aorta in adults. JACC Cardiovasc Imaging 2008; 1: 739-748
18. Gordis L. Epidemology, 4th ed. Philadelphia, PA: Saunders, 2009
19. Bogdanich W, McGinty JC. Medicare claims show overuse for CT scanning. The New York Times, June 18, 2011:A1