Learning Objectives
To familiarise with CT virtual intravascular endoscopy and its corresponding intraluminal appearances of cardiovascular disease;
To determine the diagnostic applications of CT virtual intravascular endoscopy in the visualization of common cardiovascular disease;
To improve understanding of cardiovascular disease with aid of CT virtual intravascular endoscopy.
Background
Cardiovascular disease is the leading cause of morbidity and mortality in advanced countries and itsprevalence is increasing among developing countries.
Early detection and diagnosis are essential for improvement of treatment outcomes and patient management.
Medical imaging plays an importantrole in this respect,
and currently computed tomography (CT) angiography has been considered the preferred imaging modality due to the emergence of multislice CT scanners and subsequent rapidtechnological developments over the past decades.
Diagnostic performance of CT angiography hasbeen significantly enhanced with use of a number of...
Imaging Findings OR Procedure Details
CT virtual intravascular endoscopy in carotid artery disease:
Common carotid artery and its branches can be clearly visualized on VIE showing intraluminal appearances of the arterial ostium (Fig.
1).
Usually hard/calcified plaques demonstrate smooth appearance of artery wall on VIE visualization (Fig.
2),
in contrast,
soft and mixed plaques show irregular intraluminal appearances on virtual intravascular endoscopyvisualization due to different components contained within the plaques,
resulting in variable stages of vascular remodeling (Fig.
3).
CT virtual intravascular endoscopy in aortic dissection:
3D virtual intravascular endoscopyprovides...
Conclusion
Although CT VIE is not recommended as a routine visualization tool in the diagnostic assessment ofcardiovascular disease,
VIE does provide an insight into the intraluminal appearances of arterial walland pathological changes.
Thus,
VIE is considered a complementary tool to conventional 2D and 3Dreconstructions for diagnosis of cardiovascular disease.
VIE findings presented in this scientific exhibitwill facilitate clinical diagnosis and decision making in patients with suspected or confirmedcardiovascular disease.
Personal Information
Zhonghua Sun
MD.
PhD
Associate Professor | Discipline of Medical Imaging
Department of Imaging and Applied Physics
Curtin University
Tel | +61 8 9266 7509
Fax | +61 8 9266 2377
Mobile | 0415 769 139
Email |
[email protected]
Web | http://medicalimaging.curtin.edu.au
http://www.researcherid.com/rid/B-3125-2010
References
1.
Sun Z,
Winder J,
Kelly B,
Ellis P,
Hirst D.
CT virtual intravascular endoscopy of abdominal aorticaneurysms treated with suprarenal endovascular stent grafting.
Abdom Imaging 2003; 28(4): 580-
587.
2.
Sun Z,
Winder J,
Kelly B,
Ellis P,
Kennedy P,
Hirst D.
Diagnostic value of CT virtual intravascularendoscopy in aortic stent grafting.
J Endovasc Ther 2004,
11: 13-25.
3.
Sun Z,
Al Dosari S,
Ng C,
Al-Mumntshari A,
Almaliky S.
Multislice CT virtual intravascularendoscopy of pulmonary embolism: A pictorial review.
Korean J Radiol 2010;...