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Published in: Emergency Radiology 6/2007

01-11-2007 | Original Article

Multi-slice CT (MSCT) angiography for assessment of traumatic lesions of lower limbs peripheral arteries

Authors: Roberto Iezzi, Antonio Raffaele Cotroneo, Danilo Pascali, Biagio Merlino, Maria Luigia Storto

Published in: Emergency Radiology | Issue 6/2007

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Abstract

Aim

The aim of this study was to evaluate the feasibility and effectiveness of multi-slice computed tomography (MSCT) angiography for the assessment of traumatic lesions involving the arteries of the lower limbs.

Materials and methods

Forty-seven patients with suspected arterial post-traumatic lesions of lower limbs underwent MSCT angiography (4 × 2.5-mm collimation, 3-mm slice width). The standards of reference were: digital subtraction angiography (DSA; patients with inconclusive/doubtful or positive MSCT angiography indicating a need for intravascular treatment), surgical findings (patients with positive MSCT angiography indicating a need for surgery), or clinical/investigational follow-up (patients with negative MSCT angiography and no need for further diagnostic procedures or surgery).

Results

All CT exams were technically adequate. Sensitivity, specificity, and overall diagnostic accuracy of MSCT angiography were 96.3, 90, and 93.6%, respectively, relative to the reference of standard findings. In 44 out of 47 patients, MSCT angiography allowed a correct continuation of the diagnostic work-up.

Conclusion

MSCT angiography is a reliable fast tool for diagnosing traumatic vascular lesions, providing results comparable to DSA.
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Metadata
Title
Multi-slice CT (MSCT) angiography for assessment of traumatic lesions of lower limbs peripheral arteries
Authors
Roberto Iezzi
Antonio Raffaele Cotroneo
Danilo Pascali
Biagio Merlino
Maria Luigia Storto
Publication date
01-11-2007
Publisher
Springer-Verlag
Published in
Emergency Radiology / Issue 6/2007
Print ISSN: 1070-3004
Electronic ISSN: 1438-1435
DOI
https://doi.org/10.1007/s10140-007-0656-3

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