Techniques in Vascular & Interventional Radiology
Volume 9, Issue 4 , Pages 192-204 , December 2006

A Practical Approach to CT Angiography of the Neck and Brain

  • David S. Enterline, MD

      Affiliations

    • Division of Neuroradiology, Department of Radiology, Duke University Medical Center, Durham, NC.
    • Division of Interventional Neuroradiology, Department of Radiology, Duke University Medical Center, Durham, NC.
    • Corresponding Author InformationAddress reprint requests to David S. Enterline, MD, Box 3808, Department of Radiology, Room 1513, Duke University Medical Center, Durham, NC 27710.
    • ,
  • Geetanjali Kapoor, MD

      Affiliations

    • Division of Neuroradiology, Department of Radiology, Duke University Medical Center, Durham, NC.

References 

  1. Rosamond W, Flegal K, Friday G, et al. Heart disease and stroke statistics—2007 update (A report from the American Heart Association Statistics Committee and Stroke Statistics Subcommittee). Circulation. 2006;106:179918;(Epub ahead of print)
  2. Gleason S, Furie KL, Lev MH, et al. Potential influence of acute CT on inpatient costs in patients with ischemic stroke. Acad Radiol. 2001;8:955–964
  3. North American Symptomatic Carotid Endarterectomy Trial Collaborators. Beneficial effect of carotid endarterectomy in symptomatic patients with high-grade carotid stenosis. N Engl J Med. 1991;325:445–453
  4. Barnett HJ, Taylor DW, Eliasziw M, et al. North American Symptomatic Carotid Endarterectomy Trial Collaborators Benefit of carotid endarterectomy in patients with symptomatic moderate or severe stenosis: North American Symptomatic Carotid Endarterectomy Trial Collaborators. N Engl J Med. 1998;339:1415–1425
  5. European Carotid Surgery Trialists’ Collaborative Group. MRC European Carotid Surgery Trial: Interim results for symptomatic patients with severe (70-99%) or with mild (0-29%) carotid stenosis. Lancet. 1991;337:1235–1243
  6. Executive Committee for the Asymptomatic Carotid Atherosclerosis Study. Endarterectomy for asymptomatic carotid artery stenosis. JAMA. 1995;273:1421–1428
  7. Halliday A, Mansfield A, Marro J, et al. MRC asymptomatic carotid surgery trial (ACST) collaborative group Prevention of disabling and fatal strokes by successful carotid endarterectomy in patients without recent neurological symptoms: Randomized controlled trial. Lancet. 2004;363:1491–1502
  8. Enterline D, Lowry CR, Tanenbaum LN. Multidetector computed tomography (MDCT): Brain, and head and neck applications in multidetector CT protocols developed for GE scanners. In: Princeton, NJ: BDI; 2005;p. E1–E57
  9. Herts BR, O’Malley CM, Wirth SL, et al. Power injection of contrast media using central venous catheters: Feasibility, safety, and efficacy. AJR. 2001;176:447–453
  10. Cademartiri F, van der Lugt A, Luccichenti G, et al. Parameters affecting bolus geometry in CTA: A review. J Comput Assist Tomogr. 2002;26:598–607
  11. Brink JA. Use of high concentration contrast media (HCCM): Principles and rationale—body CT. Eur J Radiol. 2003;45:53–58
  12. Enterline DS. CT angiography of the neck and brain. In:  Saini S,  Rubin GD,  Kalra MK editor. MDCT: A Practical Approach. Milan, Italy: Springer; 2006;p. 151–166
  13. Takhtani D. CT neuroangiography: A glance at the common pitfalls and their prevention. AJR. 2005;185:772–783
  14. Derdeyn CP. Catheter angiography is still necessary for the measurement of carotid stenosis. AJNR. 2003;24:1737–1738
  15. Willinsky RA, Taylor SM, TerBrugge K, et al. Neurologic complications of cerebral angiography: Prospective analysis of 2899 procedures and review of the literature. Radiology. 2003;227:522–528
  16. Johnston DCC, Goldstein LB. Clinical carotid endarterectomy decision making: Noninvasive vascular imaging versus angiography. Neurology. 2001;56:1009–1015
  17. Patel SG, Collie DA, Wardlaw JM, et al. Outcome, observer reliability, and patient preferences if CTA, MRA, or Doppler ultrasound were used, individually or together, instead of digital subtraction angiography before carotid endarterectomy. J Neurol Neurosurg Psychiatry. 2002;73:21–28
  18. Naghavi M, Libby P, Falk E, et al. From vulnerable plaque to vulnerable patient: A call for new definitions and risks assessment strategies (Part I). Circulation. 2003;108:1664–1672
  19. Hunt JL, Fairman R, Mitchell ME, et al. Bone formation in carotid plaques: A clinicopathological study. Stroke. 2002;33:1214–1219
  20. Oliver TB, Lammie GA, Wright AR, et al. Atherosclerotic plaque at the carotid bifurcation: CT angiographic appearance with histopathologic correlation. AJNR. 1999;20:897–901
  21. Bartlett ES, Walters TD, Symons SP, et al. Diagnosing carotid stenosis near-occlusion by using CT angiography. AJNR. 2006;27:632–637
  22. Chen CJ, Lee TH, Hsu HL, et al. Multi-slice CT angiography in diagnosing total versus near occlusions of the internal carotid artery: Comparison with catheter angiography. Stroke. 2004;35:83–85
  23. Oelerich M, Stogbauer F, Kurlemann G, et al. Craniocervical artery dissection: MR imaging and MR angiographic findings. Eur Radiol. 1999;9:1385–1391
  24. Berne JD, Norwood SH, McAuley CE, et al. Helical computed tomographic angiography: An excellent screening test for blunt cerebrovascular injury. J Trauma. 2004;57:11–17
  25. Bash S, Villablanca JP, Jahan R, et al. Intracranial vascular stenosis and occlusive disease: Evaluation with CT angiography, MR angiography, and digital subtraction angiography. AJNR. 2005;26:1012–1021
  26. Dammert S, Krings T, Moller-Hartmann W. Detection of intracranial aneurysms with multislice CT: Comparison with conventional angiography. Neuroradiology. 2004;46:427–434
  27. Karamessini MT, Kagadis GC, Petsas T, et al. CT angiography with three-dimensional techniques for the early diagnosis of intracranial aneurysms (Comparison with intra-arterial DSA and the surgical findings). Eur J Radiol. 2004;49:212–223
  28. Casey SO, Alberico RA, Patel M, et al. Cerebral CT venography. Radiology. 1996;198:163–170
  29. Shetty SK, Lev MH. MDCT perfusion in acute stroke. In:  Saini S,  Rubin GD,  Kalra MK editor. MDCT: A Practical Approach. Milan, Italy: Springer; 2006;p. 167–181
  30. Moftakharb R, Turka AS, Niemanna DB. Effects of carotid or vertebrobasilar stent placement on cerebral perfusion and cognition. AJNR. 2005;26:1772–1780
  31. Chena A, Shyra MH, Chena TY. Dynamic CT perfusion imaging with acetazolamide challenge for evaluation of patients with unilateral cerebrovascular steno-occlusive disease. AJNR. 2006;27:1876–1881
  32. Eastwood JD, Lev MH, Wintermark M, et al. Correlation of early dynamic CT perfusion imaging with whole-brain MR diffusion and perfusion imaging in acute hemispheric stroke. AJNR. 2003;24:1869–1875

PII: S1089-2516(07)00025-X

doi: 10.1053/j.tvir.2007.03.003

Techniques in Vascular & Interventional Radiology
Volume 9, Issue 4 , Pages 192-204 , December 2006

Article Tools

* Image Usage & Resolution