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CT Angiography of the Neck and Brain

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MDCT

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Abstract

The evolution of multidetector computed tomography (MDCT) has allowed the development and advancement of CT angiography (CTA). While the concept of carotid artery evaluation by CT was introduced by Heinz and others in 1984 [1,2], it has taken recent technological advances to bring the current methods into practice. CTA of the neck is used primarily to assess the carotid vessels. As CTA slice thickness and rendering methods have improved, so has the accuracy of stenosis determination. More recently, CTA of the neck has become the standard for traumatic injury. Routine utilization of CTA for the evaluation of carotid and vertebral arteries is now the norm. The technique also has been successfully applied to the intracranial vasculature. Detection of cerebral aneurysms and other vascular diseases are readily identified.

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References

  1. Heinz ER, Fuchs J, Osborne D et al (1984) Examination of the extracranial carotid bifurcation by thin-section dynamic CT: direct visualization of intimal atheroma in man (Part 2). AJNR Am J Neuroradiol 5(4):361–366

    CAS  PubMed  Google Scholar 

  2. Heinz ER, Pizer SM, Fuchs H et al (1984) Examination of the extracranial carotid bifurcation by thin-section dynamic CT: direct visualization of intimal atheroma in man (Part 1). AJNR Am J Neuroradiol 5(4):355–359

    CAS  PubMed  Google Scholar 

  3. Enterline D, Lowry CR, Tanenbaum LN (2005) Brain, and head and neck applications. In: Multidetector CT protocols developed for GE scanners. BDI, Princeton, pp E1–57

    Google Scholar 

  4. North American Symptomatic Carotid Endarterectomy Trial Collaborators (1991) Beneficial effect of carotid endarterectomy in symptomatic patients with high-grade carotid stenosis. N Engl J Med 325:445–453

    Article  Google Scholar 

  5. Barnett HJ, Taylor DW, Eliasziw M et al for the North American Symptomatic Carotid Endarterectomy Trial Collaborators (1998) Benefit of carotid endarterectomy in patients with symptomatic moderate or severe stenosis. N Engl J Med 12:339(20):1415–1425

    Article  Google Scholar 

  6. European Carotid Surgery Trialists’ Collaborative Group (1991) MRC European carotid surgery trial: interim results for symptomatic patients with severe (70–90%) or with mild (0–29%) carotid stenosis. Lancet 337:1235–1243

    Article  Google Scholar 

  7. Hobson RW 2nd, Weiss DG, Fields WS et al (1993) The Veterans Affairs Cooperative Study Group. Efficacy of carotid endarterectomy for asymptomatic carotid stenosis. N Engl J Med 28:328(4):221–227

    Article  Google Scholar 

  8. CASANOVA Study Group (1991) Carotid surgery versus medical therapy in asymptomatic carotid stenosis. Stroke 22(10):1229–1235

    Google Scholar 

  9. Executive Committee for the Asymptomatic Carotid Atherosclerosis Study (1995) Endarterectomy for asymptomatic carotid artery stenosis. JAMA 273: 1421–1428

    Article  Google Scholar 

  10. Halliday A, Mansfield A, Marro J et al for the MRC asymptomatic carotid surgery trial (ACST) collaborative group (2004) Prevention of disabling and fatal strokes by successful carotid endarterectomy in patients without recent neurological symptoms: randomized controlled trial. Lancet 363:1491–1502

    Article  CAS  PubMed  Google Scholar 

  11. Johnston DCC, Goldstein LB (2001) Clinical carotid endarterectomy decision making: Noninvasive vascular imaging versus angiography. Neurology 56:1009–1015

    CAS  PubMed  Google Scholar 

  12. Patel SG, Collie DA, Wardlaw JM et al (2002) 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 73(1):21–28

    Article  CAS  PubMed  Google Scholar 

  13. Randoux B, Marro B, Koskas F et al (2001) Carotid artery stenosis: prospective comparison of CT, three-dimensional gadolinium-enhanced MR, and conventional angiography. Radiology 220(1):179–185

    CAS  PubMed  Google Scholar 

  14. Berne JD, Norwood SH, McAuley CE, Villareal DH (2004) Helical computed tomographic angiography: an excellent screening test for blunt cerebrovascular injury. J Trauma 57(1):11–17

    Article  PubMed  Google Scholar 

  15. Bash S, Villablanca JP, Jahan R et al (2005) Intracranial vascular stenosis and occlusive disease: evaluation with CT angiography, MR angiography, and digital subtraction angiography. AJNR Am J Neuroradiol 26(5):1012–1021

    PubMed  Google Scholar 

  16. Goldsher D, Shreiber R, Shik V (2004) Role of multisection CT angiography in the evaluation of vertebrobasilar vasospasm in patients with subarachnoid hemorrhage. AJNR Am J Neuroradiol 25(9):1493–1498

    PubMed  Google Scholar 

  17. Dammert S, Krings T, Moller-Hartmann W (2004) Detection of intracranial aneurysms with multislice CT: comparison with conventional angiography. Neuroradiology 46(6):427–434

    Article  CAS  PubMed  Google Scholar 

  18. Hoh BL, Cheung AC, Rabinov JD (2004) Results of a prospective protocol of computed tomographic angiography in place of catheter angiography as the only diagnostic and pretreatment planning study for cerebral aneurysms by a combined neurovascular team. Neurosurgery 54(6):1329–1340

    Article  PubMed  Google Scholar 

  19. Kangasniemi M, Makela T, Koskinen S et al (2004) Detection of intracranial aneurysms with two-dimensional and three-dimensional multislice helical computed tomographic angiography. Neurosurgery 54(2):336–340

    Article  PubMed  Google Scholar 

  20. Karamessini MT, Kagadis GC, Petsas T et al (2004) 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 49(3):212–223

    Article  PubMed  Google Scholar 

  21. White PM, Teasdale EM, Wardlaw JM, Easton V (2001) Intracranial aneurysms: CT angiography and MR angiography for detection prospective blinded comparison in a large patient cohort. Radiology 219(3):739–749

    CAS  PubMed  Google Scholar 

  22. International Study of Unruptured Intracranial Aneurysms Investigators (1998) Unruptured intracranial aneurysms: risk of rupture and risks of surgical intervention. N Engl J Med 339:1725–1733

    Article  Google Scholar 

  23. Rajpal S, Niemann DB, Turk AS (2005) Transverse venous sinus stent placement as treatment for benign intracranial hypertension in a young male: case report and review of the literature. J Neurosurg 102[Suppl 3]: 342–346

    PubMed  Google Scholar 

  24. Casey SO, Alberico RA, Patel M et al (1996) Cerebral CT venography. Radiology 198:163–170

    CAS  PubMed  Google Scholar 

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Author information

Authors and Affiliations

  1. Divisions of Neuroradiology and Interventional Neuroradiology, Duke University Medical Center, Durham, NC, USA

    David S. Enterline

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  1. David S. Enterline
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Editors and Affiliations

  1. Department of Radiology, Massachusetts General Hospital, Boston, MA, USA

    Mannudeep K. Kalra

  2. Department of Radiology Emory University School of Medicine, Emory University Hospital, Atlanta, GA, USA

    Sanjay Saini

  3. Department of Radiology, Stanford University School of Medicine, Stanford, CA, USA

    Geoffrey D. Rubin

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© 2008 Springer-Verlag Italia

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Enterline, D.S. (2008). CT Angiography of the Neck and Brain. In: Kalra, M.K., Saini, S., Rubin, G.D. (eds) MDCT. Springer, Milano. https://doi.org/10.1007/978-88-470-0832-8_22

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  • DOI: https://doi.org/10.1007/978-88-470-0832-8_22

  • Publisher Name: Springer, Milano

  • Print ISBN: 978-88-470-0831-1

  • Online ISBN: 978-88-470-0832-8

  • eBook Packages: MedicineMedicine (R0)

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