Abstract:
OBJECTIVE:In this study the hypothesis that the thickness of the thinnest part of the thrombus, combined with bleeding into the intraluminal thrombus (ILT), is associated with a possible higher risk of abdominal aortic aneurysm (AAA) rupture was investigated, independently of aneurysm diameter, by using angio-CT. This article describes blood flow channel index based on the CT imaging findings that may help identify impending rupture prior to complete rupture. METHODS:Computed tomographic images of 310 hospitalized patients with infrarenal AAA, were collected over a three-year period. They were divided into two main groups: 125 with bleeding into the ILT and control group 185 without the presence of blood in the thrombus. Patients were also analyzed in subgroups with ruptured, symptomatic and asymptomatic AAAs. A blood flow channel index was formulated as: maximal/minimal thickness ratio of thrombus from the same CT scan. RESULTS:In dissected ILT group blood flow channel index was over a twofold higher than in group with intact ILT (19.0 [1.2-89.3] vs. (9.7 [1.3-38.9]; p<0.001), respectively. Median thickness at the thinnest part of the ILT in dissected thrombus group was lower (1.3mm [0.3-16.0]) than in group with intact ILT (1.7 mm [0.2-23.4]; p<0.003). CONCLUSION:An association between a high blood flow channel index and bleeding into the ILT based on angio-CT study was demonstrated, and can suggest the aneurysm propensity for rupture.
journal_name
Eur J Radioljournal_title
European journal of radiologyauthors
Wiernicki I,Szumilowicz P,Kazimierczak A,Falkowski A,Rutkowski D,Gutowski Pdoi
10.1016/j.ejrad.2014.12.022subject
Has Abstractpub_date
2015-04-01 00:00:00pages
662-7issue
4eissn
0720-048Xissn
1872-7727pii
S0720-048X(15)00011-Xjournal_volume
84pub_type
杂志文章abstract:PURPOSE:This prospective study aimed to investigate the correlation between two perfusion methods: arterial spin labeling (ASL) and dynamic contrast enhanced (DCE) technique in patients with nasopharyngeal carcinoma (NPC) and to optimize ASL protocol. MATERIALS AND METHODS:Forty-five newly diagnosed NPC patients under...
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journal_title:European journal of radiology
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journal_title:European journal of radiology
pub_type: 杂志文章,评审
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journal_title:European journal of radiology
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journal_title:European journal of radiology
pub_type: 杂志文章,评审
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