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The Diagnosis of Acute Aortic Syndrome by Multi-slice Spiral CT

Ying Liu

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Abstract

Objective To investigate the clinical applied value of multi-slice spiral CT(MSCT) in acute aortic syndrome(AAS).Methods Sixty-two patients who complained of acute pain in the chest and back were scanned by 16-slice spiral CT. Results Sixty-two cases included 41 cases of aortic dissection(AD),12 cases of intramural hematoma(IMH) and 9 cases of penetrating atherosclerotic ulcer(PAU). MSCT could depict the imaging features of AAS as follows:the intimal flap,true and false lumens in AD;crescent or circular thickening of aortic wall in IMH; a niche filling with contrast medium and protruding the aortic lumen.Conclusion MSCT is a fast and noninvasive examination technique,it can provide important information for the diagnosis of AAS.

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What this paper is about

Objective To investigate the clinical applied value of multi-slice spiral CT(MSCT) in acute aortic syndrome(AAS).Methods Sixty-two patients who complained of acute pain in the chest and back were scanned by 16-slice spiral CT. Results Sixty-two cases included 41 cases of aortic dissection(AD),12 cases of intramural hematoma(IMH) and 9 cases of penetrating atherosclerotic ulcer(PAU). MSCT could depict the imaging features of AAS as follows:the intimal flap,true and false lumens in AD;crescent or circular thickening of aortic wall in IMH; a niche filling with contrast medium and protruding the aortic lumen.Conclusion MSCT is a fast and noninvasive examination technique,it can provide important information for the diagnosis of AAS.

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Available abstract

Objective To investigate the clinical applied value of multi-slice spiral CT(MSCT) in acute aortic syndrome(AAS).Methods Sixty-two patients who complained of acute pain in the chest and back were scanned by 16-slice spiral CT. Results Sixty-two cases included 41 cases of aortic dissection(AD),12 cases of intramural hematoma(IMH) and 9 cases of penetrating atherosclerotic ulcer(PAU). MSCT could depict the imaging features of AAS as follows:the intimal flap,true and false lumens in AD;crescent or circular thickening of aortic wall in IMH; a niche filling with contrast medium and protruding the aortic lumen.Conclusion MSCT is a fast and noninvasive examination technique,it can provide important information for the diagnosis of AAS.

Key concepts: Medicine, Acute aortic syndrome, Aortic dissection, Radiology, Spiral computed tomography, Lumen (anatomy), Thickening, Aorta

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