By J. Regn, J. Ezrielev, R. Hupke, W. A. Kalender, K. Maatsch (auth.), Professor Dr. H. Pokieser, Professor Dr. G. Lechner (eds.)
In approximately all components of know-how our iteration is experiencing the phenomena of fast moving innovation and nice bursts in improvement. in addition to the thoroughly new concepts, the "experienced consumer" is astonished while evidently strong and appar ently matured expertise akin to the following to final iteration of CT apparatus undergoes extra improvement, corresponding to is the case with the spiral CT process. the big capability of spiral CT all of sudden grew to become obvious, stimulating and giving upward thrust to quite a lot of learn on its scientific program. another time we will be able to see within the box of imaging how nice advances in a single process competitively have an effect on the variety of program in one other. for this reason this can be very worthwhile and essential to appraise the present state of affairs now. either physicians - who use the apparatus - and the future health method and with this the sufferer - which funds it - have the duty and the ideal to everlasting optimization of the applying concepts of diagnostic systems. no longer least, this symposium additionally intended to slot the hot voice of spiral CT harmo niously into the symphonic rating of diagnostic techniques. the big radiodiagno stic division ofthe collage clinics which has been proven on the Neues All gemeines Krankenhaus in Vienna, Austria, is proud to have together prepared this person symposium with Siemens.
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Additional resources for Advances in CT III: 3rd European Scientific User Conference SOMATOM PLUS Vienna, April 1994
Napel S, Marks MP, Rubin GD, Dake MD, McDonnell ChH, Song SM, Enzmann DR, Jeffrey RB (1992) CT Angiography with Spiral CT and Maximum Intensitiy Projection. Radiology 185: 607 -610 9. Prokop M, Schaefer C, Kalender WA, Polacin A, Galanski M (1993) GefaBdarstellungen mit Spiral-CT. Radiologe 33: 694-704 10. Rubin GD, Dake MD, Napel SA, McDonell ChH, Jeffrey RB (1993) Three-dimensional Spiral CT Angiography of the Abdomen: Initial Clinical Experience. Radiology 186 : 147-152 Acute and Chronic Aortic Dissections: Evaluation with Spiral CT Angiography Introduction Aortic dissection is caused by an intimal tear (entry) of various location and extension.
During this period, there were also rapid developments in oesophageal ultrasound (both transthoracic and transoesophageal) and magnetic resonance imaging (MRl). Transoesophageal ultrasound (TOE), in experienced hands, is an extremely accurate technique in the diagnosis of aortic dissection (Khandheria 1992). The flap can be demonstrated in real-time and there are few confusing artefacts. In particular the all important relationship between the flap and the aortic root can be well demonstrated. The only drawbacks are blind sports related to interposition of the trachea for the anterior aortic arch and that not all centres have experienced operators available on a 24-h basis.
Koehler et al. Results With respect to the presence of dissection, the supraaortic arteries could be assessed in 80/87 thoracic examinations (92 %). Failure was either due to improper timing of the contrast bolus or a too narrow scan range in three cases (3 %) each, but diminished considerably with increasing experience of the investigators. In one case (1 %) the scan was prematurely aborted. In 8/69 patients (12 %) variants of the origin ofthe supraaortic arteries were found: a short common origin of the brachiocephalic trunc and left common carotid artery was seen in five patients, an aortic origin of the left vertebral artery and a retrooesophageal right subclavian artery could be demonstrated in one patient each.
Advances in CT III: 3rd European Scientific User Conference SOMATOM PLUS Vienna, April 1994 by J. Regn, J. Ezrielev, R. Hupke, W. A. Kalender, K. Maatsch (auth.), Professor Dr. H. Pokieser, Professor Dr. G. Lechner (eds.)