MDCT Compared with Digital Subtraction Angiography for Assessment of Lower Extremity Arterial Occlusive Disease: Importance of Reviewing Cross-Sectional Images

Hideki Otal, Kei Takasel, Kazumasa Igarashi, Yoshihiro Chiba, Kenichi Haga, Haruo Saito, Shoki Takahashi

Research output: Contribution to journalArticlepeer-review

159 Citations (Scopus)

Abstract

OBJECTIVE. The aim of our study was to evaluate the efficacy of MDCT angiography in the assessment of lower limb peripheral arterial occlusive disease. MATERIALS AND METHODS. Twenty-four patients (representing 27 cases) with symptomatic lower extremity peripheral arterial occlusive disease underwent both MDCT angiography and digital subtraction angiography of the aortoiliac and lower extremity arteries. For data analysis, the arterial system was divided into 10 segments. Each segment was classified as normal, mildly stenotic, moderately stenotic, severely stenotic, or occluded. In evaluating MDCT angiographic findings, cross-sectional images were mainly observed by scrolling. The diagnostic accuracy of MDCT angiography was determined, using digital subtraction angiography as the standard reference. The extent of calcification in each segment was also assessed on MDCT angiography and was classified as absent, mildly calcified, or severely calcified. RESULTS. Of the 480 segments studied, 470 were assessable on both digital subtraction angiography and MDCT angiography. On digital subtraction angiography, 142 stenoocclusive segments (20 mildly stenotic, 14 moderately stenotic, 25 severely stenotic, and 83 occluded) were detected. With regard to the detection of segments that had more than mild stenosis, the sensitivity, specificity, and accuracy of MDCT angiography were 99.2%, 99.1%, and 99.1%, respectively. In the 421 noncalcified and mildly calcified segments, the sensitivity, specificity, and accuracy of MDCT angiography for the detection of more-than-mild stenosis were 100%, 100%, and 100%, respectively. CONCLUSION. MDCT angiography is a reliable method for evaluating the aortoiliac and lower extremity arteries.

Original languageEnglish
Pages (from-to)201-209
Number of pages9
JournalAmerican Journal of Roentgenology
Volume182
Issue number1
DOIs
Publication statusPublished - 2004 Jan

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

Fingerprint

Dive into the research topics of 'MDCT Compared with Digital Subtraction Angiography for Assessment of Lower Extremity Arterial Occlusive Disease: Importance of Reviewing Cross-Sectional Images'. Together they form a unique fingerprint.

Cite this