COMPUTED TOMOGRAPHY ANGIOGRAPHY

-SREEJITH V( M.Tech In BIOMEDICAL AND INSTRUMENTATION)

INTRODUCTION IMAGE MODALITY

o A computed tomography angiogram (CT angiogram) is a test that uses X-rays to
CT
provide detailed pictures of the heart and the blood vessels that go to the heart, lung,
brain, kidneys, head, neck, legs, and arms.
 A computerized tomography scan (CT or CAT scan) uses computers and rotating X-ray
o It uses an injection of a special dye to produce pictures of blood vessels and tissues in a machines to create cross-sectional images of the body.
part of your body. The dye is injected through an intravenous (IV) line started in your
 The contrast material injected in blood vessels blocks X-rays and appears white on the
arm or hand.
images, allowing it to highlight the organs to be examined.

 The X-ray machine will rotate around the patient lying on the table. Each rotation
produces numerous images of thin slices of your body.

Bolus tracking in the use of imaging an Axial and coronal view of abdominal CT angiography
abdominal aortic aneurysm

WHY IT IS DONE?
CT angiography reconstructed maximum intensity (A)
 To find an aneurysm (a blood vessel that has become
enlarged and may be in danger of rupturing)
and volume rendered (B)

 To find blood vessels that have become narrowed by plaques.

RISK INVOLVED

 An allergic reaction to the dye (contrast material). But this is rare, and most reactions
 To find abnormal blood vessel formations inside your brain.
are mild and can be treated with medicine.

 To identify blood vessels damaged by injury.  Kidney problems: The dye used during the test can cause kidney damage in people
whose kidneys don't work well.
 To find blood clots that may have formed in
your leg veins and travelled into your lungs.  For a diabetic person, the dye may cause problems.
PROS CONS
 NON INVASIVE TECHNIQUE  LONG BEDREST AFTER THE PROCEDURE
 EASY ACCESSIBILITY  USES IONIZING RADIATION
 QUICK EXAMINATION  LIMITED USE IN PATIENTS ALLERGIC TO DYE AND
IN RENAL FAILURE
TYPES OF CTA
INFINIX-i 4D CT
Coronary CT angiography Aorta and great arteries
Coronary CT angiography (CCTA) is the use of CT angiography to assess CTA can be used in the chest and abdomen to identify aneurysms in the  Infinix-i 4D CT incorporates Canon Medical Systems' award winning angiography and
the arteries of the heart. The patient receives an intravenous injection of aorta or other major blood vessels. These areas of weakened blood vessel
contrast and then the heart is scanned using a high speed CT scanner. walls that bulge out can life-threatening if they rupture. CT capabilities in the same space.

 Improve visualization and device manipulation

 Offer anatomical and functional information

 Eliminate patient transfer

CTPA Renal Arteries

CT pulmonary angiogram (CTPA) is used to examine the clot in the Visualization of blood flow in the renal arteries (those supplying the
lungs. kidneys) in patients with high blood pressure and those suspected of
having kidney disorders can be performed using CTA.

CTPA showing pulmonary embolism Volume rendered CTA of renal arteries in patient with medial fibromuscular
dysplasia

Brain CTA Peripheral Arteries

CTA can be used assess acute stroke patients by identifying clots in the CTA can be used in the legs to detect atherosclerotic disease that has
arteries of the brain. narrowed the arteries.

CTA of a vascular malformation with intraventricular haemorrhage

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