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Indirect CT venography following CT pulmonary angiography: spectrum of CT findings.

Publication ,  Journal Article
Ciccotosto, C; Goodman, LR; Washington, L; Quiroz, FA
Published in: J Thorac Imaging
January 2002

Pulmonary embolism (PE) and deep venous thrombosis (DVT) represent two manifestations of the same syndrome, venous thromboembolism. Contrast-enhanced computed tomography (CT) angiography is a practical, efficient alternative to conventional imaging for PE. Following the pulmonary examination, the inferior vena cava (IVC) and the iliac, femoral, and popliteal veins can be studied with CT without additional intravenous contrast administration. Indirect CT venography (CTV) after CT pulmonary angiography (CTPA) simplifies and shortens venous thromboembolism work-up. Initial studies indicate that CTV is comparable to ultrasound in the evaluation of femoral/popliteal DVT. CTV has the advantage of evaluating the iliac veins and inferior vena cava, vessels poorly seen on sonography and venography. Combining CTV with CTPA increases confidence in withholding treatment when results for both the pulmonary arteries and leg veins are negative and increases the diagnosis of venous thromboembolism by 25% over CTPA alone. This pictorial essay will review the normal venous anatomy, CTV technique, and the findings of acute and chronic DVT. Interpretive pitfalls and alternative diagnoses are also reviewed.

Duke Scholars

Published In

J Thorac Imaging

DOI

ISSN

0883-5993

Publication Date

January 2002

Volume

17

Issue

1

Start / End Page

18 / 27

Location

United States

Related Subject Headings

  • Venous Thrombosis
  • Tomography, X-Ray Computed
  • Sensitivity and Specificity
  • Pulmonary Embolism
  • Phlebography
  • Nuclear Medicine & Medical Imaging
  • Male
  • Humans
  • Femoral Vein
  • Female
 

Citation

APA
Chicago
ICMJE
MLA
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Ciccotosto, C., Goodman, L. R., Washington, L., & Quiroz, F. A. (2002). Indirect CT venography following CT pulmonary angiography: spectrum of CT findings. J Thorac Imaging, 17(1), 18–27. https://doi.org/10.1097/00005382-200201000-00002
Ciccotosto, Cesario, Lawrence R. Goodman, Lacey Washington, and Francisco A. Quiroz. “Indirect CT venography following CT pulmonary angiography: spectrum of CT findings.J Thorac Imaging 17, no. 1 (January 2002): 18–27. https://doi.org/10.1097/00005382-200201000-00002.
Ciccotosto C, Goodman LR, Washington L, Quiroz FA. Indirect CT venography following CT pulmonary angiography: spectrum of CT findings. J Thorac Imaging. 2002 Jan;17(1):18–27.
Ciccotosto, Cesario, et al. “Indirect CT venography following CT pulmonary angiography: spectrum of CT findings.J Thorac Imaging, vol. 17, no. 1, Jan. 2002, pp. 18–27. Pubmed, doi:10.1097/00005382-200201000-00002.
Ciccotosto C, Goodman LR, Washington L, Quiroz FA. Indirect CT venography following CT pulmonary angiography: spectrum of CT findings. J Thorac Imaging. 2002 Jan;17(1):18–27.

Published In

J Thorac Imaging

DOI

ISSN

0883-5993

Publication Date

January 2002

Volume

17

Issue

1

Start / End Page

18 / 27

Location

United States

Related Subject Headings

  • Venous Thrombosis
  • Tomography, X-Ray Computed
  • Sensitivity and Specificity
  • Pulmonary Embolism
  • Phlebography
  • Nuclear Medicine & Medical Imaging
  • Male
  • Humans
  • Femoral Vein
  • Female