Abdominal findings in hereditary hemorrhagic telangiectasia: Pictorial essay on 2D and 3D findings with isotropic multiphase CT

Hassan Siddiki, Michael G. Doherty, Joel G. Fletcher, Anthony W. Stanson, Terri J. Vrtiska, David M. Hough, Jeff L. Fidler, Cynthia H. McCollough, Karen L. Swanson

Research output: Contribution to journalArticle

42 Scopus citations

Abstract

The rapid evolution in multidetector computed tomographic (CT) technology has produced improvements in temporal and spatial resolution, leading to greater recognition of the spectrum of abdominal findings in hereditary hemorrhagic telangiectasia (HHT). In this multisystem vascular disorder, the abdominal findings are predominantly within the liver. Hepatic vascular lesions in HHT range from tiny telangiectases to transient perfusion abnormalities and large confluent vascular masses. Focal hepatic lesions are often associated with arteriovenous, arterioportal, or portovenous shunts. Pancreatic, splenic, and other vascular abnormalities are also observed because they are included in the field of view. By taking advantage of the increased z-axis spatial resolution and faster scanning times, and by using a bolus tracking technique, multiphase CT can be used to identify hepatic and extrahepatic lesions in HHT and to characterize the associated vascular shunts. Coronal maximum intensity projection images are particularly helpful in depiction of small hepatic vascular lesions.

Original languageEnglish (US)
Pages (from-to)171-183
Number of pages13
JournalRadiographics
Volume28
Issue number1
DOIs
StatePublished - Jan 1 2008

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

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