Multislice CT in the pre- and postinterventional evaluation of mesenteric perfusion.

Abstract

Multislice computed tomography angiography (CTA) has been found feasible for the evaluation of visceral vasculature. The development of multislice technology has overcome past limitations. First, the faster scanning speed increases volume coverage during a single breath-hold and improves the exploitation of contrast medium. Second, the better spatial resolution results in nearly isotropic voxels allowing reconstruction of high-resolution three-dimensional images with different algorithms. Volume rendering is capable of displaying the visceral vasculature from any external vantage point. Compared to conventional angiography, CTA not only delineates vessels but also depicts the anatomical relationship to adjacent structures and allows the evaluation of perfused organs. CTA also has become an emerging tool for the pre- and postinterventional assessment of vascular anatomy. The purpose of this pictorial essay is to present a spectrum of visceral vascular diseases and interventional and surgical therapies, and to highlight the role of postprocessing for their evaluation.