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RadioGraphics Podcasts | RSNA

Chest CTA for acute aortic syndromes

Jul 25, 2023
Chest imaging expert Elliott Kirk Gozansky discusses the importance of aortic wall layers, classification guidelines for acute aortic syndromes, benefits of chest CTA, distinguishing penetrating atherosclerotic ulcers, and surgical techniques for circumferential aortic dissection.
19:02

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Quick takeaways

  • Understanding the histology of the aorta and the three primary layers is crucial in chest CT angiography for acute aortic pathologic conditions.
  • Differentiating between aortic dissection, intramural hematoma, penetrating atherosclerotic ulcer, and other acute aortic diseases can be challenging but is essential for accurate diagnosis.

Deep dives

Understanding Aortic Pathology and Classification

This podcast episode provides an overview of chest CT and geography for acute aortic pathologic conditions. The episode emphasizes the importance of understanding the histology of the aorta and the three primary layers: intima, media, and adventitia. It also discusses the Stanford classification for aortic dissection, highlighting the differences between type A and type B dissections. Additionally, the episode explores the logistics of CT angiogram acquisitions, including the use of non-contrast imaging and contrast-enhanced scans with various triggering methods.

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