Vascular imaging of the mesenteric vasculature
Abstract
Imaging of the mesenteric vasculature is crucial in diagnosing vascular disease of the gastro-intestinal tract such as acute or chronic mesenteric ischemia caused by arterial stenosis, embolism or thrombosis, mesenteric vein thrombosis and mesenteric aneurysm or dissection. The reference standard for imaging of the mesenteric vasculature is digital subtraction angiography. However, modalities as duplex ultrasonography, computed tomography angiography and magnetic resonance angiography are developing rapidly and may provide accurate imaging non-invasively. This review provides an up-to-date overview of the anatomic resolution, clinical application, emerging techniques and future perspectives of these four radiological modalities for imaging of the mesenteric vasculature.
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MRA allows assessment of the perivessel tissue and dynamic studies, e.g., during inspiration and expiration.
“MRA also allows assessment of the perivessel tissue and dynamic studies, e.g., during inspiration and expiration. 19”
Peak systolic velocity and end diastolic velocity are used to quantify stenoses of the CA and SMA.
“Peak systolic velocity (PSV) and end diastolic velocity (EDV) are used to quantify stenoses of the CA and SMA. 19”
CTA findings of localised narrowing, post-stenotic dilatation, and absence of atherosclerotic plaques can support the diagnosis of MALS.
“The CTA findings of localised narrowing, mostly only occurring in the expiratory phase, with post-stenotic dilatation and the absence of atherosclerotic plaques can support the diagnosis of MALS. 19”
CTA with 3D reformatting provides excellent reconstructions of the mesenteric arteries, and the sensitivity and specificity approaches 100% for the diagnosis of MAOD.
“With 3D reformatting of arterial phase 0.75 mm axial slices that yields isotropic imaging, CTA can provide excellent reconstructions of the mesenteric arteries, and the sensitivity and specificity approaches 100% for the diagnosis of MAOD. 19,30”
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- Authors
- van Dijk, L. J. D., van Petersen, A. S., & Moelker, A.
- Affiliations
- Erasmus MC (NL)
- ORCID
- Moelker, Adriaan
- Venue
- Best Practice & Research Clinical Gastroenterology
- Publisher
- Elsevier BV
- Published
- 2017-02
- Volume
- 31
- Issue
- 1
- Pages
- 3-14
- ISSN
- 1521-6918 (ISSN-L)
- OpenAlex
- W2569611542
- Cited by
- 30
- References
- 0
- Citations by year
- 2026: 3 · 2025: 3 · 2024: 3 · 2023: 4 · 2022: 3 · 2021: 4 · 2020: 5 · 2019: 1 · 2018: 4
- FWCI
- 0.58
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Best Practice & Research Clinical Gastroenterology (publishedVersion)
- PubMed (publishedVersion)
- EUR Research Repository (Erasmus University Rotterdam) (submittedVersion)
- Funders
- Erasmus+
- Topics
- Health Sciences › Medicine › Surgery › Abdominal vascular conditions and treatments
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Renal and Vascular Pathologies
- Health Sciences › Medicine › Surgery › Vascular anomalies and interventions
- Keywords
- mesenteric vasculature, mesenteric ischemia, mesenteric artery stenosis, mesenteric embolism, mesenteric thrombosis, mesenteric vein thrombosis, digital subtraction angiography, duplex ultrasound, CT angiography, magnetic resonance angiography, noninvasive vascular imaging
- MeSH terms
- Humans, Ischemia, Tomography, X-Ray Computed, Mesenteric Ischemia
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