The value of MDCT in diagnosis of splenic artery aneurysms.
OBJECTIVE
To evaluate the clinical value of multiple detector computed tomography (MDCT) in the diagnosis and planning the treatment of splenic aneurysms.


METHODS
Eight cases with splenic artery aneurysms (SAA) were retrospectively reviewed. Sixty four-slice spiral CT scans were performed. Intravenous contrast material was injected at 4ml/s, and arterial and venous phase images were obtained. Subsequently, arterial phase images were analyzed and made for CT angiography. The diagnosis was made by using axial and reconstructive images. All of the patients were also performed Doppler color echocardiography.


RESULTS
All patients showed splenic artery and splenic artery aneurysms clearly with CT arterial phase images. Among them, six patients had splenic artery aneurysms, one had giant splenic artery aneurysms (GSAA) and one had splenic artery pseudoaneurysms. Ultrasound examination only diagnosed six of them.


CONCLUSIONS
MDCT is a noninvasive and valuable method in diagnosis of splenic artery aneurysms and has high value in determination of treatment plan.
Sun
Cong
C
Shandong University, Shandong Provincial Medical Imaging Institute, Road jing-wu No. 324, Jinan, Shandong 250021, PR China. suncong03@163.com
Liu
Cheng
C
Wang
Xi-Ming
XM
Wang
Dao-Ping
DP
D000328:Adult; D000783:Aneurysm / Q000000981:diagnostic imaging* / Q000628:therapy; D003287:Contrast Media; D004621:Embolization, Therapeutic; D005260:Female; D006801:Humans; D007472:Iohexol; D008297:Male; D008875:Middle Aged; D011857:Radiographic Image Interpretation, Computer-Assisted; D013157:Splenic Artery; D014057:Tomography, X-Ray Computed / Q000379:methods*; D016896:Treatment Outcome; D018615:Ultrasonography, Doppler, Color
D003287:Contrast Media; D007472:Iohexol