title: Abdominal findings in hereditary hemorrhagic telangiectasia: pictorial essay on 2D and 3D findings with isotropic multiphase CT.
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.
authors.affiliation: Department of Radiology, Mayo Clinic, 200 First St SW, Rochester, MN 55905, USA.
authors.forename: Hassan
authors.initials: H
authors.lastname: Siddiki
authors.forename: Michael G
authors.initials: MG
authors.lastname: Doherty
authors.forename: Joel G
authors.initials: JG
authors.lastname: Fletcher
authors.forename: Anthony W
authors.initials: AW
authors.lastname: Stanson
authors.forename: Terri J
authors.initials: TJ
authors.lastname: Vrtiska
authors.forename: David M
authors.initials: DM
authors.lastname: Hough
authors.forename: Jeff L
authors.initials: JL
authors.lastname: Fidler
authors.forename: Cynthia H
authors.initials: CH
authors.lastname: McCollough
authors.forename: Karen L
authors.initials: KL
authors.lastname: Swanson
mesh_terms: D006801:Humans; D021621:Imaging, Three-Dimensional / Q000379:methods*; D017410:Practice Guidelines as Topic; D010818:Practice Patterns, Physicians'; D011856:Radiographic Image Enhancement / Q000379:methods*; D011860:Radiography, Abdominal / Q000379:methods*; D013683:Telangiectasia, Hereditary Hemorrhagic / Q000000981:diagnostic imaging*; D014057:Tomography, X-Ray Computed / Q000379:methods*