Comprehensive evaluation of patients with suspected renal hypertension using MDCT: from protocol to interpretation.
OBJECTIVE
The objectives of this article are to, first, describe the reasons for and details of the MDCT protocol for patients with suspected renal hypertension; second, explain the importance of comprehensive evaluation by MDCT in patients with suspected renal hypertension; third, review the image appearances of important conditions that may be encountered in the reader's clinical practice; and, fourth, explain what information should be included in a comprehensive MDCT report for patients with suspected renal hypertension.


CONCLUSIONS
MDCT is widely used for renal artery evaluation in patients with resistant hypertension. Because the regions outside the renal arteries might also have diseases that contribute to the symptoms, a comprehensive interpretation including the renal arteries, renal parenchyma, adrenal glands, and scanned abdomen is very important. The scanning parameters should be adjusted according to the patient's body habitus because some patients with suspected renal hypertension are children or young women. In this article, cases with illustrations showing the process from protocol to interpretation are provided.
Tsai
I-Chen
IC
Department of Radiology, Taichung Veterans General Hospital, No. 160 Sec. 3 Taichung Harbor Road, Taichung 407, Taiwan, ROC. sillyduck.radiology@gmail.com
Chen
Min-Chi
MC
Lee
Wen-Lieng
WL
Lin
Pao-Chun
PC
Tsai
I-Tzun
IT
Liao
Wan-Chun
WC
Chen
Clayton Chi-Chang
CC
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000792:Angiography / Q000379:methods; D002648:Child; D003287:Contrast Media; D005260:Female; D006801:Humans; D006978:Hypertension, Renovascular / Q000000981:diagnostic imaging*; D021621:Imaging, Three-Dimensional; D008297:Male; D008875:Middle Aged; D011857:Radiographic Image Interpretation, Computer-Assisted; D014057:Tomography, X-Ray Computed / Q000379:methods*
D003287:Contrast Media