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British Journal of Radiology (1996) 69, 900-905
© 1996 British Institute of Radiology
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The British Journal of Radiology, Vol 69, Issue 826 900-905, Copyright © 1996 by British Institute of Radiology

ARTICLES

Fast CT for aortic dissection

JH Small, AK Dixon, RA Coulden, CD Flower and BA Housden
Department of Radiology, Addenbrooke's Hospital NHS Trust, UK.

Results were evaluated in 81 patients with suspected acute aortic dissection who were examined on a fast CT system capable of a 1 s data acquisition time. 17 patients had Type A and nine had Type B dissections. Radiological assessment provided 78 confident reports and expressed some uncertainty about the diagnosis in three patients. Overall sensitivity for aortic dissection was 96.2% and specificity was 96.4%. When 78 confident reports alone were considered, both sensitivity and specificity reached 100%. Reconstruction of data at 100 ms intervals allowed discrimination between artefacts in the ascending aorta and Type A dissections. CT can often be used as the single investigation prior to surgery for acute Type A dissections.


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