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Title

MORPHOLOGIC EVALUATION OF DUCTUS DIVERTICULUM USING MULTI - DETECTOR COMPUTED TOMOGRAPHY: COMPARISON WITH TRAUMATIC PSEUDOANEURYSM OF THE AORTIC ISTHMUS

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Abstract

 Objectives: To evaluate morphologic variations at the aortic isthmus with particular attention to DUCTUS DIVERTICULUM, a mimicker of TRAUMAtic pseudoaneurysm, and to describe differences using Computed TOMOGRAPHY (CT) images.Patients and Methods: From December 2013 to December 2014, patients who underwent a chest CT examination after blunt TRAUMA at our emergency department were included. Aortic isthmus morphologies were evaluated using multiplanar reconstruction (MPR) and maximum intensity projection (MIP) images as follows. Type I -concave contour, type II -convexity without a discrete bulge, or type III -a discrete focal bulge (defined as DUCTUS DIVERTICULUM).Results: After excluding 11 cases of TRAUMAtic pseudoaneurysm of the aortic isthmus, a total of 432 TRAUMA patients (mean age=47.1±19.1 years, number of males=318) were evaluated for aortic isthmus morphology, and classified as follows; type I (n=240, 55.6%), type II (n=157, 36.3%), and type III (n=35, 8.1%). As compared with TRAUMAtic pseudoaneurysm (n=11), DUCTUS DIVERTICULUM had a smaller vertical diameter (5.5±1.3mmvs.11.2 ±2.7 mm, P<0.001), a broader base (14.9±4.1mmvs.8.8±4.5 mm, P<0.001), a smoother margin (97.1% vs.27.3%, P<0.001), and formed obtuse angle with the aortic wall. Furthermore, DUCTUS DIVERTICULUM was not associated with the presence of a dissection flap or hemomediastinum.Conclusion: DUCTUS DIVERTICULUM, a mimicker of TRAUMAtic pseudoaneurysm of the aortic isthmus, is a frequently observed anatomic variant during CT examinations. Familiarity with its CT imaging findings could avoid it being confused with TRAUMAtic pseudoaneurysm in blunt TRAUMA patients.

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    APA: Copy

    ANN, JUN HYUNG, YOUNG KIM, EUN, JEONG, YU MI, KIM, JEONG HO, KIM, HYUNG SIK, & CHOI, HYE YOUNG. (2016). MORPHOLOGIC EVALUATION OF DUCTUS DIVERTICULUM USING MULTI - DETECTOR COMPUTED TOMOGRAPHY: COMPARISON WITH TRAUMATIC PSEUDOANEURYSM OF THE AORTIC ISTHMUS. IRANIAN JOURNAL OF RADIOLOGY, 13(4), 0-0. SID. https://sid.ir/paper/284461/en

    Vancouver: Copy

    ANN JUN HYUNG, YOUNG KIM EUN, JEONG YU MI, KIM JEONG HO, KIM HYUNG SIK, CHOI HYE YOUNG. MORPHOLOGIC EVALUATION OF DUCTUS DIVERTICULUM USING MULTI - DETECTOR COMPUTED TOMOGRAPHY: COMPARISON WITH TRAUMATIC PSEUDOANEURYSM OF THE AORTIC ISTHMUS. IRANIAN JOURNAL OF RADIOLOGY[Internet]. 2016;13(4):0-0. Available from: https://sid.ir/paper/284461/en

    IEEE: Copy

    JUN HYUNG ANN, EUN YOUNG KIM, YU MI JEONG, JEONG HO KIM, HYUNG SIK KIM, and HYE YOUNG CHOI, “MORPHOLOGIC EVALUATION OF DUCTUS DIVERTICULUM USING MULTI - DETECTOR COMPUTED TOMOGRAPHY: COMPARISON WITH TRAUMATIC PSEUDOANEURYSM OF THE AORTIC ISTHMUS,” IRANIAN JOURNAL OF RADIOLOGY, vol. 13, no. 4, pp. 0–0, 2016, [Online]. Available: https://sid.ir/paper/284461/en

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