Burris Nicholas S, Marway Prabhvir S, Jorge Carlos Alberto Campello
Department of Radiology, University of Michigan, Ann Arbor, Michigan.
Semin Intervent Radiol. 2024 Dec 9;41(6):536-546. doi: 10.1055/s-0044-1800823. eCollection 2024 Dec.
Imaging plays a central role in the management of patients with aortic disease. Such imaging can be made particularly complex by changing terminology and definitions, overlapping pathologies, and unfamiliarity with evolving endovascular treatment approaches. This article will review basic principles of aortic imaging that can be applied across a variety of settings and pathologies, with a description of key best practices and potential pitfalls for image acquisition, diagnostic assessment, and reporting. Additionally, the topic of imaging in the setting of endovascular aortic repair will be addressed, as well as a variety of imaging-related diagnostic challenges in the setting of chronic aortic dissection, including surgically repaired type A and uncomplicated type B dissections. Finally, recent developments in advanced aortic imaging will be highlighted with descriptions of several areas of promising research that may yield significant advances in imaging of aortic disease.
影像学在主动脉疾病患者的管理中起着核心作用。由于术语和定义的变化、病理情况的重叠以及对不断发展的血管内治疗方法的不熟悉，这种影像学检查可能会变得特别复杂。本文将回顾主动脉影像学的基本原则，这些原则可应用于各种情况和病理类型，并描述图像采集、诊断评估和报告的关键最佳实践及潜在陷阱。此外，还将讨论血管内主动脉修复情况下的影像学主题，以及慢性主动脉夹层情况下各种与影像学相关的诊断挑战，包括外科修复的A型和未并发的B型夹层。最后，将重点介绍主动脉高级影像学的最新进展，并描述几个有前景的研究领域，这些领域可能会在主动脉疾病的影像学方面取得重大进展。
