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(Radiographics. 2001;21:373-386.)
© RSNA, 2001


EDUCATION EXHIBIT

Three-dimensional Volume-rendered CT Angiography of the Renal Arteries and Veins: Normal Anatomy, Variants, and Clinical Applications1

Bruce A. Urban, MD, 2, Lloyd E. Ratner, MD and Elliot K. Fishman, MD

1 From the Russell H. Morgan Department of Radiology and Radiological Science, Johns Hopkins Medical Institutions, 600 N Wolfe St, Baltimore, MD 21287. Presented as a scientific exhibit at the 1999 RSNA scientific assembly. Received March 14, 2000; revision requested April 14; revision received and accepted June 26. Address correspondence to E.K.F. (e-mail: efishman@jhmi.edu).

Three-dimensional volume-rendered computed tomographic (CT) angiography represents an increasingly important clinical tool that, in many institutions, is replacing conventional angiography in the depiction of normal vascular anatomy and the diagnosis of vascular disorders. Evaluation of conditions affecting the renal vasculature constitutes a major focus of volume-rendered CT angiography, which has documented utility for demonstrating both arterial and venous disease. Arterial disorders include renal artery stenosis, renal artery aneurysms, and dissection. Venous disorders include splenorenal shunts, thrombosis, and intravascular tumor extension. In addition, volume-rendered CT angiography accurately displays the normal and variant renal vascular anatomy, which is crucial to detect before surgery, especially partial nephrectomy and laparoscopic nephrectomy. CT angiography is also useful in the evaluation of the renal vasculature following renal transplantation. Familiarity with proper CT protocols and data acquisition techniques are crucial for accurate diagnosis.

Index Terms: Computed tomography (CT), angiography, 96.12916 • Computed tomography (CT), volume rendering, 96.12916 • Kidney, CT, 81.12916 • Renal angiography, 96.12916




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