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Education Exhibit |
1 From the Russell H. Morgan Department of Radiology and Radiological Science, Johns Hopkins University, 601 N Caroline St, Rm 3254, Baltimore, MD 21287. Presented as an education exhibit at the 2000 RSNA scientific assembly. Received January 24, 2001; revision requested February 20 and received March 9; accepted March 16. Address correspondence to E.K.F. (e-mail: efishman@jhmi.edu).
Multi–detector row computed tomography (CT) with three-dimensional (3D) volume rendering provides a unique perspective on thoracic anatomy and disease. Multi–detector row CT allows shorter acquisition times, greater coverage, and superior image resolution. Three-dimensional volume rendering now permits real-time, interactive modification of relative pixel attenuation in an infinite number of planes and projections. In vascular imaging, this technique provides image quality that equals or surpasses that of conventional angiography. Its use has expanded to aid in diagnosis and surgical planning, often obviating conventional or digital angiography and reducing costs. It is reliable in depicting clot and the pulmonary vasculature and may also be used to evaluate thoracic venous anomalies (eg, pulmonary arteriovenous malformations) and to plan therapy. Airway imaging with multi–detector row CT with 3D volume rendering is particularly useful in the planning and follow-up of stent placement. In diffuse lung disease, this technique can increase nodule detection and help differentiate between small nodules and vessels. It is also helpful in imaging the musculoskeletal system and the thoracic cage. Multi–detector row CT with 3D volume rendering has enhanced the conventional roles of thoracic CT and challenged the supremacy of other imaging modalities. It will likely play a leading role in future radiologic research and practice.
Index Terms: Computed tomography (CT), angiography, 56.12116, 56.12117 • Computed tomography (CT), clinical effectiveness • Computed tomography (CT), image processing, 474.12117, 56.12117, 60.12117 • Computed tomography (CT), volume rendering, 474.12117, 56.12117, 60.12117 • Thorax, anatomy, **.922 • Thorax, CT, 474.12116, 474.12117, 56.12116, 56.12117, 60.12116, 60.12117
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