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1

Multidetector computed tomography findings of an asymptomatic levoatrial cardinal vein with an interatrial course

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Genc B., Solak A., Sahin N., Gur S., Ozturk A., Kalaycioglu S.
Folia Morphologica
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2013
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tom 72
|
nr 3
A 57-year-old female patient with a family history of coronary artery disease admitted to our hospital for the coronary check-up. A coronary angiography was performed with ECG-gated 128 slice dual source computed tomography. Multidetector computed tomography (MDCT) showed, in addition to the normal coronary arteries, a persistent levoatrial cardinal vein (LCV) draining into vena cava superior. ECG-gated cardiac MDCT is a useful tool showing the origin, course, and drainage site of LCV. (Folia Morphol 2013; 72, 3: 274–277)
2

Radiological evaluation of the styloid process length in the normal population

100%
Cullu N., Deveer M., Sahan M., Tetiker H., Yilmaz M.
Folia Morphologica
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2013
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tom 72
|
nr 4
Background: The aim of this study was to evaluate the styloid process (SP) length in the normal population using multidetector computed tomography (MDCT). Materials and methods: In this study, 160 patients who underwent paranasal MDCT between January 2012 and December 2012 were retrospectively evaluated. The patients were divided into groups according to their age and gender: Group 1 age 31–40 years old, 111 subjects; Group 2 age 41–50 years old, 49 subjects; Group A 98 males; Group B 62 females. The mean SP length was calculated from the mean of 2 measurements. SPs were assessed for their average lengths in different gender and age groups. Student’s t-test was used for the comparison of the mean SP lengths between the groups. Differences were considered to be statistically significant at p < 0.05. Results: The mean SP length on both sides varied from 18 to 51 mm (28.4 ± 5.5) in all the patients. The mean SP length was 27.2 ± 5.2 mm in females and 29.2 ± 5.6 mm in males. There was a statistically significant difference between the mean SP lengths in terms of gender (p < 0.028). The mean SP length was 28.5 ± 5.7 mm in Group 1 and 28.2 ± 5.1 mm in Group 2. There was no statistically significant difference between the mean SP lengths in terms of age (p > 0.718). Conclusions: In conclusion, there is still no consensus on the normal values of SP length. Normal values should be determined according to the geographical regions and ethnic groups for the diagnosis of Eagle’s syndrome. (Folia Morphol 2013; 72, 4: 318–321)
3

The utility of multidetector computed tomography for evaluation of congenital heart disease

100%
Bayraktutan U., Kantarci M., Ogul H., Kizrak Y., Pirimoglu B., Genc B., Yuceler Z., Ceviz N.
Folia Morphologica
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2013
|
tom 72
|
nr 3
Background: Congenital heart diseases (CHD) are the leading cause of birth defect-related deaths. Multidedector computed tomography (MDCT) plays an important role for imaging CHD in addition to echocardiography and provides a comprehensive evaluation of complex heart malformations for the referring cardiologist. The aim of the study was to evaluate the utility of MDCT in the assessment of CHD. Materials and methods: A 102 patients with CHD were investigated after initial assessment by echocardiography. The information obtained by MDCT and findings of echocardiography were reviewed together by paediatric cardiologists and cardiac radiologists. Perioperative anatomic descriptions, wherever available (n = 34) formed the gold standard for the comparison. Results: The clinical consensus diagnosis defined 154 cardiovascular lesions in the patients. The results were classified in groups. We present the appearance of various congenital cardiac lesions seen in clinical practice. Conclusions: MDCT provides important information about anatomic details of CHD for the referring cardiologist. The evaluation of different anatomic structures such as heart, great vessels, lungs and abdomen is possible in one acquisition with this technique. (Folia Morphol 2013; 72, 3: 188–196)
4

Myocardial bridging and coronary artery anomalies detected by ECG-gated 64-row multidetector computed tomography angiography in symptomatic patients

67%
Javadrashid R., Tarzamni M. K., Aslanabadi N., Ghaffari M., Salehi A., Sorteji K.
Folia Morphologica
|
2009
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tom 68
|
nr 4
201-206
Advances in 64-row multidetector computed tomography have provided noninvasive imaging of coronary arteries. The aim of this study was to evaluate the prevalence of coronary artery anomalies in Iranian symptomatic patients and to determine the presence of anomalies resulting in myocardial ischaemia without atherosclerotic plaque. This study was carried out in Tabriz University of medical sciences on 534 patients with suggestive symptoms for coronary artery diseases. Original slices were reconstructed from data achieved by using a ECG-gated multidetector computed tomography scanner, and reconstructed 3-dimentional images of the heart were reviewed. Congenital angiography was performed in 36.3% of patients. The prevalence of myocardial bridging in symptomatic patients was 6.0% by multidetector computed tomography while conventional angiography could detect 20% of them. The most prevalent site was the middle portion of the left anterior descending artery. Anomalous origin or course of coronary arteries and AV fistula was detected by multidetector computed tomography coronary angiography in 2.6% of cases while conventional angiography could detect 44.4% of these anomalies. The prevalence of atherosclerotic plaques in patients with myocardial bridging was 53.1%. In 46.9% of these patients, myocardial bridging was held responsible for signs and symptoms of myocardial ischaemia as no atherosclerotic plaque was evident. This rate was 64.3% in symptomatic patients with other anomalies in origin or course of coronary arteries. This study gives the prevalence of coronary artery anomalies and myocardial bridging in the Iranian population. The results suggest multidetector computed tomography coronary angiography as the preferred utility for diagnosing such anomalies. (Folia Morphol 2009; 68, 4: 201–206)
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