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Imaging in Vascular Access

Murphy, Eoin A. ; Ross, Rose A. ; Jones, Robert G. ; Gandy, Stephen J. ; Aristokleous, Nicolas LU orcid ; Salsano, Marco ; Weir-McCall, Jonathan R. ; Matthew, Shona and Houston, John Graeme (2017) In Cardiovascular Engineering and Technology 8(3). p.255-272
Abstract

This review examines four imaging modalities; ultrasound (US), digital subtraction angiography (DSA), magnetic resonance imaging (MRI) and computed tomography (CT), that have common or potential applications in vascular access (VA). The four modalities are reviewed under their primary uses, techniques, advantages and disadvantages, and future directions that are specific to VA. Currently, US is the most commonly used modality in VA because it is cheaper (relative to other modalities), accessible, non-ionising, and does not require the use of contrast agents. DSA is predominantly only performed when an intervention is indicated. MRI is limited by its cost and the time required for image acquisition that mainly confines it to the realm of... (More)

This review examines four imaging modalities; ultrasound (US), digital subtraction angiography (DSA), magnetic resonance imaging (MRI) and computed tomography (CT), that have common or potential applications in vascular access (VA). The four modalities are reviewed under their primary uses, techniques, advantages and disadvantages, and future directions that are specific to VA. Currently, US is the most commonly used modality in VA because it is cheaper (relative to other modalities), accessible, non-ionising, and does not require the use of contrast agents. DSA is predominantly only performed when an intervention is indicated. MRI is limited by its cost and the time required for image acquisition that mainly confines it to the realm of research where high resolution is required. CT’s short acquisition times and high resolution make it useful as a problem-solving tool in complex cases, although accessibility can be an issue. All four imaging modalities have advantages and disadvantages that limit their use in this particular patient cohort. Current imaging in VA comprises an integrated approach with each modality providing particular uses dependent on their capabilities. MRI and CT, which currently have limited use, may have increasingly important future roles in complex cases where detailed analysis is required.

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author
; ; ; ; ; ; ; and
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Arteriovenous fistula, Computed tomography, Digital subtraction angiography, Magnetic resonance imaging, Medical imaging, Ultrasound, Vascular access
in
Cardiovascular Engineering and Technology
volume
8
issue
3
pages
18 pages
publisher
Springer
external identifiers
  • scopus:85028385092
  • pmid:28707187
ISSN
1869-408X
DOI
10.1007/s13239-017-0317-y
language
English
LU publication?
no
id
a2fd4bb0-f91f-43a6-9086-c578577f46d4
date added to LUP
2019-05-14 09:27:42
date last changed
2024-03-19 07:06:14
@article{a2fd4bb0-f91f-43a6-9086-c578577f46d4,
  abstract     = {{<p>This review examines four imaging modalities; ultrasound (US), digital subtraction angiography (DSA), magnetic resonance imaging (MRI) and computed tomography (CT), that have common or potential applications in vascular access (VA). The four modalities are reviewed under their primary uses, techniques, advantages and disadvantages, and future directions that are specific to VA. Currently, US is the most commonly used modality in VA because it is cheaper (relative to other modalities), accessible, non-ionising, and does not require the use of contrast agents. DSA is predominantly only performed when an intervention is indicated. MRI is limited by its cost and the time required for image acquisition that mainly confines it to the realm of research where high resolution is required. CT’s short acquisition times and high resolution make it useful as a problem-solving tool in complex cases, although accessibility can be an issue. All four imaging modalities have advantages and disadvantages that limit their use in this particular patient cohort. Current imaging in VA comprises an integrated approach with each modality providing particular uses dependent on their capabilities. MRI and CT, which currently have limited use, may have increasingly important future roles in complex cases where detailed analysis is required.</p>}},
  author       = {{Murphy, Eoin A. and Ross, Rose A. and Jones, Robert G. and Gandy, Stephen J. and Aristokleous, Nicolas and Salsano, Marco and Weir-McCall, Jonathan R. and Matthew, Shona and Houston, John Graeme}},
  issn         = {{1869-408X}},
  keywords     = {{Arteriovenous fistula; Computed tomography; Digital subtraction angiography; Magnetic resonance imaging; Medical imaging; Ultrasound; Vascular access}},
  language     = {{eng}},
  month        = {{09}},
  number       = {{3}},
  pages        = {{255--272}},
  publisher    = {{Springer}},
  series       = {{Cardiovascular Engineering and Technology}},
  title        = {{Imaging in Vascular Access}},
  url          = {{http://dx.doi.org/10.1007/s13239-017-0317-y}},
  doi          = {{10.1007/s13239-017-0317-y}},
  volume       = {{8}},
  year         = {{2017}},
}