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  • Title: The value of three-dimensional computed tomographic angiography in the diagnosis and treatment of vascular lesions.
    Author: Leng T, Wang X, Huo R, Cheng Z, Feng Y.
    Journal: Plast Reconstr Surg; 2008 Nov; 122(5):1417-1424. PubMed ID: 18971725.
    Abstract:
    BACKGROUND: The accurate classification of vascular lesions is important because treatment and prognosis vary from type to type. Diagnoses are based on a combination of clinical symptoms using many imaging techniques, including ultrasound, magnetic resonance imaging, and three-dimensional computed tomographic angiography, which is a relatively new technique. Until now, however, few studies on the clinical use of three-dimensional computed tomographic angiography reformations in vascular lesions have been published. The authors' study was designed to evaluate the value of three-dimensional computed tomographic angiography in the diagnosis and treatment of vascular lesions. METHODS: Therapeutic plans of 16 patients with vascular lesions were made based on their three-dimensional computed tomographic angiography images. Pathologic examinations were also performed to verify the authors' diagnoses after surgery. RESULTS: Three-dimensional computed tomographic angiography accurate distinguished hemangiomas and vascular malformations, which was proven pathologically. The information aided much in therapeutic planning. All patients underwent complete treatment without complications. CONCLUSIONS: The authors' study suggests that three-dimensional computed tomographic angiography is helpful in differential diagnosis of hemangiomas and vascular malformations and provides a global overview of the lesions. Three-dimensional computed tomographic angiography aids significantly in therapeutic planning.
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