Efficacy of spiral computed tomography in evaluation of renal arteries in patients with renovascular hypertension

• Published in: Polskie archiwum medycyny wewne̦trznej Vol. 104; no. 3; p. 547
• Main Authors: Grabowska-Derlatka, L, Januszewicz, A, Pruszyński, B, Pacho, R, Symonides, B
• Format: Journal Article
• Language: Polish
• Published: Poland 01.09.2000
• Subjects: Adolescent; Adult; Aged; Contrast Media; Diatrizoate; Diatrizoate Meglumine; Drug Combinations; Female; Humans; Hypertension, Renovascular - diagnostic imaging; Iohexol - analogs & derivatives; Male; Middle Aged; Radiographic Image Enhancement - methods; Renal Artery - diagnostic imaging; Sensitivity and Specificity; Tomography, X-Ray Computed - methods
• ISSN: 1897-9483; 1897-9483

The aim of this study is an estimation of efficacy of spiral computed tomography (SCT) in evaluation renal arteries in patients with renovascular hypertension. SCT was performed in 54 patients (32 females and 22 males) by means of Picker PQ 2000. The thickness 4 mm, index 4 mm, pitch 1.0. Contrast agents-Uropolinum 75% or Ultravist 350 were applied automatically 3-4 mm/sec. with delay 20-22 sec. Secondary reconstruction with 2 mm leyers was performed by Maximum Intensity Projection (MIP). In all patients the abdominal arteriography was performed as a reference method. The coincidence of both methods in evaluation of renal arteries occlusion or stenosis was estimated by Cohen kappa coefficient. In addition, sensitivity and specificity of SCT were estimated. Consistence of SCT and arteriography for right, left and additional renal artery were as follows: 0.914, 0.92, 0.85. Sensitivity and specificity SCT for rigt, left and additional renal artery were as follows: 95.5% and 95.8%, 96.5% and 95.8%, 50% and 100%. The highest efficacy of SCT was noted in ostium, the most difficult place in evaluation of renal artery during arteriography examination.