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A contemporary review of non-invasive methods in diagnosing abdominal aortic aneurysms

Ana Sauceda
Ana Sauceda
   | 15 dic 2021
Journal of Ultrasonography's Cover Image
INFORMAZIONI SU QUESTO ARTICOLO
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Article Category: research-article
Pubblicato online: 15 dic 2021
Pagine: 332 - 339
Ricevuto: 30 mar 2021
Accettato: 21 giu 2021
DOI: https://doi.org/10.15557/jou.2021.0055
Parole chiave
© 2021 Polish Ultrasound Society. Published by Medical Communications Sp. z o.o.
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

Fig. 1.

A. Suprarenal aortic aneurysm (aneurysm extending above the renal arteries (arrows) (10) B. Maximum intensity image of the entire “normal” abdominal aorta shows the suprarenal aorta at level “8” (arrows) (35)
A. Suprarenal aortic aneurysm (aneurysm extending above the renal arteries (arrows) (10) B. Maximum intensity image of the entire “normal” abdominal aorta shows the suprarenal aorta at level “8” (arrows) (35)

Fig. 2.

Juxterenal aortic aneurysm. Schematic diagram (left), CT angiogram (middle), and three-dimensional rendition (right) of an AAA in the same patient demonstrate the aneurysm extending just to the level of the renal arteries (arrows)(10)
Juxterenal aortic aneurysm. Schematic diagram (left), CT angiogram (middle), and three-dimensional rendition (right) of an AAA in the same patient demonstrate the aneurysm extending just to the level of the renal arteries (arrows)(10)

Fig. 3.

Intrarenal aortic aneurysm. Schematic diagram (left), CT angiogram (middle), and three-dimensional rendition (right) of an AAA in the same patient demonstrate the aortic aneurysm extending 1 cm below the level of the renal arteries (arrows)(10)
Intrarenal aortic aneurysm. Schematic diagram (left), CT angiogram (middle), and three-dimensional rendition (right) of an AAA in the same patient demonstrate the aortic aneurysm extending 1 cm below the level of the renal arteries (arrows)(10)

Fig. 4.

PRISMA Diagram
PRISMA Diagram

Fig. 5.

Above is an example of CT-US fusion measurements with corresponding images along the same plane of the vessel(17)
Above is an example of CT-US fusion measurements with corresponding images along the same plane of the vessel(17)

Fig. 6.

A. Volume rendered normal aorta(36) B. Standard sites of measurement(36) C. Aortic distensibility CT image(36). The more superior level (Level 1): below the level of the renal arteries. The more interior level (Level 2): at the maximum aneurysm diameter
A. Volume rendered normal aorta(36) B. Standard sites of measurement(36) C. Aortic distensibility CT image(36). The more superior level (Level 1): below the level of the renal arteries. The more interior level (Level 2): at the maximum aneurysm diameter

AAA screening studies

First author (year) Sample size analyzed % Female Mean age Mean measurements (AP axial aortic diameter) Estimated AAA prevalence Sensitivity Specificity
Claridge (2017) 3332 52.4 70.5 ± 10.8 y 2.17 ± 0.64 cm 5.80% 65.20% 98.80%
Liisberg (2017) 533 0 69.4 ± 10.8 y 2.13 ± 0.53 cm (CT) 2.12 ± 0.50 cm (US) 4.50% 82.6-88.9% (CT) 57.1-70.4% (US) 97.7-98.4% (CT) 99.2-99.6% (US)
Ruff (2016) 265 _a _b _c 6.20% 97.20% 99.20%

Studies optimizing technical AAA imaging aspects

First author (year) Sample size analyzed % Female Mean age Mean AAA diameter (range) AAA distensibility (10-5 Pa-1) AAA PWV (m/s)
Zha (2017) 54 29 67.2 ± 6.8 y 3.9 cm (3.2-5.9 cm) 1.05 ± 0.22 (Level 1) 0.49 ± 0.18 (Level 2)* 9.68 ± 1.09 (Level 1) 14.96 ± 4.01 (Level 2)‡

Study selection and characteristics of included studies

First author Journal (year) Study type US imaging data utilized CT imaging data utilized
AAA screening studies Claridge et al. J Vasc Surg (2017) Retrospective No Yes
Liisberg et al. BMCMed Imag (2017) Prospective Yes Yes
Ruff et al. Vasc Med (2016) Retrospective Yes Yes
Studies optimizing technical AAA imaging aspects Shalan et al. J Clin Diag Res (2018) Retrospective No Yes
Zur et al. Am J Roentgenol (2019) Prospective Yes Yes
Novel AAA imaging study data Zha et al. Biomed Res Int (2017) Prospective No Yes
eISSN:
2451-070X
Lingua:
Inglese
Frequenza di pubblicazione:
4 volte all'anno
Argomenti della rivista:
Medicine, Basic Medical Science, other
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