Imaging studies for aortic aneurysm
| Imaging study | Advantages | Disadvantages |
|---|---|---|
| Cardiac-gated multidetector computed tomographic angiography | Highly specific and sensitive Can diagnose vascular anomalies, tortuosity | Large doses of ionizing radiation and contrast |
| Magnetic resonance angiography | Highly specific and sensitive Can be accurate without using contrast Ability to assess valve disease | Prolonged scanning time Difficult for those with claustrophobia |
| Transthoracic echocardiography | Noninvasive, readily available Can assess valve disease | Limited visualization of ascending aorta Accuracy reduced with “oblique” measurements |
| Transesophageal echocardiography | Highly specific and sensitive Ability to assess valve disease | Requires skilled personnel Invasive, requires procedural sedation |
| Angiography | Highly sensitive and specific | Invasive Requires contrast |
Based on Smith AD, Schoenhagen P. CT imaging for acute aortic syndrome. Cleve Clin J Med 2008; 75(1):7–17. pmid:18236724