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Computed Tomographic Angiography (CTA)

Virginia Radiology Associates is NOW providing state of the art imaging with 64-slice Multi-detector CTA at Prince William Hospital.  Similar multislice CTA services are offered at Fauquier Hospital, with 64-slice CT (including coronary CTA) to be available in the Fall 2008.

 

Coronary Artery CTA

Coronary Artery CTA is a CTA study of the chest, that is optimized to image the heart and coronary arteries.  Prior to the study, you will take an oral medication to slow your heart rate to allow the scanner to get the best images of these small arteries that move with the heart motion.  An IV is placed in a vein near the elbow, to allow the administration of IV contrast (xray dye).  The study is performed with simultaneous EKG monitoring, to gate (coordinate) the scan with the diastolic phase (less cardiac motion).  A series of preliminary images are obtained, as well as a "timing test dose of contrast", so that the scan occurs with optimum vascular enhancement.  You will then be asked to hold your breath for approximately 10 seconds.  The scan itself occurs over 5 heartbeats (approximately 5 seconds), and then the study is completed.  The IV will be removed, and then you may meet with the Radiologist immediately after the study to review your scan.  A full report will be sent to your referring doctor and primary care doctor.

The coronary CTA study has the ability to detect many things associated within the chest.  Even if the coronary arteries are normal, there may be an ancillary finding on the study that may explain your symptoms.  The test is designed to detect abnormalities of the coronary arteries (blood supply to the heart), specifically arterial wall plaque, stenoses (blockages), anatomic variants, and conditions affecting the heart chambers, valves, and pericardium (lining around the heart).

 

Pulmonary Artery CTA

Pulmonary Artery CTA is an IV contrast CT scan, for the evaluation of the pulmonary arteries.  The test is most frequently performed to diagnose a condition called "Pulmonary Embolism" (bloot clot blockages in the pulmonary arteries).  Typical symptoms include chest pain, shortness of breath and hemoptysis (coughing up blood).  The condition may be quite serious, requiring hospitalization, anticoagulation (thinning of the blood with medication), and/or IVC filter placement to prevent any new clots from traveling to the lungs.

The CT study is performed with a single breath hold of approximately 10 seconds, while IV contrast is injected in a vein in the arm.  The images are obtained, and sent to a computer to be reviewed by a radiologist.  A preliminary report is given to your physician immediately, and a complete report is created as well.

 
 
 
 

 

 

CT Angiographic studies offered
 

CTA studies
Coronary CTA

CTA Chest (thoracic aorta)

Pulmonary Artery CTA

Triple Rule-out Scanning

Abdominal CTA

Renal Artery CTA

Carotid Artery CTA

Cerebral CTA

Lower Extremity CTA

 

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