Tahira Nishtar, Nosheen Noor, Tabish Ahmad, Aftab M.
Initial Experience of Multi-Detector Computed Tomography Angiography for Cerebral Vascular Pathology in a Public Sector Hospital.
Esculapio J Services Inst Med Sci Jan ;15(2):175-8.

Objective: To share the initial experience of using Computed Tomography Angiography (CTA) for detection of cerebral vascular pathologies. Methods: This retrospective observational study was carried out in the Department of Radiology, MTI Lady Reading Hospital, Peshawar from 15th March 2017 to 31st January 2018. 68 consecutive patients referred for cerebral CTA to exclude cerebral vascular pathology were included in the study. Cerebral CTA was performed using standard protocol on 160 slice Toshiba Aquilion series CT scanner. Data obtained was analyzed using latest SPSS version. Results: Out of 68 patients, 33 were males and 35 were females. Age range was from 9 to 67 years with median age of 41.5 years. Among 68 patients, 28 cases were reported abnormal, diagnoses being aneurysm (41.17%), followed by vascular occlusion (2.94 %) and arterio-venous malformation (2.94 %) while 34 cases turned out to be normal. Cerebral aneurysms presented as subarachnoid hemorrhage on initial NECT brain in 60.7% and as intra-cerebral hemorrhage in 14.28% while 25% patients had normal NECT brain. Conclusion: Multidetector CT angiography (CTA) is no doubt the investigation of choice for detecting cerebral vascular pathologies.

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