Upper Extremity Runoff: Pearls and Pitfalls in Computed Tomography Angiography and Magnetic Resonance Angiography

• Published in: Current problems in diagnostic radiology 2017-03, Vol.46 (2), p.115-129
• Main Authors: Nagpal, Prashant, MD, Maller, Vinod, MD, Garg, Gunjan, MD, Hedgire, Sandeep, MD, Khandelwal, Ashish, MD, Kalva, Sanjeeva, MD, Steigner, Michael L., MD, Saboo, Sachin S., MD
• Format: Article
• Language: English
• Subjects: Arteries - diagnostic imaging; Computed Tomography Angiography; Humans; Internal Medicine; Magnetic Resonance Angiography; Radiology; Upper Extremity - blood supply; Upper Extremity - diagnostic imaging; Vascular Diseases - diagnostic imaging; Vascular System Injuries - diagnostic imaging
• ISSN: 0363-0188; 1535-6302
• DOI: 10.1067/j.cpradiol.2016.01.002

Upper extremity vasculature can be affected by various traumatic and nontraumatic pathologies; however, the evaluation of these arteries can be challenging for the radiologists as well as for the clinicians. After an accurate history and clinical examination, imaging plays a vital role in the diagnosis and treatment planning of these patients. Depending on the urgency and the indication, upper extremity arteries may be evaluated by ultrasonography with color Doppler, computed tomography (CT), magnetic resonance imaging (MRI), or digital subtraction angiography. This review article discusses relevant imaging anatomy of the upper extremity arteries, presents CT and MRI protocols, briefly describes the state-of-the-art CT and MRI of various pathologies affecting the upper extremity arteries, and summarizes the important pearls needed for busy practicing radiologist.