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      CT and MR imaging of the upper extremity vasculature: pearls, pitfalls, and challenges

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          Abstract

          Imaging is needed for diagnosis, treatment planning, and follow-up of patients with pathologies affecting upper extremity vasculature. With growth and evolution of imaging modalities [especially CT angiography (CTA) and MR angiography (MRA)], there is need to recognize the advantages and disadvantages of various modalities and obtain the best possible imaging diagnostic test. Understanding various limitations and pitfalls as well as the best practices to minimize and manage these pitfalls is very important for the diagnosis. This article reviews the upper extremity arterial vascular anatomy, discusses the CTA and MRA imaging, various pitfalls, and challenges and discuss imaging manifestations of upper extremity arterial pathologies.

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          Author and article information

          Journal
          Cardiovasc Diagn Ther
          Cardiovasc Diagn Ther
          CDT
          Cardiovascular Diagnosis and Therapy
          AME Publishing Company
          2223-3652
          2223-3660
          August 2019
          August 2019
          : 9
          : Suppl 1
          : S152-S173
          Affiliations
          [1 ]Department of Radiology, Brigham and Women’s Hospital, Harvard Medical School , Boston, MA, USA;
          [2 ]Department of Radiology, Columbia University Medical Center , New York, NY, USA;
          [3 ]Department of Radiology, University of Missouri , Columbia, MO, USA;
          [4 ]Department of Radiology, UT Health Science Center , San Antonio, TX, USA;
          [5 ]Department of Radiology, Mayo Clinic , Rochester, MN, USA;
          [6 ]Department of Radiology, University of Iowa Hospital and Clinics , Iowa City, IA, USA
          Author notes

          Contributions: (I) Conception and design: P Nagpal, MA Ghouri; (II) Administrative support: All authors; (III) Provision of study materials or patients: P Nagpal, MA Ghouri; (IV) Collection and assembly of data: All authors; (V) Data analysis and interpretation: P Nagpal, MA Ghouri; (VI) Manuscript writing: All authors; (VII) Final approval of manuscript: All authors.

          Correspondence to: Prashant Nagpal. Department of Radiology, University of Iowa Hospital and Clinics, Iowa City, IA, USA. Email: drprashantnagpal@ 123456gmail.com .
          Article
          PMC6732118 PMC6732118 6732118 cdt-09-S1-S152
          10.21037/cdt.2018.09.15
          6732118
          31559161
          f439c49c-ff6f-4469-8767-178892be8cf8
          2019 Cardiovascular Diagnosis and Therapy. All rights reserved.
          History
          : 29 June 2018
          : 26 September 2018
          Categories
          Review Article

          thoracic outlet syndrome (TOS),injury,trauma,vasculitis,Imaging,upper extremity,CT angiography (CTA),MR angiography (MRA)

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