Computed Tomography Angiography Evaluation of Peripheral Arterial Disease and Correlation with Colour Doppler

Evaluation of Peripheral Arterial Disease


Background: Peripheral Arterial Disease Is a Major Problem Among the Population of Those 55 Years and Older. MDCT is a Non-Invasive Method of Visualization of Vascular System. It Affords More Widespread Vascular Screening, Allowing Diagnosis to be Made at an Early Stage. The objective is to Assess the Role of Multidetector Computed Tomography Angiography in Peripheral Arterial Disease of Lower Extremities. Subjects & Methods: A Prospective Study of 35 Patients with Signs and Symptoms of PVD, Were Subjected to Colour Doppler Ultrasonography and MDCT Examination Between a Period of 1st August 2018 to 31st May 2019. Results: Our Study Shows a Very Good Sensitivity, Specificity, PPV, NPV and Accuracy of Doppler in Assessing the Soft Plaque (82%, 100%, 100%, 97%, 97% Respectively) & in Evaluation of Stenosis Like <50% Stenosis (100%, 99%, 85%, 100% & 99% Respectively), 50-99% Stenosis (100%, 99%, 96%. 100% & 99.8% Respectively), & Occlusion (84%, 100%. 100%, 98% & 98% Respectively). The Only Parameter Which Showed Poor Result Was in Evaluation of Calcified Plaque. Conclusion: Our Study Shows that Both Colour Doppler & MDCT Can Be Complimentary in Lower Limb Arterial Disease Evaluation.


Download data is not yet available.


Hiatt WR, Goldstone J, Jr SCS, McDermott M, Moneta G, Oka R. Atherosclerotic Peripheral Vascular Disease Sympo- sium Ii: Nomenclature For Vascular Diseases. Circulation. 2008;118(25):2826–2835. Available from:

Selvamani M, Yamunadevi A, Basandi PS, Madhushankari GS. Analysis of prevalence and clinical features of multicystic ameloblastoma and its histological subtypes in South Indian sample population: A retrospective study over 13 years. J Pharm Bioallied Sci. 2014;6(Suppl 1):S131–4. Available from:

Abdulhannan P, Da R. Homer-Vanniasinkam S. Peripheral Arterial Disease: A Literature Review. Br Med Bull. 2012;104(1):21–39.

Premlatha G, Subramaniam R, Deepa J. Prevalence And Risk Factors Of Peripheral Vascular Disease In A Selected South Indian Population. Diabetes Care. 2000;23(9):1295–300. Available from:

Burrill J, Dabbagh Z, Gollub F, Hamady M. Multidetector computed tomographic angiography of the cardiovascular system. Postgrad Med J. 2007;83(985):698–704. Available from:

Parikh C, Brahmbhattp R. Efficacy Of Colour Doppler Imaging Over Ct Angiography In Peripheral Arterial Disease. Jintegr Health Sci. 2017;5(2):45–52.

Chidambaram P, Swaminathan RK, Ganeshan P. Doppler Ultrasound Can Be Used As A First Investigation Of Pad. J Clinton Diagn Res. 2016;10(2):12–16.

Shirol RJ, Shetty A, K CT. Role Of Mdct In Evaluation Of Peripheral Vascular Disease Of The Lower Limb Arteries And Comparison With Colour Doppler. J Evol Med Dent Sci. 2015;4(54):9336–9346. Available from:

Hasa R, Skana A. Mdct And Colour Doppler Used For Assessment Of Peripheral Vascular Disease Of Lower Extremities. Allan Med J. 2016;1:28–33.

Rv P, Vr R, Monthampally S. Mdct Angiogram V/S Colour Doppler Ultrasound In The Diagnosis Of Peripheral Arterial Diseases Of Lower Extremities. J Evolution Med Dent Sci. 2016;5(63):4457–4461.

Satyabhuvansinghnetam R, Singh. Ct Angiography Eval- uation Of Pvd And Comparison With Colour Doppler. J Evol Med Dent Sci. 2015;14(83):14504–14514. Avail- able from:

Ota H, Takase K, Igarashi K, Chiba Y, Haga K, Saito H, et al. Mdct Compared With Digital Subtraction Angiography For Assessment Of Lower Extremity Arterial Occlusive Disease: Importance Of Reviewing Cross Sectional Images. Am J Roentgenol. 2004;182(1):201–209. Available from:

Duddalwar VA. Multislice CT angiography: a practical guide to CT angiography in vascular imaging and intervention. Br J Radiol. 2004;77(1):27–38. Available from:

Albrecht T, Foert E, Holtkamp R, Kirchin MA, Ribbe C, Wacker FK, et al. 16-MDCT angiography of aortoiliac and lower extremity arteries: comparison with digital subtraction angiography. Am J Roentgenol. 2007;189(3):702–711. Available from:

Schertler T, Wildermuth S, Alkadhi H, Kruppa M, Marincek B, Boehm T. Sixteen–Detector Row CT Angiography for Lower-Leg Arterial Occlusive Disease: Analysis of Section Width. Radiology. 2005;237(2):649–656. Available from:

Kayhan A, Palabiyik F, Serinsoz S, Al E. Multidetector Ct Angiography Versus Arterial Duplex Usg In Diagnosis Of Mild Lower Extremity Peripheral Arterial Disease. Is Multidetector Ct A Valuable Screening Tool? Eur J Radiol. 2012;81(3):542–548. Available from:

Romano M, Mainenti PP, Imbriaco M, Amato B, Markabaoui K, Tamburrini O, et al. Multidetector Row Computed Tomographic Angiography Of Abdominal Aorta And Lower Limb Arteries. A New Diagnostic Tool In Patients With Paod. Eur J Radiol. 2004;50(3):303–308. Available from:

Kantarci F, Mihmanli I, Kara B, Bozlar U. Acute arterial emergencies: evaluation by Doppler ultrasound. Emerg Radiol. 2005;11(6):315–321. Available from:

Rieger M, Mallouhi A, Tauscher T, Lutz M, Jaschke WR. Traumatic Arterial Injuries of the Extremities: Initial Eval- uation with MDCT Angiography. Am J Roentgenol. 2006;186(3):656–664. Available from:

Sharma NC, Meena ML. Color duplex evaluation of peripheral arterial occlusive disease of lower extremities and to determine relationship between severity and number of collaterals associ- ated. Indian J Radiol Imaging. 2005;15(4):587–587. Available from:

Leiner T, Alphons GH, Kessels PJ, Nelemans G, Boudewijn C, Vasbinder, et al. Peripheral arterial disease: comparison of color duplex US and contrast-enhanced MR angiography for diagnosis. Radiology. 2005;235:699–708. Available from:

Ouwendijk R, Kock MCJM, Visser K, Pattynama PMT, de Haan MW, Hunink MGM. Interobserver Agreement For The Interpretation Of Contrast-Enhanced 3d Mr Angiography And Mdct Angiography In Peripheral Arterial Disease. Am J Roentgenol. 2005;185:1261–1267. Available from:

How to Cite
M. Balaji Vara Prasad, Srinadh Boppana, Mounika Reddy, Nainika Juvvadi, Rajeshwari, & Radhika. (2020). Computed Tomography Angiography Evaluation of Peripheral Arterial Disease and Correlation with Colour Doppler. Asian Journal of Medical Radiological Research, 8(2), 73-79.
Original Articles