Vascular anomalies: A pictorial review of nomenclature,diagnosis and treatment

• 作者: Christopher E Gribbin John L Nosher Mark Liszewski Philip G Murillo Vyacheslav Gendel
• 来源期刊: 世界放射学杂志：英文版（电子版）
• 学科: 医学
• 关键词: Vascular MALFORMATION LYMPHATIC malfor-mation OVERGROWTH syndromes ARTERIOVENOUS malfor-mation Hemangioma
• 年，卷（期）: 2014,（9）
• 页码范围: 677-692
• 页数: 16页
• 分类号: R543

摘要

Vascular anomalies,including vascular malformations and tumors,are frequently straightforward to detect;however,accurate diagnosis and appropriate treatment are often challenging.Misdiagnosis of these lesions can lead clinicians in the wrong direction when treat-ing these patients,which can have unfavorable results.This review presents an overview of the classification systems that have been developed for the diagnosis of vascular lesions with a focus on the imaging charac-teristics.Pictorial examples of each lesion on physical examination,as well as non-invasive and minimally invasive imaging are presented.An overview of the en-dovascular treatment of these lesions is also given.In some cases,vascular anomalies may be associated with an underlying syndrome and several of the most com-monly encountered syndromes are discussed.Under-standing of the classification systems,familiarity with the treatment options and knowledge of the associated syndromes are essential for all physicians working with this patient population.The approach to the described entities necessitates an organized multi-disciplinary team effort,with diagnostic imaging playing an increas-ingly important role in the proper diagnosis and a com-bined interventional radiologic and surgical treatment method showing promising results.