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In this protocol, axial FLASH and T1W, sagittal and coronal-oblique PDW, and radial double oblique PDW were acquired.
Double oblique CT image of an acute aspiration event.
a Double oblique inspiratory and b expiratory CT imaging demonstrating reduced bronchial diameter on expiration.
Annulus is measured from double oblique multiplanar reconstructions with two orthogonal planes, which represent the short and long axis of the virtual basal ring [19].
The orientation of this virtual basal ring, or aortic annulus, is double oblique and does not correspond to conventional axial, coronal or sagittal planes of MDCT.
Measurement of the ascending thoracic aorta dimension (double arrows) in a plane double oblique to the vessel centerline (a) with sagittal (b) and coronal (c) MPRs demonstrating the plane of measurement (red lines).
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b Double-oblique reconstruction at the level of aortic annulus and measurement of minimal and maximal aortic diameters (black lines).
As for the rest of the aortic valve apparatus, measurements of the aortic sinus diameter and height should be assessed on a double-oblique projection.
Currently the most widely used method for reconstruction of aortic valve annulus is based on sequential double-oblique reconstructions that ultimately provide the image corresponding to the aortic valve annulus.
Calcification of the aortomitral continuity (purple asterisk) that extends to the mitral valve may also increase the risk of annular rupture with post-deployment balloon dilatation, as demonstrated on this double-oblique reconstruction of the aortic annulus.
b Based on a centreline, double-oblique MPR images are created at the pre-selected level of the basal annular plane (AA) with all the AA measurements obtained at this level.
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