How we do it: artery of Adamkiewicz evaluation by CTA in children

Pediatric Radiology 2026 Open access

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Authors: Ankita Chauhan, Ammie M. White, Seth Vatsky, Hansel J. Otero, Thomas Edward Hamilton, Wondwossen Terefe Lerebo, Angel J Velazquez Guzman, Erfan Akbari, Jordan B. Rapp
DOI: 10.1007/s00247-026-06533-1
Cited by: 0
References: 1

Abstract

Identifying the artery of Adamkiewicz (AoA) is essential for minimizing the risk of spinal cord ischemia that can result from injury or displacement during aortopexy. A pre-operative CT angiogram (CTA) is commonly requested; however, locating the artery can be challenging due to its small size and variable course. To enhance the visualization of the artery of Adamkiewicz, it is effective to increase the tube current while maintaining a low kV of 70 and raising the Hounsfield unit (HU) trigger threshold. This method adheres to the As Low As Reasonably Achievable (ALARA) principle, ensuring a reliably diagnostic study.

Fields of Study & Subjects

Radiation Dose and Imaging Aortic Disease and Treatment Approaches Radiology practices and education

Publication details

Journal / source
Pediatric Radiology
Volume
56
Issue
3
Pages
629–637
Publication date
7 February 2026
Language
EN