Table 3 Screening Imaging
Anatomy | Initial screening | Follow up |
|---|---|---|
Brain | Children: MRI brain within 1st year of life Adults: MRI with and without contrast with blood sensitive sequence Pregnant women: unenhanced MRI brain | Children with CAVM require serial imaging Adults with negative MRI brain do not require further follow up |
Lung | Transthoracic echocardiogram to evaluate shunting Chest CT is not standard in PAVM screening, but can be used to evaluate patients with high suspicion of PAVM CT arteriography no longer necessary as screening, generally reserved for therapeutics | Initial chest CT 6–12 months post treatment, then 3–5 years after If PAVM is not treated, surveillance Chest CT every 3–5 years |
Liver | Doppler ultrasound if exhibiting signs and symptoms of complicated liver VMs | Â |