Digital Subtraction Angiography, commonly abbreviated as DSA, is a medical imaging technique that enables doctors to visualize blood vessels in the body and diagnose various cardiovascular conditions. The word "digital" is pronounced /ˈdɪdʒɪtəl/ and refers to the method of capturing images using digital technology. "Subtraction" is /səbˈtrækʃən/ which denotes the process of removing unwanted or extraneous data. Finally, "angiography" is /ændʒiˈɑːɡrəfi/ which literally means visualizing the inside of blood vessels. Together, these terms yield the accurate pronunciation: /dɪdʒɪtəl səbˈtrækʃən ændʒiˈɑːɡrəfi/.
Digital Subtraction Angiography (DSA) is a medical imaging technique that involves the use of X-rays to visualize blood vessels and evaluate their condition. It utilizes a computerized system to subtract the images acquired before and after the injection of a contrast agent into the bloodstream, creating a detailed and enhanced view of the blood vessels.
The process begins with the introduction of a contrast agent, typically iodine-based, into the patient's bloodstream via a catheter. X-ray images are then captured of the area of interest both prior to and following the injection, referred to as the pre-contrast and post-contrast images, respectively. The computer system then subtracts the pre-contrast image from the post-contrast image, eliminating the non-vascular structures and highlighting only the blood vessels.
Digital subtraction angiography provides numerous advantages over traditional angiography techniques. Firstly, it allows for the visualization of smaller blood vessels and more precise evaluation of their condition. It also enables real-time imaging, making it suitable for interventional procedures such as placing stents or embolization. Additionally, it reduces exposure to X-ray radiation compared to conventional angiography methods.
This imaging technique is commonly utilized in the diagnosis and treatment of various vascular conditions, including stenosis (narrowing) or occlusion (blockage) of blood vessels, aneurysms (abnormal balloon-like bulges), arteriovenous malformations (tangles of abnormal blood vessels), and tumors. Digital subtraction angiography plays a crucial role in guiding clinicians in making informed decisions regarding treatment options and in monitoring the outcomes of interventions.