CT angiography is an exciting yet controversial application of helical
(spiral) CT technology [1]. Although many radiologists equate CT angi
ography with three-dimensional (3D) rendering, we believe that axial i
mages, multiplanar reformatted (MPR) images, and true 3D models all co
ntribute to a better evaluation of the vascular system than was possib
le with conventional CT. This occurs because helical scans are volumet
ric and are accomplished rapidly with high levels of circulating contr
ast material. This article reviews the indications for CT angiography,
compares CT angiography with other techniques, and offers a practical
methodology for neuroradiologic, thoracic, and abdominal applications
of CT angiography.