In this essay, the potential of vascular imaging with helical CT is ex
plored. The speed and ease with which volumes of interest can be depic
ted with high resolution and the ability of CT to resolve small differ
ences in electron density allow imaging of vascular territories with I
V injection of iodinated contrast materials [1, 2]. Vascular and combi
ned vascular/soft-tissue/bone imaging make CT a powerful clinical tool
. The technique is predominantly used for evaluation of atheroscleroti
c disease of the carotid bifurcation, the renal arteries, and the majo
r abdominal vessels [3-5]. A variety of display options, such as surfa
ce rendering and maximum intensity projection (MIP), have different ad
vantages and are often complementary. The time taken to produce clinic
ally acceptable images has been markedly reduced to between 15 and 30
min. Some of the limitations are related to the length of vascular cov
erage, the contrast load, and the need for exact timing. On the other
hand, the technique is not affected by flow artifacts. CT angiography
is now a reliable and practical clinical test that may be a useful adj
unct to conventional CT.