Intra-arterial magnetic resonance angiography of the iliac arteries: Clinical experience using two different protocols

Paetzel, Christian and Zorger, Niels and Voelk, M. and Herold, T. and Seitz, Johannes and Nitz, Wolfgang R. and Feuerbach, Stefan and Hamer, Okka W. and Lenhart, Markus (2005) Intra-arterial magnetic resonance angiography of the iliac arteries: Clinical experience using two different protocols. ACTA RADIOLOGICA, 46 (3). pp. 250-255. ISSN 0284-1851, 1600-0455

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Abstract

Purpose: To assess the feasibility of intra- arterial magnetic resonance angiography ( iaMRA) with two different protocols. Material and Methods: Twenty patients were prospectively examined after digital subtraction angiography. Contrast- enhanced iaMRA was performed using a 1.5T magnetic resonance imaging ( MRI) system. Contrast agent ( gadodiamide) was injected through a conventional angiography catheter placed in the abdominal aorta. The patients were randomized into two groups each comprising 10 patients. Group 1 was examined with a FLASH- 3D ( fast low- angle shot) sequence, allowing the center of the k-space to be acquired 0.5 s after initiation of the measurement. Group 2 was examined with the identical sequence, but the center of the k- space was acquired after 8.7 s. The increase in the intravascular signal intensity was determined and the diagnostic value of the angiograms was independently scored by 4 investigators using a 5- point scale. Results: Nineteen of 20 MRAs were scored as diagnostic; only 1 was scored as nondiagnostic by 2 observers. The diagnostic value of the angiograms of group 2 was judged superior to that of group 1 owing to a more homogeneous intravascular contrast distribution. Conclusion: Intra- arterial MRA is feasible. The diagnostic value of angiograms using a flash sequence with center of the k- space acquisition after 8.7 s ranged from good to excellent. This sequence is appropriate for iaMRA of iliac arteries to support MR guided intervention.

Item Type: Article
Uncontrolled Keywords: ENHANCED MR-ANGIOGRAPHY; CONTRAST AGENT; RENAL-INSUFFICIENCY; FEASIBILITY; GADODIAMIDE; STENOSES; adults; angiography; magnetic resonance angiography (MRA); magnetic resonance imaging (MRI); pelvis; vascular
Subjects: 600 Technology > 610 Medical sciences Medicine
Divisions: Medicine > Lehrstuhl für Röntgendiagnostik
Depositing User: Dr. Gernot Deinzer
Date Deposited: 14 May 2021 05:03
Last Modified: 14 May 2021 05:03
URI: https://pred.uni-regensburg.de/id/eprint/36142

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