BREATH-HOLD GADOLINIUM-ENHANCED MR-ANGIOGRAPHY OF THE ABDOMINAL-AORTA AND ITS MAJOR BRANCHES

被引:528
作者
PRINCE, MR [1 ]
NARASIMHAM, DL [1 ]
STANLEY, JC [1 ]
CHENEVERT, TL [1 ]
WILLIAMS, DM [1 ]
MARX, V [1 ]
CHO, KJ [1 ]
机构
[1] UNIV MICHIGAN,DEPT SURG,ANN ARBOR,MI 48109
关键词
AORTA; MR; MAGNETIC RESONANCE (MR); MOTION CORRECTION; PULSE SEQUENCES; VASCULAR STUDIES;
D O I
10.1148/radiology.197.3.7480757
中图分类号
R8 [特种医学]; R445 [影像诊断学];
学科分类号
1002 ; 100207 ; 1009 ;
摘要
PURPOSE: To develop and evaluate a sequence for breath-hold three-dimensional gadolinium-enhanced magnetic resonance (MR) angiography of the abdominal aorta. MATERIALS AND METHODS: In 63 patients, the abdominal aorta and its branches were imaged for 29, 43, or 58 seconds with breath holding. A fast spoiled gradient-echo sequence was used at 1.5 T during infusion of 42 mL of a gadolinium chelate. Correlation with conventional angiography was performed in 19 patients. MR image quality (signal-to-''total'' noise ratio [S/N*]) with breath holding was compared with that with free breathing (104 patients). RESULTS: With breath-hold gadolinium-enhanced MR angiography, renal, celiac, and superior mesenteric artery occlusive disease was graded appropriately in 15 of 19 patients, and 10 of 11 accessory renal arteries were depicted correctly. Renal artery branches were visualized in 86 of 95 kidneys on breath-hold images compared with only 84 of 236 kidneys with free breathing (P < .001). Distal renal artery S/N* was 3.1 with breath holding and 2.1 with free breathing (P < .001). CONCLUSION: Breath holding statistically significantly improves three-dimensional gadolinium-enhanced MR angiography of the renal, celiac, and superior mesenteric arteries.
引用
收藏
页码:785 / 792
页数:8
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共 30 条
  • [1] Prince M.R., Yucel E.K., Kaufman J.A., Harrison D., Dynamic gadolinium-enhanced three-dimensional abdominal MR arteriography, JMRI, 3, pp. 877-881, (1993)
  • [2] Prince M.R., Gadolinium-enhanced MR aortography, Radiology, 191, pp. 155-164, (1994)
  • [3] Kaufman J.A., Geller S.C., Petersen M.J., Cambria R.P., Prince M.R., Waltman A.C., MR imaging (including MR angiography) of abdominal aortic aneurysms: Comparison with conventional arteriography, AJR, 163, pp. 203-210, (1994)
  • [4] Holland G.A., Baum R.A., Danhey E., Carpenter J.P., Cope C., Axel L., MR angiography of the aortoiliac system: Prospective comparison of contrast-enhanced 3D and 2D time-of-flight techniques, Proceedings of the SCVIR 20th Annual Scientific Meeting, (1995)
  • [5] Prince M.R., Narasimham D.L., Stanley J.C., Et al., Gadolinium-enhanced magnetic resonance angiography of abdominal aortic aneurysms, J Vasc Surg, 21, pp. 656-669, (1995)
  • [6] Snidow J.J., Aisen A.M., Harris V.J., Et al., Iliac artery MR angiography: Comparison of three-dimensional gadolinium-enhanced and two-dimensional time-of-flight techniques, Radiology, 196, pp. 371-378, (1995)
  • [7] Loubeyre P., Revel D., Garcia P., Et al., Screening patients for renal artery stenosis: Value of 3-dimensional time-of-flight MR angiography, AJR, 162, pp. 847-852, (1994)
  • [8] Servois V., Laissy J.P., Feger C., Et al., Two-dimensional time-of-flight magnetic resonance angiography of renal arteries without maximum intensity projection: A prospective comparison with angiography in 21 patients screened for renovascular hypertension, Cardiovasc Intervent Radiol, 17, pp. 138-142, (1994)
  • [9] Hertz S.M., Holland G.A., Baum R.A., Haskal Z.J., Carpenter J.P., Evaluation of renal artery stenosis by magnetic resonance angiography, Am J Surg, 168, pp. 140-143, (1994)
  • [10] Kent K.C., Edelman R.R., Kim D., Steinman T.I., Porter D.H., Skillman J.J., Magnetic resonance imaging: A reliable test for the evaluation of proximal atherosclerotic renal arterial stenosis, J Vasc Surg, 13, pp. 311-318, (1991)