Magnetic resonance imaging of thoracic aortic aneurysm and dissection

MRI is an extremely useful technique for the evaluation of the thoracic aorta. It provides a comprehensive evaluation of all the important structures within the chest and allows for high-resolution imaging of both the aortic lumen and the wall itself. As such, it is a sensitive method for delineating the extent of disease, branch-vessel involvement, and superimposed complications. Technical advances, such as steppedtable MRA and bolus-timing strategies, continue to improve overall image quality. In addition, the recent development of blood-pool contrast agents may further impact the diagnostic yield.44.45 Given these facts, MRI is likely to remain a mainstay in this patient population for years to come.