ABDOMINAL AORTIC-ANEURYSMS - ASSESSMENT WITH GADOLINIUM-ENHANCED TIME-OF-FLIGHT CORONAL MR-ANGIOGRAPHY (MRA)

被引:14
作者
LAISSY, JP
SOYER, P
TEBBOUNE, D
TIAH, D
HVASS, U
MENU, Y
机构
[1] Department of Radiology, Hôpital Bichat, 75877 Paris cedex 18
[2] Department of Cardiovascular Surgery, Hôpital Bichat, 75877 Paris cedex 18
关键词
ANEURYSM; ABDOMINAL; ILIAC; MAGNETIC RESONANCE (MR); COMPARATIVE STUDIES; CONTRAST MEDIA;
D O I
10.1016/0720-048X(95)00620-6
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
A prospective study was performed to evaluate the efficacy of a gadolinium-chelate-enhanced MR angiography (MRA) using a coronal acquisition in the preoperative assessment of aneurysms of the abdominal aorta (AAA). Twenty patients with AAA were explored with MR using a two-dimensional (2D) time-of-flight MRA technique with a coronal acquisition, before and after intravenous administration of 0.1 mmol/kg of a gadolinium-chelate. Gadolinium-chelate-enhanced MRA with a coronal acquisition decreased deleterious saturation effects within aorta and iliac arteries in 16 of 20 patients (80%) and improved the overall quality of the images of the upper and lower parts of the AAA (i.e. extent of the aneurysm). Furthermore, gadolinium-chelate-enhanced MRA with a coronal acquisition allowed a better differentiation between slow flow and mural thrombus. Gadolinium-chelate-enhanced MRA had a sensitivity of 100% and a specificity of 96% for evaluation of renal artery involvement, and a sensitivity of 93% and a specificity of 100% for iliac artery involvement. The results of this study show that gadolinium-chelate-enhanced MRA obtained with a coronal acquisition is efficacious for the preoperative assessment of AAA.
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页码:1 / 8
页数:8
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