Diagnosis of systemic arterial diseases with whole-body 3D contrast-enhanced magnetic resonance angiography

( views:74, downloads:0 )
Author:
LIN Jiang()
CHEN Bin()
WANG Jian-hua()
Journal Title:
CHINESE MEDICAL JOURNAL
Issue:
Volume 119, Issue 21, 2006
DOI:
Key Word:
magnetic resonance angiography;arteries;abnormalities

Abstract´╝Ü Background With the development of magnetic resonance (MR) technologies, whole-body 3D contrast-enhanced MR angiography (3D CE MRA) has become possible. The purpose of this study was to introduce and evaluate this technique in demonstration of various systemic arterial diseases.Methods Thirty-seven patients underwent whole-body 3D CE MRA using a 1.5T MR imager. The patients included were with clinically documented or suspected peripheral arterial occlusive disease (PAOD, n=19),Takayasu arteritis (n=8), polyarteritis nodosa (n=1), Type B dissection (n=4) and thoracic and/or abdominal aneurysm (n=5). Sixty-eight surface coil elements were employed to encompass the whole body. Four 3D CE MRA stations were acquired successively through automatic table moving. A total scan range of 188 cm,covering the arterial tree from carotid artery to trifurcation vessels, was acquired. Overall image quality of each arterial segment and venous overlay were assessed and rated. The depiction of various systemic arterial diseases was evaluated and compared with other imaging modalities if available, including digital subtraction angiography (DSA), CT angiography, dedicated mono-station MRA.Results Whole-body 3D CE MRA was well tolerated by all patients. It yielded a detailed display of the arterial system with a short examination time. The image quality was considered diagnostic in 99.3% of the arterial segments. The remaining 0.7% of the arterial segments were considered non-diagnostic. In 7 of 19 patients with PAOD, whole-body MRA showed additional vascular narrowing apart from peripheral arterial disease. In 9 patients with vasculitis, whole-body MRA depicted luminal irregularity, narrowing or occlusion, aneurysm and collateral circulation involving multiple vascular segments. Whole-body MRA also clearly revealed the severity and extent of dissection and aortic aneurysm. In 20 cases the vascular pathologies demonstrated on whole body MRA were confirmed by other imaging investigations.Conclusions The whole-body MRA technique was non-invasive, quick and easy to perform. It was valuable for a comprehensive evaluation of vascular involvement of various systemic arterial diseases.

  • [1]Waugh JR,Sacharias N.Arteriographic complications in DSA era.Radiology 1992; 182:243-246.
  • [2]Shehadi WH.Contrast media adverse reactions:occurrence,recurrence,and distribution patterns.Radiology 1982; 143:11-17.
  • [3]Prince MR.Gadolinium-enhanced MR aortography.Radiology 1994; 191:155-164.
  • [4]Vogt FM,Goyen M,Debatin JF.MR angiography of the chest.Radiol Clin N Am 2003; 41:29-41.
  • [5]Ho VB,Corse WR.MR angiography of the abdominal aorta and peripheral vessels.Radiol Clin N Am 2003; 41:115-144.
  • [6]Meaney JF.Magnetic resonance angiography of the peripheral arteries:current status.Eur Radiol 2003; 13:836-852.
  • [7]Lin J,Zhou KR,Chen ZW,Wang JH,Yan ZP,Wang YX.3D contrast-enhanced MR portography and direct X-ray portography:a correlation study.Eur Radiol 2003; 13:1277-1285.
  • [8]Lin J,Zhou KR,Chen ZW,Wang JH,Yan ZP,Wang YX.Vena cava 3D contrast-enhanced MR venography:a pictorial review.Cardiovasc Intervent Radiol 2005; 28:795-805.
  • [9]Ruehm SG,Goyen M,Barkhausen J,Kroger K,Bosk S,Ladd ME,et al.Rapid magnetic resonance angiography for detection of atherosclerosis.Lancet 2001; 357:1086-1091.
  • [10]Goyen M,Quick HH,Debatin JF,Ladd ME,Barhausen J,Herborn CU,et al.Whole-body three-dimensional MR angiography with a rolling table platform:initial clinical experience.Radiology 2002; 224:270-277.
  • [11]Goyen M,Herborn CU,Kroger K,Lauenstein TC,Debatin JF,Reuhm SG.Detection of atherosclerosis:systemic imaging for systemic disease with whole-body three-dimensional MR angiography:initial experience.Radiology 2003; 227:277-282.
  • [12]Kruger DG,Riederer SJ,Grimm RC,Rossman PJ.Continuously moving table data acquisition method for long FOV contrast-enhanced MRA and whole-body MRI.Magn Reson Med 2002; 47:224-231.
  • [13]Herborn CU,Goyen M,Quick HH,Bosk S,Massing S,Kroeger K,et al.Whole-body 3D MR angiography of patients with peripheral arterial occlusive disease.Am J Roentgenol 2004; 182:1427-1434.
  • [14]Fenchel M,Requardt M,Tomaschko K,Kramer U,Stauder NI,Naegele T,et al.Whole-body MR angiography using a novel 32-receiving-channel MR system with surface coil technology:first clinical experience.J Magn Reson Imaging 2005; 21:596-603.
  • [15]Chen Q,Quijano CV,Mai VM,Krishnamoorthy SK,Li W,Storey P,et al.On improving temporal and spatial resolution of 3D contrast-enhanced body MR andiography with parallel imaging.Radiology 2004; 231:893-899.
  • [16]Griswold MA,Jakob PM,Heidemann RM,Nittka M,Jellus V,Wang J,et al.Generalized autocalibration partially parallel acquisitions (GRAPPA).Mag Reson Med 2002; 47:1202-1210.
  • [17]Ruehm SG,Hany TF,Pfammatter T,Schneider E,Ladd M,Debatin JF.Pelvic and lower extremity arterial imaging,diagnostic performance of three-dimensional contrast-enhanced MR angiography.Am J Roentgenol 2000; 174:1127-1135.
  • [18]Prince MR.Contrast-enhanced MR angiography:theory and optimization.Magn Reson Imaging Clin N Am 1998;6:257-267.
  • [19]Wachtell K,Ibsen H,Olsen MH,Laybourn C,Christoffersen JK,Norgaard H,et al.Prevalence of renal artery stenosis in patients with peripheral vascular disease and hypertension.J Hum Hypertens 1996; 10:83-85.
  • [20]Alexandrova NA,Gibson WC,Norris JW,Maggisano R.Carotid artery stenosis in peripheral vascular disease.J Vas Surg 1996; 23:645-649.
  • [21]Marek J,Mills JL,Harvich J,Cui H,Fujitani RM.Utility of routine carotid duplex screening in patients who have claudication.J Vas Surg 1996; 24:572-577.
  • [22]Allardice JT,Allwright G J,Wafula JM,Wyatt AP.High prevalence of abdominal aortic aneurysm in men with peripheral vascular disease:screening by ultrasonography.Br J Surg 1988; 75:240-242.
  • [23]Karanjia ND,Cawthorn S J,Giddings AEB.The diagnosis and management of arteritis.J R Soc Med 1993; 86:267-270.
  • [24]Numano F.The story of Takayasu arteritis.Rheumatology 2003; 41:103-106.
  • [25]Cigarroa JE,Isselbacher EM,DeSanctis RW,Eagle KA.Diagnostic imaging in the evaluation of suspected aortic dissection.Old standards and new directions.N Engl J Med 1993; 328:35-43.
WanfangData CO.,Ltd All Rights Reserved
About WanfangData | Contact US
Healthcare Department, Fuxing Road NO.15, Haidian District Beijing, 100038 P.R.China
Tel:+86-010-58882616 Fax:+86-010-58882615 Email:yiyao@wanfangdata.com.cn