Contrast-enhanced, K-space-centered, breath-hold MR angiography of the renal arteries and the abdominal aorta

被引:94
作者
Steffens, JC
Link, J
Grassner, J
MuellerHuelsbeck, S
Brinkmann, G
Reuter, M
Heller, M
机构
[1] Department of Radiology, University Kiel, 24105 Kiel
[2] Siemens Medical Systems, Erlangen
关键词
MRI; arteries; renal; angiography; Gd-DTPA;
D O I
10.1002/jmri.1880070402
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
The purpose of this study was to evaluate the capability of contrast-enhanced breath-hold fast imaging with steady-state precession (FISP) three-dimensional MR angiography (MRA) to detect stenotic lesions of the abdominal aorta, the renal arteries, and the iliac arteries by using a k-space-centered 20-ml gadolinium-diethylene pentaacetic acid (Gd-DTPA) bolus, Fifty patients were studied before conventional x-ray angiography, Contrast-enhanced breath-hold FISP three-dimensional MRA was applied in the coronal view, centered at the renal arteries, Twenty mi of Gd-DTPA was used in all subjects, A test bolus was applied to determine the injection time for the k-space-centered bolus injection. Of 300 segments, 284 segments mere classified correctly, II were overestimated, and five mere underestimated, Sensitivity was 98%, specificity was 96%, positive predictive value was 96%, negative predictive value was 98%, and accuracy was 97%, Of the 50 patients studied, 43 mere staged correctly, No venous overlay was seen in 31 patients; partial overlay was seen in 16 patients, and venous structure overlay obscuring arterial anatomy was found in two patients, Six of nine accessory renal arteries could be identified by MRA. Intraobserver variability was .94, This study has shown the ability of contrast-enhanced breath-hold FISP three-dimensional MRA to detect and grade vascular lesions in the abdominal aorta and the renal arteries, The method may serve as a screening tool hi the future.
引用
收藏
页码:617 / 622
页数:6
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