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Rojo Ríos D, Ramírez Zarzosa G, Soler Laguía M, Kilroy D, Martínez Gomariz F, Sánchez Collado C, Gil Cano F, García García MI, Ayala Florenciano MD, Arencibia Espinosa A. Anatomical and Three-Dimensional Study of the Female Feline Abdominal and Pelvic Vascular System Using Dissections, Computed Tomography Angiography and Magnetic Resonance Angiography. Vet Sci 2023; 10:704. [PMID: 38133255 PMCID: PMC10747179 DOI: 10.3390/vetsci10120704] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/18/2023] [Revised: 12/11/2023] [Accepted: 12/12/2023] [Indexed: 12/23/2023] Open
Abstract
This study describes the anatomical characteristics of the abdominal and pelvic vascular system of two healthy mature female cats via three-dimensional contrast enhanced computed tomography angiography, non-contrast enhanced magnetic resonance angiography and three-dimensional printing. Volume-rendering computed tomography angiography images were acquired from the ventral aspect using RadiAnt, Amira and OsiriX MD Dicom three-dimensional formats, and three-dimensional printing was obtained and compared with the corresponding computed tomography angiography images. Non-contrast enhanced magnetic resonance angiography was made using the time-of-flight imaging in ventral, oblique and lateral views. In addition, three cadavers with colored latex injection were dissected to facilitate the identification of the vascular structures. Three-dimensional computed tomography angiography showed the main vascular structures, whereas with the time-of-flight blood appeared with a high signal intensity compared with associated abdominal and pelvic tissues. Three-dimensional computed tomography angiography images and time-of-flight sequences provided adequate anatomical details of the main arteries and veins that could be used for future feline anatomical and clinical vascular studies of the abdomen and pelvis.
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Affiliation(s)
- Daniel Rojo Ríos
- Department of Anatomy and Comparative Pathological Anatomy, Veterinary Faculty, Campus de Espinardo, University of Murcia, 30100 Murcia, Spain
| | - Gregorio Ramírez Zarzosa
- Department of Anatomy and Comparative Pathological Anatomy, Veterinary Faculty, Campus de Espinardo, University of Murcia, 30100 Murcia, Spain
| | - Marta Soler Laguía
- Department of Animal Medicine and Surgery, Veterinary Faculty, Campus de Espinardo, University of Murcia, 30100 Murcia, Spain
| | - David Kilroy
- Veterinary Science Centre, University College Dublin, Belfield, D04 V1W8 Dublin, Ireland
| | - Francisco Martínez Gomariz
- Department of Anatomy and Comparative Pathological Anatomy, Veterinary Faculty, Campus de Espinardo, University of Murcia, 30100 Murcia, Spain
| | - Cayetano Sánchez Collado
- Department of Anatomy and Comparative Pathological Anatomy, Veterinary Faculty, Campus de Espinardo, University of Murcia, 30100 Murcia, Spain
| | - Francisco Gil Cano
- Department of Anatomy and Comparative Pathological Anatomy, Veterinary Faculty, Campus de Espinardo, University of Murcia, 30100 Murcia, Spain
| | | | - María Dolores Ayala Florenciano
- Department of Anatomy and Comparative Pathological Anatomy, Veterinary Faculty, Campus de Espinardo, University of Murcia, 30100 Murcia, Spain
| | - Alberto Arencibia Espinosa
- Department of Morphology, Veterinary Faculty, University of Las Palmas de Gran Canaria, 35413 Las Palmas, Spain
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Giron A, Cox C, MacKay B. Techniques for Imaging Vascular Supply of Peripheral Nerves. J Brachial Plex Peripher Nerve Inj 2021; 16:e24-e30. [PMID: 34316297 PMCID: PMC8302262 DOI: 10.1055/s-0041-1731280] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/10/2020] [Accepted: 03/31/2021] [Indexed: 11/23/2022] Open
Abstract
Few studies have been developed to map the vascular structures feeding peripheral nerves, with the majority using cadaveric models and inadequate sample sizes. Preliminary evidence, while limited, indicates that the mapping of these vessels may allow or preclude certain procedures in nerve reconstruction due to the location of essential arterial inflow to the vasa nervorum. This review evaluates the evidence regarding historical, current, and emerging techniques for visualizing these vascular structures in vivo and considers their potential application in peripheral nerve vasculature.
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Affiliation(s)
- Alec Giron
- Department of Orthopaedic Surgery, Texas Tech University Health Sciences Center School of Medicine Lubbock, Texas Tech University Health Sciences Center School of Medicine, Lubbock, Texas, United Sates
| | - Cameron Cox
- Department of Orthopaedic Surgery, Texas Tech University Health Sciences Center, Lubbock, Texas, United States
| | - Brendan MacKay
- Department of Orthopaedic Surgery, Texas Tech Health Sciences Center, Lubbock, Texas, United Sates
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Kupeli S, Bicakci K, Sezgin G, Bayram I. Evaluation of late cerebral vascular complications in cranially irradiated pediatric cancer patients with magnetic resonance angiography. TUMORI JOURNAL 2018; 104:381-387. [PMID: 28315509 DOI: 10.5301/tj.5000618] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/07/2023]
Abstract
BACKGROUND: We aimed to establish the early diagnosis of cerebral vascular complications by using cerebral magnetic resonance angiography (MRA) in patients who were treated with cranial RT in childhood as part of their cancer treatment. PROCEDURE: Patients who had received cranial RT before the age of 18 and had been in remission for at least 1 year were enrolled in the study. A data form including demographic and clinical characteristics and findings of cerebral MRA was filled in for each patient. RESULTS: Cerebral MRA examination was performed between November 2013 and October 2015 in 53 patients who met the inclusion criteria. Abnormalities were found in 7 patients (13.2%). All patients were asymptomatic at the time of examination. There was a significant difference between patients in the abnormality-positive and abnormality-negative groups related to cranial radiation dose (p = 0.013) and age at the time of examination (p = 0.015) in univariate analysis. In multivariate analysis, cranial radiation dose was found to have an impact on developing cerebral vascular abnormalities (p = 0.045). CONCLUSIONS: Cerebral MRA is a noninvasive method of follow-up for late cerebral vascular complications in surviving pediatric oncology patients who were treated with cranial RT as part of their cancer treatment.
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Affiliation(s)
- Serhan Kupeli
- 1 Department of Pediatric Oncology and Pediatric Bone Marrow Transplantation Unit, Faculty of Medicine, Çukurova University, Adana - Turkey
| | - Kenan Bicakci
- 2 Department of Radiology, Faculty of Medicine, Çukurova University, Adana - Turkey
| | - Gulay Sezgin
- 1 Department of Pediatric Oncology and Pediatric Bone Marrow Transplantation Unit, Faculty of Medicine, Çukurova University, Adana - Turkey
| | - Ibrahim Bayram
- 1 Department of Pediatric Oncology and Pediatric Bone Marrow Transplantation Unit, Faculty of Medicine, Çukurova University, Adana - Turkey
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Mathew RC, Kramer CM. Recent advances in magnetic resonance imaging for peripheral artery disease. Vasc Med 2018; 23:143-152. [PMID: 29633922 DOI: 10.1177/1358863x18754694] [Citation(s) in RCA: 30] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
The global burden of peripheral artery disease (PAD) is significant. This has led to numerous recent advances in magnetic resonance imaging (MRI) techniques in PAD. Older techniques such as time of flight MRI or phase contrast MRI are burdened by long acquisition times and significant issues with artifacts. In addition, the most used MRI modality, contrast-enhanced MR angiography (CE-MRA) is limited by the use of gadolinium contrast and its potential toxicity. Novel MRI techniques such as arterial spin labeling (ASL), blood-oxygen-level dependent imaging (BOLD), and first-pass perfusion gadolinium enhancement are advancing the field by providing skeletal muscle perfusion/oxygenation data while maintaining excellent spatial and temporal resolution. Perfusion data can be critical to providing objective clinical data of a visualized stenosis. In addition, there are a number of new MRI sequences assessing plaque composition and lesion severity in the absence of contrast. These approaches used in combination can provide useful clinical and prognostic data and provide critical endpoints in PAD research.
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Affiliation(s)
- Roshin C Mathew
- Departments of Medicine (Cardiology) and Radiology, University of Virginia Health System, Charlottesville, VA, USA
| | - Christopher M Kramer
- Departments of Medicine (Cardiology) and Radiology, University of Virginia Health System, Charlottesville, VA, USA
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Three-Dimensional Black-Blood T1-Weighted Turbo Spin-Echo Techniques for the Diagnosis of Deep Vein Thrombosis in Comparison With Contrast-Enhanced Magnetic Resonance Imaging. Invest Radiol 2015; 50:401-8. [DOI: 10.1097/rli.0000000000000142] [Citation(s) in RCA: 30] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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Sharma AK, Westesson PL. Preoperative evaluation of spinal vascular malformation by MR angiography: how reliable is the technique: case report and review of literature. Clin Neurol Neurosurg 2008; 110:521-4. [PMID: 18358597 DOI: 10.1016/j.clineuro.2008.02.005] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/24/2007] [Revised: 02/04/2008] [Accepted: 02/07/2008] [Indexed: 11/25/2022]
Abstract
Contrast-enhanced MR angiography (MRA) has been increasingly used in the evaluation of spinal vascular malformations. Even though MR spinal angiography has several advantages over catheter spinal angiography (DSA), however, spinal DSA must never be omitted before operation, even if the vascular malformation is nicely demonstrated by MR angiography. We report a case of spinal vascular malformation in which MR angiography provided great images which almost convinced everyone about the type and site of malformation/fistula. The images were so convincing that it was almost decided to skip catheter based angiography, citing reason of disadvantages of catheter based angiography over MR angiography. However, spinal DSA was luckily done which completely changed the type and site of malformation and helped in avoiding failed surgery. We conclude that even though catheter based spinal angiography has disadvantages over MRA, it should never be omitted from the diagnostic protocol.
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Affiliation(s)
- Ashwani Kumar Sharma
- Division of Neuroradiology, Department of Radiology, Strong Memorial Hospital, URMC, 601 Elmwood Avenue, Rochester, NY 14620, USA.
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Gillan C, Kirilova A, Landon A, Yeung I, Pond G, Crook J. Radiation dose to the internal pudendal arteries from permanent-seed prostate brachytherapy as determined by time-of-flight MR angiography. Int J Radiat Oncol Biol Phys 2006; 65:688-93. [PMID: 16626892 DOI: 10.1016/j.ijrobp.2006.01.037] [Citation(s) in RCA: 18] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/27/2005] [Revised: 01/12/2006] [Accepted: 01/14/2006] [Indexed: 11/30/2022]
Abstract
PURPOSE To determine the feasibility of time-of-flight magnetic resonance (MR) angiography to visualize the internal pudendal arteries (IPAs) in potent men undergoing permanent-seed prostate brachytherapy and to calculate the radiation dose received by these arteries. METHODS AND MATERIALS Prostate brachytherapy is performed at the University Health Network/Princess Margaret Hospital by use of transrectal ultrasound (TRUS) preplanning and preloaded needles. All patients received (125)I, with a mean seed activity of 0.32 mCi/seed (0.41 U). Postplan evaluation is performed at 1 month by magnetic resonance-computed tomography fusion. Twenty consecutive potent men had time-of-flight MR angiography as part of their postplan evaluation. RESULTS The mean V100 was 96.5%, and the mean D90 was171.5 Gy. The IPAs were easily visualized for 18 of the 20 men. The mean peak dose received by the IPA was 17 Gy. The highest peak dose received by any patient was 38.2 Gy, with only 1 other patient receiving a peak dose greater than 30 Gy. Eleven of 18 had a measurable portion of at least 1 IPA that received 10% of the prescribed dose (V10 = 14.5 Gy). Only 2 patients had nonzero values for V25. The distal third of the IPA received the highest dose for 16 of the 18 patients. CONCLUSIONS The IPAs can be well visualized in the majority of potent men by use of time-of-flight MR angiography 1 month after brachytherapy. The IPAs receive a low but calculable dose from permanent-seed (125)I brachytherapy. Further research is needed to determine if this outcome has any correlation with subsequent potency.
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Affiliation(s)
- Caitlin Gillan
- Department of Radiation Medicine, University Health Network, Princess Margaret Hospital, Toronto, Canada
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Ozsarlak O, Van Goethem JW, Maes M, Parizel PM. MR angiography of the intracranial vessels: technical aspects and clinical applications. Neuroradiology 2004; 46:955-72. [PMID: 15580489 DOI: 10.1007/s00234-004-1297-9] [Citation(s) in RCA: 81] [Impact Index Per Article: 4.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/19/2004] [Accepted: 09/06/2004] [Indexed: 10/26/2022]
Abstract
Evaluation of the intracranial circulation provides valuable information in the diagnosis and prognosis of various intracranial abnormalities and may influence patient management. Technical advances in magnetic resonance angiography (MRA) have improved the accuracy of this technique in various clinical situations, such as aneurysms, arterial and venous steno-occlusive diseases, vascular malformations, inflammatory arterial diseases, preoperative assessment of the patency of dural sinuses, and congenital vascular abnormalities. In many centers, MRA has replaced conventional digital subtraction angiography in screening for intracranial vascular disease, because of its non-invasive and non-ionizing character. Several MRA techniques have been developed for the imaging of the intracranial vascular system, such as time-of-flight MRA (TOF MRA), phase-contrast MRA (PC MRA), and more recently contrast-enhanced MRA (CE MRA). In the evaluation of steno-occlusive disease, the three-dimensional (3D) TOF-MRA technique is recommended for arterial evaluation, and the 2D TOF or 2D PC-MRA technique for venous evaluation. For the evaluation of aneurysms and arteriovenous malformations (AVMs), we recommend the 3D CE-MRA technique, especially dynamic sequences in case of AVM. In this review, the technical aspects, limitations, and optimization of these MRA techniques will be discussed together with their indications in intracranial disease.
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Affiliation(s)
- Ozkan Ozsarlak
- Neuroradiology Section, Department of Radiology, University Hospital Antwerp, Wilrijkstraat 10, 2650, Edegem, Belgium.
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Firat A, Akin O, Agildere AM, Aytekin C, Haberal M. Contrast-enhanced magnetic resonance angiography: evaluation of renal arteries in living renal transplant donors. Eur J Radiol 2004; 52:84-93. [PMID: 15380851 DOI: 10.1016/j.ejrad.2003.08.002] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/24/2003] [Revised: 08/01/2003] [Accepted: 08/06/2003] [Indexed: 10/26/2022]
Abstract
One of the most important steps before living-donor nephrectomy is assessment of renal vascular anatomy. The number, origins and lengths of the renal arteries and variations of renal veins must be determined in order to identify the kidney that is most suitable for transplantation. Digital subtraction angiography was long considered the standard procedure for this purpose, but this method has been replaced by non-invasive techniques. Contrast-enhanced magnetic resonance angiography is an accurate, safe and reliable method for imaging vasculature. This article reviews the technique and the clinical features of this method in the evaluation of living renal transplant donors.
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Affiliation(s)
- Ali Firat
- Department of Radiology, Baskent University Faculty of Medicine, Fevzi Cakmak Cad., 10. Sok., No:45, Bahcelievler, 06490 Ankara, Turkey
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Hölzle F, Franz EP, von Diepenbroick VH, Wolff KD. [Evaluation of the lower leg vessels before microsurgical fibula transfer. Magnetic resonance angiography versus digital subtraction angiography]. MUND-, KIEFER- UND GESICHTSCHIRURGIE : MKG 2003; 7:246-53. [PMID: 12961076 DOI: 10.1007/s10006-003-0486-8] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
Abstract
BACKGROUND Since the introduction of the fibula flap by Taylor in 1975, and its first application in the lower jaw by Hidalgo in 1989, it has become an option of first choice in mandibular reconstruction of large oromandibular defects. Perfusion of the osteomyocutaneous fibula transplant is based on the peroneal artery. To avoid postoperative ischaemia of the lower leg after sacrificing this artery, especially in smokers, adequate perfusion must be guaranteed preoperatively by radiological evaluation. Progress in the field of magnetic resonance angiography (MRA) enables an increasing number of primary non-invasive evaluations of vessels. The aim of this prospective study was to answer the question of whether MRA enables a accurate representation of anatomical variation and pathological stenoses of the lower leg vessels and can therefore replace conventional digital subtraction angiography (DSA). MATERIALS AND METHODS We carried out conventional DSA of the lower leg before raising a fibula transplant and postoperative MRA with contrast medium in a prospective study with 15 patients. Vessels were assessed for atherosclerotic, occlusive or hypoplastic changes and anatomical variations by three radiologists. RESULTS High resolution of MRA enables a reliable judgement of the lower leg vessels. Hypoplastic vessels, stenoses, occlusion or atherosclerotic changes of the vessels could definitely be detected by MRA just as by DSA. Thus, all patients without these diagnosed contraindications could be operated successfully. CONCLUSION MRA of the lower leg enables a definitive determination of the vessel quality and the site of preference for harvesting the flap. Because MRA is a low risk procedure, can be carried out on an outpatient basis and causes no radiation load, it should be preferred to conventional DSA.
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Affiliation(s)
- F Hölzle
- Klinik für Mund-, Kiefer- und Plastische Gesichtschirurgie, Knappschaftskrankenhaus Bochum-Langendreer, Ruhr-Universität, Bochum.
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11
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Abstract
More than half of the patients with vascular anomalies referred to the Vascular Anomalies Clinic at Children's Hospital, Boston, have been misdiagnosed. A major consequence of misdiagnosis is inappropriate treatment, including deferral of necessary treatment and inappropriate use of pharmacotherapy, radiation, surgery, and embolotherapy. Hemangiomas and vascular malformations are distinct categories with completely different biologic and clinical behavior, therapeutic requirements, and imaging features. This article reviews the biologic classification of vascular anomalies and corresponding MR imaging features, and presents a simplified guide to diagnosis.
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Affiliation(s)
- Orhan Konez
- Division of Cardiovascular and Interventional Radiology, Department of Radiology, Children's Hospital, Harvard Medical School, 300 Longwood Avenue, Boston, MA 02115, USA
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Boeve WJ, Kok T, Tegzess AM, van Son WJ, Ploeg RJ, Sluiter WJ, Kamman RL. Comparison of contrast enhanced MR-angiography-MRI and digital subtraction angiography in the evaluation of pancreas and/or kidney transplantation patients: initial experience. Magn Reson Imaging 2001; 19:595-607. [PMID: 11672617 DOI: 10.1016/s0730-725x(01)00372-1] [Citation(s) in RCA: 16] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/13/2023]
Abstract
To evaluate whether combined contrast enhanced MRA and MRI (ce-MRA-MRI) has the potential to replace intra-arterial DSA (i.a.DSA) in patients with impaired graft function or suspected of vascular complications after pancreas and/or kidney transplantation. 7 patients after combined pancreas-kidney and 22 patients after kidney transplantation underwent ce-MRA-MRI and i.a.DSA within a 3 days interval. Qualitative and quantitative comparison of the arterial and venous supply, the parenchyma and urinary collecting system was made. Both ce-MRA and i.a.DSA showed good results in the detection of arterial stenoses. However, ce-MRA falsely suggested stenoses if vascular clips were used; on the other hand, i.a.DSA was less informative if the graft arteries were very tortuous. Ce-MRA was superior in depicting the venous anatomy (p < 0.001) and the parenchymal enhancement of the pancreatic grafts. For the assessment of the contrast excretion, the pyelocalyceal system and the ureter of the renal graft ce-MRA-MRI was superior (p < 0.001), for small caliber arteries in the renal grafts i.a.DSA was of greater value (p < 0.001). The combination of ce-MRA and MRI is reliable for evaluating the vascular anatomy and has several advantages over i.a.DSA after pancreas and/or kidney transplantation. It can replace i.a.DSA in patients with impaired graft function or suspected of vascular complications after pancreas and/or kidney transplantation.
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Affiliation(s)
- W J Boeve
- Department of Radiology, University Hospital Groningen, Groningen, The Netherlands.
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Boos M, Scheffler K, Haselhorst R, Reese E, Fröhlich J, Bongartz GM. Arterial first pass gadolinium-CM dynamics as a function of several intravenous saline flush and Gd volumes. J Magn Reson Imaging 2001; 13:568-76. [PMID: 11276101 DOI: 10.1002/jmri.1080] [Citation(s) in RCA: 40] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022] Open
Abstract
This study was performed to evaluate the dynamics of an arterial first pass gadolinium (Gd) contrast medium (CM) bolus at the descending aorta (DAo), depending on various saline flush and Gd volumes. Using an ultra-fast two- dimensional GE-sequence (Siemens Vision, 1.5-T), 200 sequential cross-sectional images of the addressed vessel (1 slice/s) were obtained. Several saline flush volumes (15 mL, 30 mL, and 60 mL) were applied following the administration of 10 mL Gd (single dose) to a group of 4 normal volunteers (body weight 50-55 kg) using a mechanical MR injector (injection rate = 3.0 mL/s). Additionally, when performing a second test series, the saline volume remained constant, while the Gd volumes were varied from half doses to triple doses (5, 10, 20, and 30 mL Gd were given to every volunteer of the group). The signal intensity versus time (SI/T) curve at a measured region of interest (ROI) within the DAo was calculated. The bolus arrival time (BAT), the maximal signal-to-noise ratio (SNR(max)), the bolus time length (BL; 75% and 80% maximum intensity duration), the slope of the SI/T curve, and the areas below the SI/T curve for both the 80% and 75% maximum intensity duration level (INT(80%) and INT(75%)) were calculated. The increase of saline flush volume from 30 to 60 mL caused significant bolus lengthening of approximately 50% (mean BL = 9.5 s, 10.3 s, and 15.4 s for 15 mL, 30 mL, and 60 mL saline flush volumes, respectively, measured as SI/T duration at the 75% SNR(max) level). Using saline flush volumes equal to or higher than 30 mL increased the slope of the SI/T curve. A continuous increase of INT(75%/80%) by using higher saline flush volumes was found. Different saline and Gd volumes did not affect the SNR(max) and the BAT. Only the low dose (0.05 mmol/kg Gd) showed a 17%-21.6% significantly lower SNR(max). The BL and the INT increased mainly by enlarging of applied Gd volume from single to double dose (BL(75%) and INT(75%) were 9.6 s and 1305, 12.3 s and 2121, 38.5 s and 6181, 37.8 s and 6613 for 5, 10, 20, and 30 mL applied Gd volume, respectively). The arterial bolus length benefits from increasing Gd and saline flush volumes due to increased venous bolus length and wash out effects of Gd within the injection site of the vein. Doses larger than a single dose are not needed to increase the SNR in contrast-enhanced magnetic resonance angiography images of the thoracic aorta.
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Affiliation(s)
- M Boos
- Department of Radiology, University-Hospital, Basel, Switzerland
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14
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Abstract
The gold standard for the diagnosis of renal artery stenosis is angiography, with response to treatment the proof of its significance. Non-invasive methods of investigation are required and are now available including functional imaging, ultrasound, CT and MR angiography and the merits and limitations of these tests are discussed.
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Affiliation(s)
- S C Rankin
- Department of Radiology, Guy's Hospital, Guy's and St.Thomas' Trust, London, UK
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Watanabe Y, Dohke M, Okumura A, Amoh Y, Ishimori T, Oda K, Hayashi T, Hiyama A, Dodo Y. Dynamic subtraction contrast-enhanced MR angiography: technique, clinical applications, and pitfalls. Radiographics 2000; 20:135-52; discussion 152-3. [PMID: 10682778 DOI: 10.1148/radiographics.20.1.g00ja10135] [Citation(s) in RCA: 59] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Abstract
Rapid advances in techniques of contrast material-enhanced magnetic resonance (MR) angiography have enabled evaluation of the entire aorta and the main arteries. Dynamic subtraction MR angiography consists of first-pass imaging of long segments of arteries by using a three-dimensional fast field echo sequence with multiple rapid bolus injections of a small dose of gadopentetate dimeglumine. Subtraction enables clear demonstration of the enhanced vascular lumen by eliminating background signal. Improved temporal resolution and repeated sequences after gadopentetate dimeglumine administration allow demonstration of arteries and veins separately. Double subtraction postprocessing can be used to eliminate arterial enhancement in demonstration of the portal and systemic veins. Additional postprocessing can be used to demonstrate arteries in a single image in patients with aortic dissection or a prolonged circulation time. To optimize the examination, the pulse sequence, injection dose, injection rate, timing of the start of data acquisition, imaging time, breath holding, section thickness, and coil selection should be considered. This technique is flexible enough to be applied in a variety of clinical settings, including atherosclerotic occlusive disease, aneurysm of aortoiliac arteries, bypass graft, Takayasu arteritis, aortic dissection, antiphospholipid antibody syndrome, renal artery disease, pelvic vascular disease, and the portomesenteric venous system.
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Affiliation(s)
- Y Watanabe
- Department of Radiology, Kurashiki Central Hospital, Japan
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