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The impact of the dosage of intravenous gadolinium-chelates on the vascular signal intensity in MR angiography

  • Magnetic Resonance
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Abstract

To show the effects of different concentrations of contrast agent on signal time curves and image contrast of abdominal aorta, vena cava and portal vein in comparison to each other as well as liver and spleen. Imaging was carried out in a 1.0 Tesla clinical scanner. Sixty patients were prospectively included and divided into three contrast agent (Gd-DTPA) dosage groups (0.1 mmol/kg, 0.2 mmol/kg and 0.3 mmol/kg). All patients were scanned using a time-resolved 3D FLASH sequence (58 phases) with a 3.75 second acquisition time per phase. Signal time curves and image contrast levels were evaluated. No significant differences were found for the maximum signal enhancement between the groups in the investigated vessels. Image masking, the subtraction of the baseline images, resulted in a substantial improvement in image contrast. However, statistically significant differences between the contrast agent dosage groups could only be found for vena cava and liver. Vessel conspicuity is not significantly improved with an increase of contrast agent dose. However, an increase in contrast agent dosage increases vessel contrast. Our findings suggest that a single dose single station investigation seems to be sufficient for high quality abdominal MRA.

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References

  1. Ho KY, Leiner T, de Haan MW et al (1999) Peripheral MR angiography. Eur.Radiol 9:1765–1774

    Article  PubMed  CAS  Google Scholar 

  2. Prince MR, Narasimham DL, Stanley JC et al (1995) Breath-hold gadolinium-enhanced MR angiography of the abdominal aorta and its major branches. Radiology 197:785–792

    PubMed  CAS  Google Scholar 

  3. Rofsky NM, Adelman MA (2000) MR angiography in the evaluation of atherosclerotic peripheral vascular disease. Radiology 214:325–338

    PubMed  CAS  Google Scholar 

  4. Meaney JF, Prince MR (1999) Pulmonary MR angiography. Magn Reson.Imaging Clin N Am 7:393–409, x

    PubMed  CAS  Google Scholar 

  5. Foo TK, Ho VB, Choyke PL (1999) Contrast-enhanced carotid MR angiography. Imaging principles and physics. Neuroimaging Clin N Am 9:263–284

    PubMed  CAS  Google Scholar 

  6. Leiner T, de Haan MW, Nelemans PJ et al (2005) Contemporary imaging techniques for the diagnosis of renal artery stenosis. Eur Radiol 15:2219–2229

    Article  PubMed  CAS  Google Scholar 

  7. Schmitt R, Coblenz G, Cherevatyy O et al (2005) Comprehensive MR angiography of the lower limbs: a hybrid dual-bolus approach including the pedal arteries. Eur Radiol 15:2513–2524

    Article  PubMed  CAS  Google Scholar 

  8. Korner M, Baumgartner I, Do DD et al (1999) PTA of the subclavian and innominate arteries: long-term results. Vasa 28:117–122

    Article  PubMed  CAS  Google Scholar 

  9. Sawlani V, Phadke RV, Baijal SS et al (1996) Arterial complications of pancreatitis and their radiological management. Australas Radiol 40:381–386

    PubMed  CAS  Google Scholar 

  10. Patel YD (1993) Vascular interventions in the abdomen: current status. Ann Acad Med Singapore 22:768–775

    PubMed  CAS  Google Scholar 

  11. Dunnick NR, Sfakianakis GN (1991) Screening for renovascular hypertension. Radiol Clin North Am 29:497–510

    PubMed  CAS  Google Scholar 

  12. Douek PC, Revel D, Chazel S, et al (1995) Fast MR angiography of the aortoiliac arteries and arteries of the lower extremity: value of bolus-enhanced, whole-volume subtraction technique. AJR Am J Roentgenol 165:431–437

    PubMed  CAS  Google Scholar 

  13. Korosec FR, Frayne R, Grist TM et al (1996) Time-resolved contrast-enhanced 3D MR angiography. Magn Reson Med 36:345–351

    PubMed  CAS  Google Scholar 

  14. Merlino B, Salcuni M, Salute L et al (2001) Total body MR angiography and atherosclerosis. Rays 26:305–314

    PubMed  CAS  Google Scholar 

  15. Saini S, Fretz CJ, Fisel CR et al (1991) In vitro evaluation of a mechanical injector for infusion of magnetic resonance contrast media. Invest Radiol 26:748–751

    Article  PubMed  CAS  Google Scholar 

  16. Frayne R, Grist TM, Swan JS et al (2000) 3D MR DSA: effects of injection protocol and image masking. J Magn Reson Imaging 12:476–487

    Article  PubMed  CAS  Google Scholar 

  17. Miller RG (1981) Simultaneous statistical inference. 2nd edn, Springer Berlin Heidelberlg New York

  18. Hommel G (1988) A stagewise rejective multiple test procedure based on a modified Bonferroni test. Biometrika 75:383–386

    Article  Google Scholar 

  19. Svensson J, Petersson JS, Stahlberg F et al (1999) Image artifacts due to a time-varying contrast medium concentration in 3D contrast-enhanced MRA. J Magn Reson Imaging 10:919–928

    Article  PubMed  CAS  Google Scholar 

  20. Earls JP, Rofsky NM, DeCorato DR et al (1996) Breath-hold single-dose gadolinium-enhanced three-dimensional MR aortography: usefulness of a timing examination and MR power injector. Radiology 201:705–710

    PubMed  CAS  Google Scholar 

  21. Boos M, Lentschig M, Scheffler K et al (1998) Contrast-enhanced magnetic resonance angiography of peripheral vessels. Different contrast agent applications and sequence strategies: a review. Invest Radiol 33:538–546

    Article  PubMed  CAS  Google Scholar 

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Correspondence to Johannes T. Heverhagen.

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Heverhagen, J.T., Reitz, I., Pavlicova, M. et al. The impact of the dosage of intravenous gadolinium-chelates on the vascular signal intensity in MR angiography. Eur Radiol 17, 626–637 (2007). https://doi.org/10.1007/s00330-006-0419-7

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  • DOI: https://doi.org/10.1007/s00330-006-0419-7

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