Abstract
The current status of technological development is such that coronary magnetic resonance angiog-raphy (MRA) has a marginal role in the field of noninvasive evaluation of this arterial district. Nevertheless, in several clinical applications, such as congenital abnormalities of coronaries or pathologies affecting young patients, coronary MRA is considered as the fi rst choice tools and accredited with high diagnostic accuracy. New technical improvements such as high-field scanners (3 T) and multichannel surface coils may turn in favor of coronary MRA because of the intrinsic fl exibility and lack of ionizing radiations. In this chapter, the main technological aspects as well the more relevant clinical applications and limitations are commented.
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References
Araoz PA, Glockner JF, McGee K P, et al. (2005) 3 Tesla MR imaging provides improved contrast in first-pass myocar-dial perfusion imaging over a range of gadolinium doses. J Cardiovasc Magn Reson 7(3):559–564
Aurigemma G P, Reichek N, Axel L, et al. (1989) Noninvasive determination of coronary artery bypass graft patency by cine magnetic resonance imaging. Circulation. 80(6):1595–1602
Bluemke DA, Achenbach S, Budoff M, et al. (2008) Noninvasive coronary artery imaging: magnetic resonance angiography and multidetector computed tomography angiography: a scientific statement from the American heart association committee on cardiovascular imaging and intervention of the council on cardiovascular radiology and intervention, and the councils on clinical cardiology and cardiovascular disease in the young. Circulation 118:586–606
Bornstedt A, Hombach V, Kouwenhoven M, et al. (2008) Whole-heart coronary angiography at isotropic spatial resolution: high sense acceleration at 3T utilizing a 32 element cardiac receive coil. In: Proceedings of the 16th Annual Meeting of ISMRM, Toronto, Canada, p 941
Brenner P, Wintersperger B, von Smekal A, et al. (1999) Detection of coronary artery bypass graft patency by contrast enhanced magneticresonance angiography. Eur J Cardiothorac Surg 15(4):389–393
Debatin JF, Strong JA, Sostman HD, et al. (1993) MR characterization of blood flow in native and grafted internal mammary arteries. J Magn Reson Imaging 3:443–450
Foo TK, Ho VB, Saranathan M, et al. (2005) Feasibility of integrating high-spatial-resolution 3D breath-hold coronary MR angiography with myocardial perfusion and viability examinations. Radiology 235:1025–1030
Galjee MA, van Rossum AC, Doesburg T, et al. (1996) Value of magnetic resonance imaging in assessing patency and function of coronary artery bypass grafts: an angiographi-cally controlled study. Circulation 93:660–666.
Gharib AM, Herzka DA, Ustun AO, et al. (2007 Oct) Coronary MR angiography at 3T during diastole and systole. J Magn Reson Imaging 26(4):921–926
Goldfarb JW, Edelman RR. (1998) Coronary arteries: breath-hold, gadolinium-enhanced, three-dimensional MR angriog-raphy. Radiology 206:830–834
Hardy CJ, Cline HE, Giaquinto RO, et al. (2006) 32-Element receiver-coil array for cardiac imaging. Magn Reson Med 55:1142–1149
Hoffman MBM, Henson RE, Kovaks SJ, et al. (1999) Blood poll agent strongly improves 3D magnetic resonance coronary angiography using an inversion pre-pulse. Magn Reson Med 41(2):360–367
Ishida N, Sakuma H, Cruz BP, et al. (2001) Mr flow measurement in the internal mammary artery-to-coronary artery bypass graft: comparison with graft stenosis at radio-graphic angiography. Radiology 220(2):441–447
Kawada N, Sakuma H, Cruz BC, et al. (1999) Noninvasive detection of significant stenosis in the coronary artery bypass grafts using fast velocity-encoded cine MRI. In: Book of Abstracts, 2nd Annual Meeting of the Society for Cardiovascular Magnetic Resonance, p 82
Kessler W, Achenbach S, Moshage W, et al (1997) Usefulness of respiratory gated magnetic resonance coronary angiogra-phy in assessing narrowings > or = 50% in diameter in native coronary arteries and in aortocoronary bypass conduits. Am J Cardiol 80(8):989–993
Kim WY, Danias PG, Stuber M, et al. (2001) Coronary magnetic resonance angiography for the detection of coronary stenoses. N Engl J Med 345:1863–1869
Kreitner KF, Voigtländer T, Wittlinger T, et al (2000) Flow quantification in coronary and bypass vessels with MR phase contrast technique Radiologe 40(2):143–149
Langerak SE, Vliegen HW, de Roos A, et al. (2002) Detection of vein graft disease using high-resolution magnetic resonance angiography. Circulation 105(3):328–333
Li D, Dolan R P, Walkovitch RC, et al. (1998) Three-dimensional MRI of coronary arteries using an intravascular contrast agent. Magn Reson Med 39:1014–1018
Nagel E, Thouet T, Klein C, et al. (2003) Noninvasive determination of coronary blood flow velocity with cardiovascular magnetic resonance in patients after stent deployment. Circulation 107:1738–1743
Nguyen TD, Spincemaille P, Prince MR, et al. (2006) Cardiac fat navigator-gated steady-state free precession 3D magnetic resonance angiography of coronary arteries. Magn Reson Med 56:210–215
Niendorf T, Hardy C., Giaquinto RO, et al. (2006) Toward single breath-hold whole-heart coverage coronary MRA using highly accelerated parallel imaging with a 32-channel MR system. Magn Reson Med 56:167–176
Okada T, Kanao S, Ninomiya A, et al. (2009) Whole-heart coronary magnetic resonance angiography with parallel imaging: comparison of acceleration in one-dimension vs. two-dimensions. Eur J Radiol doi:10.1016/j.ejrad.2008.06.005
Paulin S, von Schulthess GK, Fossel E, et al. (1987) MR imaging of the aortic root and proximal coronary arteries. Am J Roentgenol 148(4):665–670
Redberg RF, Walsh J (2008) Pay now, benefits may follow—the case of cardiac computed tomographic angiography. N Engl J Med 359(22):2309–2311
van Rossum AC, Bedaux WLF, Hofman MBM (1999) Morphologic and functional evaluation of coronary artery bypass conduits. J Magn Reson Imaging 10:734–740
Sakuma H, Globits S, O'Sullivan M, et al. (1996) Breath-hold MR measurements of blood flow velocitiy in internal mammary arteries and coronary artery bypass grafts. J Magn Reson Imaging 6:219–222
Sakuma H, Ichikawa Y, Suzawa N, et al. (2005) Assessment of coronary arteries with total study time of less than 30 minutes by using whole-heart coronary MR angiography. Radiology 237(1):316–321
Sakuma H, Kawada N, Takeda K, et al. (1999) MR measurement of coronary blood flow. J Magn Reson Imaging 10(5):728–733
Santos JM, Cunningham CH, Lustig M, et al. (2006) Single breath-hold whole-heart MRA using variable-density spirals at 3T. Magn Reson Med 55(2):371–379
Shankaranarayanan A, Fung M, Beatty P, et al. (2008) 128-Channel highly-acceerated breah-held 3D coronary MR imaging. In: Proceedings of the 16th Annual Meeting of ISMRM, Toronto, Canada, p 314
von Smekal A, Knez A, Seelos KC, et al. (1997) A comparison of ultrafast computed tomography, magnetic resonance angiography and selective angiography for the detection of coronary bypass patency. Rofo Fortschr Geb Rontgenstr Neuen Bildgeb Verfahr 166(3):185–191
Spuentrup E, Katoh M, Buecker A, et al. (2004) Free-breathing 3D steady-state free precession coronary MR angiography with radial k-space sampling: comparison with cartesian k-space sampling and cartesian gradient-echo coronary MR angiography-pilot study. Radiology 231:581–586
Spuentrup E, Ruebben A, Mahnken A, et al. (2005) Artifact-free coronary magnetic resonance angiography and coronary vessel wall imaging in the presence of a new, metallic, coronary magnetic resonance imaging stent. Circulation 111:1019–1026
Stehning C, Bornert P, Nehrke K, et al. (2004) Fast isotropic volumetric coronary MR angiography using free-breathing 3D radial balanced FFE acquisition. Magn Reson Med 52(1):197–203
Stehning C, Bornert P, Nehrke K, et al. (2005) Free-breathing whole-heart coronary MRA with 3D radial SSFP and self-navigated image reconstruction. Magn Reson Med 54:476–480
Stuber M, Botnar RM, Danias PG, et al. (1999a) Submillimiter three-dimensional coronary MR angiography with realtime navigator correction: comparison of navigator locations. Radiology 212:579–587
Stuber M, Botnar RM, Danias PG, et al. (1999b) Contrast agent-enhanced free breathing, three dimensional coronary magnetic resonance angiography. J Magn Reson Imaging 10(5):790–799
Voigtländer T, Kreitner KF, Wittlinger T, et al (2001) MR angiography and flow measurement in coronary arteries and coronary bypass grafts Z Kardiol 90(12):929–938
Walpoth BH, Müller MF, Genyk I, et al. (1999) Evaluation of coronary bypass flow with color-Doppler and magnetic resonance imaging techniques: comparison with intraop-erative flow measurements. Eur J Cardiothorac Surg 15(6):795–802
Weber OM, Martin AJ, Higgins CB (2004) Whole-heart steady-state free precession coronary artery magnetic resonance angiography. Magn Reson Med 50(6):1223–1228
Wittlinger T, Martinovic I, Noeske R, et al. (2005) High-field MR angiography on an in vitro stenosis model determination of the spatial resolution on 1.5 and 3T in correlation to flow velocity and contrast medium concentration. J Cardiovasc Magn Reson. 7(4):623–630
White RD, Caputo GR, Mark AS, et al. (1987) Coronary artery bypass graft patency: noninvasive evaluation with MR imaging. Radiology 164(3):681–686
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Lombardi, M., Milanesi, M. (2010). Heart and Coronary Arteries. In: Neri, E., Cosottini, M., Caramella, D. (eds) MR Angiography of the Body. Diagnostic Imaging. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-79717-3_9
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DOI: https://doi.org/10.1007/978-3-540-79717-3_9
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