Whole Body MR Angiography Screening

  • Stefan G Ruehm
  • Susanne C Goehde
  • Mathias Goyen
Article

Abstract

Lack of side effects, diagnostic accuracy and recent improvements in technology qualify magnetic resonance imaging for preventive cardiovascular imaging. The purpose of this study was to assess the feasibility of a comprehensive contrast-enhanced three-dimensional whole-body MR (magnetic resonance) angiography examination technique using a rolling table platform system with a 1.5-T MR system. The examination yielded diagnostic image quality in 5312 out of 5400 (98.3%) evaluated vascular segments in 180 consecutive patients with peripheral vascular disease. Besides the proved peripheral vascular disease, additional relevant vascular disease was found in 65 vessel segments in 42 patients: carotid artery stenosis (n = 21), subclavian artery stenosis (n = 5), renal artery stenosis (n = 27) abdominal aortic aneurysm (n = 7), aortic dissection (n = 5). In 20 patients additional imaging studies confirmed the results of whole-body MRA without false positive or false negative findings. The described whole-body MR angiography protocol appears well suited for comprehensive evaluation of the arterial system beyond the peripheral vasculature.

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Martin, EC 1991Transcatheter therapies in peripheral and nonvascular diseaseCirculation8315Google Scholar
  2. Rutkow, IM, Ernst, CB 1986An analysis of vascular surgical manpower requirements and vascular surgical rates in the United StatesJ Vasc Surg37483Google Scholar
  3. Management of peripheral arterial disease (PAD). TransAtlantic Inter-Society Consensus (TASC). J Vasc Surg 2000; 31, part 2 (Supplement): S5.Google Scholar
  4. Shehadi, WH 1982Contrast media adverse reactions: occurrence, recurrence, and distribution patternsRadiology1431117PubMedGoogle Scholar
  5. Shellock, FG, Kanal, E 1999Safety of magnetic resonance imaging contrast agentsJ Magn Reson Imaging10477484Google Scholar
  6. Prince, MR 1994Gadolinium-enhanced MR aortographyRadiology191155164PubMedGoogle Scholar
  7. Prince, MR, Narasimham, DL, Stanley, JC, Chenevert, TL, Williams, DM, Marx, MV, Cho, KJ 1995Breath-hold gadolinium-enhanced MR angiography of the abdominal aorta and its major branchesRadiology197785792Google Scholar
  8. Meaney, JF, Weg, JG, Chenevert, TL, Stafford-Johnson, D, Hamilton, BH, Prince, MR 1997Diagnosis of pulmonary embolism with magnetic resonance angiographyN Engl J Med33614221427CrossRefPubMedGoogle Scholar
  9. Goyen, M, Debatin, JF, Ruehm, SG 2001Peripheral MR-AngiographyTop Magn Reson Imaging12327335Google Scholar
  10. Meaney, JF, Ridgway, JP, Chakraverty, S,  et al. 1999Stepping-table gadolinium-enhanced digital subtraction MR angiography of the aorta and lower extremity arteries: preliminary experienceRadiology2115967Google Scholar
  11. Ho, KY, Leiner, T, de, Haan MW,  et al. 1998Peripheral vascular tree stenoses: evaluation with moving-bed infusion-tracking MR angiographyRadiology206683692Google Scholar
  12. Ruehm, SG, Hany, TF, Pfammatter, T,  et al. 2000Pelvic and lower extremity arterial imaging: diagnostic performance of three-dimensional contrast-enhanced MR angiographyAm J Roentgenol17411271135Google Scholar
  13. Ruehm, SG, Goyen, M, Barkhausen, J,  et al. 2001Rapid magnetic resonance angiography for detection of atherosclerosisLancet35710861091CrossRefPubMedGoogle Scholar
  14. Ruehm , SG, Goyen , M, Quick , HH,  et al. 2000 Whole-body MRA on a rolling table platform (AngioSURF) RöFo 172670674Google Scholar
  15. Patrux, B, Laissy, JP, Jouini, S, Kawiecki, W, Coty, P, Thiebot, J 1994Magnetic resonance anigography (MRA) of the circle of Willis: a prospective comparison with conventional angiography in 54 subjectsNeuroradiology36193197Google Scholar
  16. Stock, KW, Radue, EW, Jacob, AL, Bao, XS, Steinbrich, W 1995Intracranial arteries: prospective blinded comparative study of MR angiography and DSA in 50 patientsRadiology195451456PubMedGoogle Scholar
  17. Manning, WJ, Li, W, Edelman, RR 1993A preliminary report comparing magnetic resonance coronary angiography with conventional angiographyN Engl J Med328828832Google Scholar
  18. Li, D, Deshpande, V 2001Magnetic resonance imaging of coronary arteriesTop Magn Reson Imaging12337347Google Scholar
  19. Prince, MR, Chenevert, TL, Foo, TK, Londy, FJ, Ward, JS, Maki, JH 1997Contrast-enhanced abdominal MR angiography: optimization of imaging delay time by automating the detection of contrast material arrival in the aortaRadiology203109114Google Scholar
  20. Cavagna, FM, Maggioni, F, Castelli, PM,  et al. 1997Gadolinium chelates with weak binding to serum proteins. A new class of high-efficiency, general purpose contrast agents for magnetic resonance imagingInvest Radiol32780796CrossRefGoogle Scholar
  21. Von, Kemp K, van, den Brande P, Peterson, T,  et al. 1997Screening for concomitant diseases in peripheral vascular patients.Results of a systematic approach Int Angiol16114122Google Scholar
  22. Hertzer, NR, Beven, EG, Young, JR,  et al. 1984Coronary artery disease in peripheral vascular patients.A classification of 1000 coronary angiograms and results of surgical management. Ann Surg199223233Google Scholar

Copyright information

© Kluwer Academic Publishers 2004

Authors and Affiliations

  • Stefan G Ruehm
    • 1
  • Susanne C Goehde
    • 2
  • Mathias Goyen
    • 2
  1. 1.Department of RadiologyDavid Geffen School of Medicine at UCLALos Angeles USA
  2. 2.Department of Diagnostic and Interventional RadiologyUniversity Hospital EssenEssenGermany

Personalised recommendations