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Routine Use of Three-Dimensional Contrast-Enhanced Moving-Table MR Angiography in Patients with Peripheral Arterial Occlusive Disease: Comparison with Selective Digital Subtraction Angiography

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Abstract

Purpose

To compare the diagnostic accuracy of contrast-enhanced (CE) three-dimensional (3D) moving-table magnetic resonance (MR) angiography with that of selective digital subtraction angiography (DSA) for routine clinical investigation in patients with peripheral arterial occlusive disease.

Methods

Thirty-eight patients underwent CE 3D moving-table MR angiography of the pelvic and peripheral arteries. A commercially available large-field-of-view adapter and a dedicated peripheral vascular phased-array coil were used. MR angiograms were evaluated for grade of arterial stenosis, diagnostic quality, and presence of artifacts. MR imaging results for each patient were compared with those of selective DSA.

Results

Two hundred and twenty-six arterial segments in 38 patients were evaluated by both selective DSA and MR angiography. No complications related to MR angiography were observed. There was agreement in stenosis classification in 204 (90.3%) segments; MR angiography overgraded 16 (7%) segments and undergraded 6 (2.7%) segments. Compared with selective DSA, MR angiography provided high sensitivity and specificity and excellent interobserver agreement for detection of severe stenosis (97% and 95%, κ = 0.9 ± 0.03) and moderate stenosis (96.5% and 94.3%, κ = 0.9 ± 0.03).

Conclusion

Compared with selective DSA, moving-table MR angiography proved to be an accurate, noninvasive method for evaluation of peripheral arterial occlusive disease and may thus serve as an alternative to DSA in clinical routine.

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Authors and Affiliations

  1. Medical University Graz, Department of Radiology, University Hospital Graz, Auenbruggerplatz 9, 8036, Graz, Austria

    Hannes A. Deutschmann, Helmut Schoellnast, Horst R. Portugaller & Pia Reittner

  2. Diagnostikum Graz Süd-West, Weblingergürtel 25, 8054, Graz, Austria

    Klaus W. Preidler, Manfred Tillich & Dieter H. M. Szolar

  3. Medical University Graz, Department of Angiology, University Hospital Graz, Auenbruggerplatz 15, 8036, Graz, Austria

    Ernst Pilger

Authors
  1. Hannes A. Deutschmann
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  2. Helmut Schoellnast
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  3. Horst R. Portugaller
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  4. Klaus W. Preidler
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  5. Pia Reittner
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  6. Manfred Tillich
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  7. Ernst Pilger
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  8. Dieter H. M. Szolar
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Correspondence to Dieter H. M. Szolar.

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Deutschmann, H.A., Schoellnast, H., Portugaller, H.R. et al. Routine Use of Three-Dimensional Contrast-Enhanced Moving-Table MR Angiography in Patients with Peripheral Arterial Occlusive Disease: Comparison with Selective Digital Subtraction Angiography. Cardiovasc Intervent Radiol 29, 762–770 (2006). https://doi.org/10.1007/s00270-004-0309-9

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  • DOI: https://doi.org/10.1007/s00270-004-0309-9

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