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Role of MRI in the Diagnosis of Aortic Dissection

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Aortic Dissection and Related Syndromes

Part of the book series: Developments in Cardiovascular Medicine ((DICM,volume 260))

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Abstract

MR imaging is increasingly becoming a first-line investigation for the evaluation of diseases of the aorta1. Advantages of MRI include avoidance of ionizing radiation and the use of contrast agents, which are not nephrotoxic. Over the last years, major technological advances resulted in significant increases in acquisition speed.

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References

  1. Pennell DJ, Sechtem UP, Higgins CB, Manning WJ, Pohost GM, Rademakers FE, van Rossum AC, Shaw LJ, Yucel EK (2004). Clinical indications for cardiovascular magnetic resonance (CMR): consensus panel report. Eur. Heart J. 25(21), 1940–1965.

    Article  PubMed  Google Scholar 

  2. Solomon SL, Brown JJ, Glazer HS, Mirowitz SA, Lee JK (1990). Thoracic aortic dissection: pitfalls and artifacts in MR imaging. Radiology 177(1), 223–228.

    PubMed  CAS  Google Scholar 

  3. Cesare ED, Giordano AV, Cerone G, De Remigis F, Deusanio G, Masciocchi C (2000). Comparative evaluation of TEE, conventional MRI and contrast-enhanced 3D breath-hold MRA in the post-operative follow-up of dissecting aneurysms. Int. J. Card. Imaging 16(3), 135–147.

    Article  PubMed  CAS  Google Scholar 

  4. Hartnell GG, Finn JP, Zenni M, Cohen MC, Dupuy DE, Wheeler HG, Longmaid HE 3rd (1994). MR imaging of the thoracic aorta: comparison of spin-echo, angiographic, and breath-hold techniques. Radiology 191(3), 697–704.

    PubMed  CAS  Google Scholar 

  5. Sommer T, Fehske W, Holzknecht N, Smekal AV, Keller E, Lutterbey G, Kreft B, Kuhl C, Gieseke J, Abu-Ramadan D, Schild H (1996). Aortic dissection: a comparative study of diagnosis with spiral CT, multiplanar transesophageal echocardiography, and MR imaging. Radiology 199(2), 347–352.

    PubMed  CAS  Google Scholar 

  6. Sonnabend SB, Colletti PM, Pentecost MJ (1990). Demonstration of aortic lesions via cine magnetic resonance imaging. Magn. Reson. Imaging 8(5), 613–618.

    Article  PubMed  CAS  Google Scholar 

  7. Carr JC, Simonetti O, Bundy J, Li D, Pereles S, Finn JP (2001). Cine MR angiography of the heart with segmented true fast imaging with steady-state precession. Radiology 219(3), 828–834.

    PubMed  CAS  Google Scholar 

  8. Pereles FS, McCarthy RM, Baskaran V, Carr JC, Kapoor V, Krupinski EA, Finn JP (2002). Thoracic aortic dissection and aneurysm: evaluation with nonenhanced true FISP MR angiography in less than 4 minutes. Radiology 223(1), 270–274.

    PubMed  Google Scholar 

  9. Barkhausen J, Goyen M, Ruhm SG, Eggebrecht H, Debatin JF, Ladd ME (2002). Assessment of ventricular function with single breath-hold real-time steady-state free precession cine MR imaging. Am. J. Roentgenol. 178(3), 731–735.

    Google Scholar 

  10. Kunz RP, Oberholzer K, Kuroczynski W, Horstick G, Krummenauer F, Thelen M, Kreitner KF (2004). Assessment of chronic aortic dissection: contribution of different ECG-gated breath-hold MRI techniques. Am. J. Roentgenol. 182(5), 1319–1326.

    Google Scholar 

  11. Krinsky GA, Rofsky NM, DeCorato DR, Weinreb JC, Earls JP, Flyer MA, Galloway AC, Colvin SB (1997). Thoracic aorta: comparison of gadolinium-enhanced three-dimensional MR angiography with conventional MR imaging. Radiology 202(1), 183–193.

    PubMed  CAS  Google Scholar 

  12. Barkhausen J, Hunold P, Eggebrecht H, Schuler WO, Sabin GV, Erbel R, Debatin JF (2002). Detection and characterization of intracardiac thrombi on MR imaging. Am. J. Roentgenol. 179(6), 1539–1544.

    Google Scholar 

  13. Amparo EG, Higgins CB, Hricak H, Sollitto R (1985). Aortic dissection: magnetic resonance imaging. Radiology 155(2), 399–406.

    PubMed  CAS  Google Scholar 

  14. Kersting-Sommerhoff BA, Higgins CB, White RD, Sommerhoff CP, Lipton MJ, Aortic dissection: sensitivity and specificity of MR imaging. Radiology 166(3), 651–655.

    Google Scholar 

  15. Nienaber CA, Spielmann RP, von Kodolitsch Y, Siglow V, Piepho A, Jaup T, Nicolas V, Weber P, Triebel HJ, Bleifeld W (1992). Diagnosis of thoracic aortic dissection: magnetic resonance imaging versus transesophageal echocardiography. Circulation 85(2), 434–447.

    PubMed  CAS  Google Scholar 

  16. Nienaber CA, von Kodolitsch Y, Nicolas V, Siglow V, Piepho A, Brockhoff C, Koschyk DH, Spielmann RP (1993). The diagnosis of thoracic aortic dissection by noninvasive imaging procedures. N. Engl. J. Med. 328(1), 1–9.

    Article  PubMed  CAS  Google Scholar 

  17. Arai AE, Hirsch GA, Q-wave and non-Q-wave myocardial infarctions through the eyes of cardiac magnetic resonance imaging. J. Am. Coll. Cardiol. 44(3), 561–563.

    Google Scholar 

  18. Erbel R, Alfonso F, Boileau C, Dirsch O, Eber B, Haverich A, Rakowski H, Struyven J, Radegran K, Sechtem U, Taylor J, Zollikofer C, Klein WW, Mulder B, Providencia LA (2001). Diagnosis and management of aortic dissection. Eur. Heart J. 22(18), 1642–1681.

    Article  PubMed  CAS  Google Scholar 

  19. Koschyk DH, Meinertz T, Hofmann T, Kodolitsch YV, Dieckmann C, Wolf W, Knap M, Kiraly Z, Steffen W, Beythien C, Lund G, Rehders T, Nienaber CA (2003). Value of intravascular ultrasound for endovascular stent-graft placement in aortic dissection and aneurysm. J. Card. Surg. 18(5), 471–477.

    Article  PubMed  Google Scholar 

  20. Murray JG, Manisali M, Flamm SD, VanDyke CW, Lieber ML, Lytle BW, White RD (1997). Intramural hematoma of the thoracic aorta: MR image findings and their prognostic implications. Radiology 204(2), 349–355.

    PubMed  CAS  Google Scholar 

  21. Nienaber CA, Richartz BM, Rehders T, Ince H, Petzsch M (2004). Aortic intramural haematoma: natural history and predictive factors for complications. Heart 90(4), 372–374.

    Article  PubMed  CAS  Google Scholar 

  22. Stanson AW, Kazmier FJ, Hollier LH, Edwards WD, Pairolero PC, Sheedy PF, Joyce JW, Johnson MC (1986). Penetrating atherosclerotic ulcers of the thoracic aorta: natural history and clinicopathologic correlations. Ann. Vasc. Surg. 1(1), 15–23.

    PubMed  CAS  Google Scholar 

  23. Macura KJ, Szarf G, Fishman EK, Bluemke DA (2003). Role of computed tomography and magnetic resonance imaging in assessment of acute aortic syndromes. Semin. Ultrasound CT MR 24(4), 232–254.

    Article  PubMed  Google Scholar 

  24. Mohiaddin RH, McCrohon J, Francis JM, Barbir M, Pennell DJ (2001). Contrast-enhanced magnetic resonance angiogram of penetrating aortic ulcer. Circulation 103(4), E18–E19.

    PubMed  CAS  Google Scholar 

  25. Inoue T, Watanabe S, Sakurada H, Ono K, Urano M, Hijikata Y, Saito I, Masuda Y (2000). Evaluation of flow volume and flow patterns in the patent false lumen of chronic aortic dissections using velocity-encoded cine magnetic resonance imaging. Jpn. Circ. J. 64(10), 760–764.

    Article  PubMed  CAS  Google Scholar 

  26. Riley P, Rooney S, Bonser R, Guest P (2001). Imaging the post-operative thoracic aorta: normal anatomy and pitfalls. Br. J. Radiol. 74(888), 1150–1158.

    PubMed  CAS  Google Scholar 

  27. Deutsch HJ, Sechtem U, Meyer H, Theissen P, Schicha H, Erdmann E (1994). Chronic aortic dissection: comparison of MR Imaging and transesophageal echocardiography. Radiology 192(3), 645–650.

    PubMed  CAS  Google Scholar 

  28. Sam AD 2nd, Morasch MD, Collins J, Song G, Chen R, Pereles FS (2003) Safety of gadolinium contrast angiography in patients with chronic renal insufficiency. J. Vasc. Surg. 38(2), 313–318.

    Article  PubMed  Google Scholar 

  29. Moore AG, Eagle KA, Bruckman D, Moon BS, Malouf JF, Fattori R, Evangelista A, Isselbacher EM, Suzuki T, Nienaber CA, Gilon D, Oh JK (2002). Choice of computed tomography, transesophageal echocardiography, magnetic resonance imaging, and aortography in acute aortic dissection: International Registry of Acute Aortic Dissection (IRAD). Am. J. Cardiol. 89(10), 1235–1238.

    Article  PubMed  Google Scholar 

  30. McConnell MV, Stuber M, Manning WJ (2000). Clinical role of coronary magnetic resonance angiography in the diagnosis of anomalous coronary arteries. J. Cardiovasc. Magn. Reson. 2(3), 217–224.

    PubMed  CAS  Google Scholar 

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Meinhardt, G., Mahrholdt, H., Sechtem, U. (2007). Role of MRI in the Diagnosis of Aortic Dissection. In: Eagle, K.A., Baliga, R.R., Isselbacher, E.M., Nienaber, C.A. (eds) Aortic Dissection and Related Syndromes. Developments in Cardiovascular Medicine, vol 260. Springer, Boston, MA. https://doi.org/10.1007/978-0-387-36001-0_6

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  • DOI: https://doi.org/10.1007/978-0-387-36001-0_6

  • Publisher Name: Springer, Boston, MA

  • Print ISBN: 978-0-387-36000-3

  • Online ISBN: 978-0-387-36001-0

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