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Magnetic Resonance Angiography in the Diagnosis of Peripheral Arterial Disease

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Noninvasive Vascular Diagnosis

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Abstract

Magnetic resonance (MR) angiography is a standard method of noninvasive imaging utilized in peripheral arterial disease. As compared to percutaneous angiography, the gold standard for peripheral imaging, MR angiography offers good diagnostic accuracy with high sensitivity and specificity in identifying hemodynamically significant stenoses. Both contrast-enhanced and noncontrast-enhanced modalities of MR angiography are available. While the use of gadolinium-based contrast agents has been associated with nephrogenic systemic fibrosis, new contrast agents are being developed to avoid this complication. MR angiography compares well with other noninvasive imaging modalities, such as computed tomographic angiography, and affords better resolution and localization than duplex ultrasonography. Overall, sufficient information is provided by MR angiography for clinicians to base treatment decisions on the images acquired, and in some cases, MR angiography may even provide better imaging of target vessels than other modalities. Ongoing studies are being performed to enhance acquisition and post-processing of images, likely improving the data provided by MR angiography.

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Author information

Authors and Affiliations

  1. Einstein Medical Center, Philadelphia, PA, USA

    Nadia A. Awad MD

  2. Cooper University Hospital, Vascular Surgery, 3 Cooper Plaza, Suite 411, Camden, NJ, 08103, USA

    Jeffrey P. Carpenter MD

Authors
  1. Nadia A. Awad MD
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  2. Jeffrey P. Carpenter MD
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Corresponding author

Correspondence to Nadia A. Awad MD .

Editor information

Editors and Affiliations

  1. Charleston, West Virginia, USA

    Ali F. AbuRahma

Review Questions

Review Questions

  1. 1.

    When did MR angiography become widely available?

    1. a.

      1980s

    2. b.

      1990s

    3. c.

      2000s

    4. d.

      2010s

  2. 2.

    To which gold-standard modality is MR angiography compared?

    1. a.

      Digital subtraction angiography

    2. b.

      Computed tomographic angiography

    3. c.

      Duplex ultrasonography

    4. d.

      Intravascular ultrasound

  3. 3.

    Which of the following is not utilized by MR angiography?

    1. a.

      Ionizing radiation

    2. b.

      Gadolinium-based contrast

    3. c.

      Magnetic field gradient

    4. d.

      Coils

  4. 4.

    Which of the following has been associated with the development of nephrogenic systemic fibrosis?

    1. a.

      Renal insufficiency

    2. b.

      Metabolic acidosis

    3. c.

      Repeated MR angiographic studies

    4. d.

      All of the above

Answer Key

  1. 1.

    b

  2. 2.

    a

  3. 3.

    a

  4. 4.

    d

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Awad, N.A., Carpenter, J.P. (2017). Magnetic Resonance Angiography in the Diagnosis of Peripheral Arterial Disease. In: AbuRahma, A. (eds) Noninvasive Vascular Diagnosis. Springer, Cham. https://doi.org/10.1007/978-3-319-54760-2_62

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  • DOI: https://doi.org/10.1007/978-3-319-54760-2_62

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-54758-9

  • Online ISBN: 978-3-319-54760-2

  • eBook Packages: MedicineMedicine (R0)

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