PURPOSE: To report our initial experience implementing a noncontrast-enhanced electrocardiograph (ECG) gated fast spin echo magnetic resonance angiography (MRA) technique for assessment of the calf arteries. MATERIALS AND METHODS: Noncontrast MRA images of 36 clinical patients examined over a 6-month period were evaluated by two radiologists for length and degree ...

OBJECTIVE: The purpose of this study was to evaluate the feasibility of a novel technique for fat-water separation to image the renal arteries without using a contrast agent. CONCLUSION: Five healthy volunteers were imaged on a 3-T clinical MR scanner using the balanced steady-state free precession (SSFP) Dixon method. We ...

OBJECTIVES: To assess the feasibility of magnetic resonance (MR)-guided delivery of a solution containing contrast-medium and immediate online monitoring of its distribution to the vessel wall during MR-guided angioplasty in peripheral arteries. MATERIALS AND METHODS: In 3 pigs, the feasibility of MR-guided atraumatic delivery of a solution containing contrast-medium and ...

Summary: While there are many studies that compare imaging modalities in the detection of cerebralaneurysms there are no existing studies that compare two dimensional digital subtraction angiography (DSA), CT angiography (CTA) and MR angiography (MRA) in calculating the volume of cerebral aneurysms. This study will compare these imaging modalities on ...

BACKGROUND AND PURPOSE: Flow voids within the cavernous sinuses and/or certain venous drainage on spin-echo MR imaging and time-of-flight (TOF) flow enhancement on MR angiography (MRA) have indicated high-velocity shunt flow and have been used for screening patients with dural arteriovenous fistulas (DAVFs) of the cavernous sinuses. In this investigation, ...

PURPOSE: To show that prospective electrocardiographically (ECG)-triggered coronary computed tomographic (CT) angiography (hereafter, prospective CT angiography) is at least as effective as retrospective ECG-gated coronary CT angiography (hereafter, retrospective CT angiography). MATERIALS AND METHODS: Institutional review committee approval and informed consent were obtained. Sixty patients with heart rates of less ...

The significance of median arcuate ligament-associated coeliac axis compression can be readily delineated by CT angiography but is a source of some controversy in the literature, particularly given the relatively high incidence of this finding in otherwise asymptomatic individuals. This case series, with an emphasis on CT findings, aims to ...

OBJECTIVE: Current MRI technology and postprocessing tools have enabled 3D contrast-enhanced MR angiography (MRA) to evolve into a first-line noninvasive diagnostic tool to evaluate vascular disorders. CONCLUSION: In this article, 3D MRA techniques, bolus timing issues, new IV contrast agents allowing a steady-state acquisition, principals of postprocessing, and unenhanced MRA ...

BACKGROUND: One of the limiting factors of C1-C2 fixation is the location of the vertebral artery (VA). The authors sought to assess the potential variations in atlanto-axial VA anatomy using computed tomography angiography (CTA). METHODS: Detailed measurements were made on digital images of 106 patients undergoing CTA at our institution ...

OBJECT: The goal of this study was to prospectively compare the effectiveness of 16-slice computed tomography (CT) angiography with that of conventional digital subtraction (DS) angiography and the surgical findings used to detect and characterize intracranial aneurysms. METHODS: Two hundred forty-four consecutive patients underwent both CT angiography and DS angiography ...

PURPOSE: To present a new 4D method that is designed to provide high spatial resolution MR angiograms at subsecond temporal resolution by combining different techniques of view sharing with parallel imaging at 3.0T. MATERIALS AND METHODS: In the keyhole-based method, a central elliptical cylinder in k-space is repeated n times ...

OBJECTIVE: The objective of our study was to prove the feasibility and clinical relevance of fast contrast-enhanced time-resolved 3D MR angiography (MRA) with submillimeter spatial resolution at a high magnetic field strength. SUBJECTS AND METHODS: Twenty-one patients (five women, 16 men; mean age +/- SD, 65 +/- 14 years) were ...

CT angiography (CTA) is a fast examination performed with a time-optimised contrast injection to enhance the cerebral arteries. Being a new imaging modality in our hospital, evaluation of the effectiveness of 64-row multislice CTA in detecting intracranial aneurysms in ruptured subarachnoid haemorrhage (SAH) cases is necessary. We conducted a descriptive ...

We present a case report of a patient who developed restenosis 5 months after initial stent placement. computed tomography (CT) angiography revealed a 70% stenosis, while conventional angiography revealed a 40% stenosis. An intravascular ultrasound (IVUS) was used to assess the degree of narrowing along with the mechanism causing the ...

Carotid artery disease is a common condition which, like head and neck cancer, is primarily smoking related. Internal carotid stenosis may result in cerebro-vascular complications, while severe stenosis of the external carotid can potentially compromise microvascular free tissue transfer reconstruction. We were interested to see whether any co-existing carotid artery ...

The purpose of our study was to determine the main anatomical features of the M1 segment of middle cerebral artery (MRA) using a 3D TOF-MRA at 3 T. Reconstructed and post-processed MRA images were independently analysed by two anatomists in order to determine the course patterns, the division patterns and ...

The aim of our study was to compare multidetector row computed tomography (CT) angiography (MDCTA) with digital subtraction angiography (DSA) in the detection and characterization of intracranial aneurysms. Between September 2005 and May 2007, 55 consecutive patients with suspected intracranial aneurysms underwent conventional DSA and MDCTA. Thirty-two women and 23 ...

OBJECTIVE: The purpose of our study was to compare the costs and effects of three noninvasive imaging tests as the initial imaging test in the diagnostic workup of patients with peripheral arterial disease. MATERIALS AND METHODS: Of 984 patients assessed for eligibility, 514 patients with peripheral arterial disease were randomized ...

OBJECTIVE: The objective of our study was to establish a standardized procedure for postmortem whole-body CT-based angiography with lipophilic and hydrophilic contrast media solutions and to compare the results of these two methods. MATERIALS AND METHODS: Minimally invasive postmortem CT angiography was performed on 10 human cadavers via access to ...

OBJECTIVE: The purpose of our study was to assess the visibility of lumen narrowing of pediatric vascular stents using various CT dose parameters in an in vitro model. MATERIALS AND METHODS: Ten steel stents of varying designs and sizes commonly used in the treatment of congenital heart disease were implanted ...

Magnetic resonance angiography (MRA) of the pulmonary arteries still is a rapidly evolving technique with already proved high clinical usefulness. Contrast-enhanced and non-contrast-enhanced angiographic techniques are widely available for high spatial or real-time imaging of the pulmonary arteries. Multiple step protocols, such as perfusion MR imaging followed by high spatial ...

RATIONALE AND OBJECTIVES: A 3-T magnetic resonance imaging system provides a better signal-to-noise ratio and inflow effect than 1.5 T in three-dimensional time-of-flight (3D TOF) magnetic resonance angiography (MRA). The purpose of this study is to analyze the influence of matrix, parallel imaging, and acquisition time on image quality of ...

We compared the willingness-to-pay and willingness to give up time methods to assess preferences for digital subtraction angiography (DSA), computed tomography angiography (CTA) and magnetic resonance angiography (MRA). Respondents were hypertensive patients suspected of having renal artery stenosis. Data were gathered using telephone interviews. Both the willingness-to-pay and willingness to ...

We present a 63-year-old female with critical stenosis of the extracranial portion of the internal carotid artery (ICA), diagnosed using color-coded Duplex ultrasonography (CCDU) and magnetic resonance imaging. Nine days later, the patient showed profound clinical improvement, at which time spontaneous recanalization of the previously highly stenosed ICA was seen ...

OBJECTIVE: In patients with difficult i.v. access or renal insufficiency, or in those who are pregnant, we hypothesized than an unenhanced 3D segmented steady-state free precession (SSFP) MR angiography (MRA) technique would be an alternative to contrast-enhanced MR angiography (CE-MRA) for the evaluation of vasculature. MATERIALS AND METHODS: MRA examinations ...

PURPOSE: To determine if contrast-enhanced (CE) MRI of intracranial lesions benefits from time-resolved MR angiography (MRA) during contrast agent injection. MATERIALS AND METHODS: For 126 patients with suspected intracranial lesions undergoing routine CE MRI at 3.0T (N = 88) or 1.5T (N = 38), time-resolved CE MRA (three-dimensional [3D] time-resolved ...

In this report the authors describe a case of internal carotid artery (ICA) dissection following a blunt posterior pharynx injury and review current literature on the identification and treatment of such disorders. An ICA dissection developed in a 6-year-old boy who had suffered blunt injury to the posterior pharynx and ...

AIM: To evaluate the effectiveness of low-dose, contrast-enhanced, time-resolved, three-dimensional (3D) magnetic resonance (MR) angiography (TR-MRA) in the assessment of various cardiac and vascular diseases, and to compare the results with high-resolution contrast-enhanced MRA (CE-MRA). MATERIALS AND METHODS: Thirty consecutive patients underwent contrast-enhanced 3D TR-MRA and high spatial resolution 3D ...

BACKGROUND AND PURPOSE: CT angiography (CTA) has been used for the evaluation of intracranial aneurysms and recently has been applied to assess postoperative aneurysms treated with titanium-alloy clips. We investigated the clinical usefulness of subtraction CTA by using the orbital synchronized helical scan technique (OSHST) for evaluating intracranial aneurysms surgically ...

Contrast-enhanced MR angiography (MRA) has been increasingly used in the evaluation of spinal vascular malformations. Even though MR spinal angiography has several advantages over catheter spinal angiography (DSA), however, spinal DSA must never be omitted before operation, even if the vascular malformation is nicely demonstrated by MR angiography. We report ...

OBJECTIVES: To assess the lumen visibility of extracranial vertebral artery stents examined with 16-slice multi-detector row computed tomography (MDCT) angiography in vivo using a medium-smooth kernel (B30s) and a sharp kernel (B60s), and to compare these with digital subtraction angiography (DSA) after stent placement. METHODS: Twenty stents from 20 patients ...

BACKGROUND AND PURPOSE: We sought to examine the feasibility of observing the lenticulostriate arteries (LSAs) noninvasively by ultrahigh-field MRI with 7.0T. METHODS: We used 3-dimensional time-of-flight MR angiography with a radiofrequency coil optimized for 7.0T MRI. We examined the LSAs of 6 healthy subjects and compared 7.0T MR angiography images ...

BACKGROUND AND PURPOSE: A rapid and accurate MR imaging technique would be beneficial to assess paragangliomas in the head and neck and to distinguish them from other lesions. The purpose of this study was to determine whether the combination of elliptic centric contrast-enhanced MR angiography (CE-MRA) and unenhanced and enhanced ...

OBJECTIVE: To compare concentration of contrast medium for vascular opacification at ascending aorta using retrospective reconstruction of coronary CT angiography. STUDY DESIGN: Retrospective study. MATERIAL AND METHOD: Eighty-four patients undergoing coronary CT angiography with 16 multi-detector rows at Siriraj Hospital between September 2003 and July 2004 were included in this ...

OBJECTIVE: The purpose of our study was to evaluate the use of preoperative MR angiography of the lower extremities at 3 T in candidates for fibular free flap harvesting, identifying atherosclerotic occlusive disease and congenital anomalies in this population. Our intention was to document the influence of the imaging findings ...

PURPOSE: To assess the usefulness of non-contrast-enhanced MR angiography using cardiac and navigator-gated magnetization-prepared three-dimensional (3D) steady-state free precession (SSFP) imaging for the diagnosis of diseases of the thoracic aorta. MATERIALS AND METHODS: Twenty-two patients with diseases of the thoracic aorta were examined using a 1.5 Tesla unit. Non-contrast-enhanced MR ...

OBJECT: The aim of this study was to assess the long-term results of intracranial aneurysms treated with Guglielmi detachable coils (GDCs) with the aid of contrast-enhanced magnetic resonance (MR) angiography. METHODS: Between January 1998 and August 2001, 92 patients with 92 aneurysms treated by endovascular coiling with GDCs underwent contrast-enhanced ...

The trachea and bronchial airways in children are subject to compromise by a number of extrinsic and intrinsic conditions, including congenital, inflammatory, infectious, traumatic, and neoplastic processes. Stridor, wheezing, and respiratory distress are the most common indications for imaging of the airway in children. Frontal and lateral chest and/or neck ...

Modern neurosurgery takes advantage of magnetic resonance images (MRI) of a patient's cerebral anatomy and vasculature for planning before surgery and guidance during the procedure. Dual echo acquisitions are often performed that yield proton-density (PD) and T2-weighted images to evaluate edema near a tumor or lesion. In this paper we ...

The quality of magnetic resonance (MR) angiography could be substantially improved over the past several years based on the introduction and application of parallel imaging, new sequence techniques, such as, e.g., centric k-space trajectories, dedicated contrast agents, and clinical high-field scanners. All of these techniques have played an important role ...

To evaluate a triphasic injection protocol for whole-body multidetector computed tomography (MDCT) in patients with multiple trauma. Fifty consecutive patients (41 men) were examined. Contrast medium (300 mg/mL iodine) was injected starting with 70 mL at 3 mL/s, followed by 0.1 mL/s for 8 s, and by another bolus of ...

The purpose of this study was to prospectively evaluate the diagnostic performance of contrast material-enhanced magnetic resonance (MR) angiography performed at 3 T for assessment of renal artery stenosis (RAS) by using parallel acquisition techniques with high acceleration factors and with digital subtraction angiography (DSA) as the reference standard. The ...

PURPOSE: To prospectively determine diagnostic performance and safety of contrast material-enhanced (CE) magnetic resonance (MR) angiography with 0.1 mmol per kilogram of body weight gadobenate dimeglumine for depiction of significant steno-occlusive disease (> or =51% stenosis) of renal arteries, with digital subtraction angiography (DSA) as reference standard. MATERIALS AND METHODS: ...

Intracranial angioplasty and stenting (ICAS) is a therapeutic option in symptomatic intracranial atherosclerotic disease. Adequate follow-up examination is necessary to exclude in-stent restenosis. Conventional intraarterial digital subtraction angiography (ia-DSA) is the current gold standard, but it is an invasive technique and carries the risk of neurological complications. Angiographic CT (ACT) ...

OBJECTIVE: The objective of our study was to determine whether the use of a computer-aided diagnosis (CAD) system can shorten the reading time while maintaining the diagnostic performance of MR angiography for the detection of intracranial aneurysms. MATERIALS AND METHODS: Fifty maximum-intensity-projection MR angiograms in 50 patients (16 intracranial aneurysms ...

PURPOSE: The aim of the study was to compare multislice computed tomography angiography (MSCTA) to digital subtraction angiography (DSA) for vascular mapping of the head and neck. PATIENTS AND METHODS: In 50 patients who were scheduled for microvascular reconstruction of the mandible with osteomyocutaneous flaps, MSCTA was carried out before ...

OBJECTIVE: The purpose of this study was to prospectively evaluate a high-spatial-resolution contrast-enhanced 3-T MR angiography protocol for detection and characterization of intracranial aneurysms and to compare the results with those of MDCT angiography. SUBJECTS AND METHODS: Forty-one patients with suspected intracranial aneurysm underwent high-spatial-resolution 3D contrast-enhanced MR angiography and ...

Chronic total occlusions (CTOs) are a subset of lesions that present a considerable burden to cardiovascular patients. There exists a strong clinical desire to improve non-surgical options for CTO revascularization. While several techniques, devices, and guide wires have been developed and refined for use in CTOs, the inability of angiography ...

Non-contrast-enhanced cranial computed tomography (NECT) and CT angiography (CTA) are the most frequently used modalities in the triage of patients with acute ischemic and hemorrhagic stroke. CTA bone removal can improve the delineation of vasculature closely adjacent to bony structures, which is sometimes limited in standard CTA. The aim of ...

PURPOSE: To prospectively compare the agreement between digital subtraction angiography (DSA) and time-resolved magnetic resonance (MR) angiography with sensitivity encoding (SENSE) in combination with keyhole acquisition and contrast material-enhanced robust-timing angiography (CENTRA) k-space sampling techniques for the characterization of intracranial arteriovenous malformations (AVMs). MATERIALS AND METHODS: The institutional review board ...