Document Detail


Lower extremities magnetic resonance angiography with blood pressure cuff compression: quantitative dynamic analysis.
MedLine Citation:
PMID:  19472421     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: To quantitatively evaluate changes induced by the application of a femoral blood-pressure cuff (BPC) on run-off magnetic resonance angiography (MRA), which is a method generally previously proposed to reduce venous contamination in the leg. MATERIALS AND METHODS: This study was Health Insurance Portability and Accountability Act (HIPAA)- and Institutional Review Board (IRB)-compliant. We used time-resolved gradient-echo gadolinium (Gd)-enhanced MRA to measure BPC effects on arterial, venous, and soft-tissue enhancement. Seven healthy volunteers (six men) were studied with the BPC applied at the mid-femoral level unilaterally using a 1.5 T MR system after intravenous injection of Gd-BOPTA. Different statistical tools were used such as the Wilcoxon signed rank test and a cubic smoothing spline fit. RESULTS: We found that BPC application induces delayed venous filling (as previously described), but also induces significant decreases in arterial inflow, arterial enhancement, vascular-soft tissue contrast, and delayed peak enhancement (which have not been previously measured). CONCLUSION: The potential benefits from using a BPC for run-off MRA must be balanced against the potential pitfalls, elucidated by our findings.
Authors:
Marcel Koenigkam-Santos; Puneet Sharma; Bobby Kalb; John Carew; John N Oshinski; Diego Martin
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of magnetic resonance imaging : JMRI     Volume:  29     ISSN:  1053-1807     ISO Abbreviation:  J Magn Reson Imaging     Publication Date:  2009 Jun 
Date Detail:
Created Date:  2009-06-01     Completed Date:  2009-07-29     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9105850     Medline TA:  J Magn Reson Imaging     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1450-6     Citation Subset:  IM    
Affiliation:
Department of Radiology, Emory University School of Medicine, Atlanta, Georgia, USA.
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MeSH Terms
Descriptor/Qualifier:
Adult
Blood Flow Velocity
Contrast Media
Female
Humans
Leg / blood supply*
Magnetic Resonance Angiography / methods*
Male
Meglumine / analogs & derivatives
Middle Aged
Organometallic Compounds
Pressure
Statistics, Nonparametric
Chemical
Reg. No./Substance:
0/Contrast Media; 0/Organometallic Compounds; 113662-23-0/gadobenic acid; 6284-40-8/Meglumine

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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