Document Detail


MR angiography of the hand and wrist.
MedLine Citation:
PMID:  7553027     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
MR angiographic techniques that visualize the arterial anatomy of the hand and wrist currently are available. Further refinements are necessary to ensure that diagnostic studies are routine. In my experience, the most detailed anatomy is obtained with gadolinium-enhanced 3-D sequences. The specific role of MR angiography of the hand and wrist has yet to be defined. Currently, it is used in my practice as a screen for certain vascular disorders and in those patients in whom the risk/benefit considerations of conventional arteriography are deemed unacceptable to the referring surgeon. Future applications may include a quantitative component. This information could prove beneficial in the serial follow up of patients with vasospastic disorders that require intermittent vasodilator therapy. It is hoped that quantitative information might provide a means to direct therapy prior to the onset of debilitating symptoms. Clinical efficacy must be established with comparative studies to the reference standard of conventional angiography. If reliable MR angiography can be obtained with sufficient information for clinical decision making, it is likely that it will have a cost and safety advantage over conventional angiography.
Authors:
N M Rofsky
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Magnetic resonance imaging clinics of North America     Volume:  3     ISSN:  1064-9689     ISO Abbreviation:  Magn Reson Imaging Clin N Am     Publication Date:  1995 May 
Date Detail:
Created Date:  1995-11-09     Completed Date:  1995-11-09     Revised Date:  2005-11-16    
Medline Journal Info:
Nlm Unique ID:  9422762     Medline TA:  Magn Reson Imaging Clin N Am     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  345-59     Citation Subset:  IM    
Affiliation:
Department of Radiology, New York University School of Medicine, NYU Medical Center, New York, USA.
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MeSH Terms
Descriptor/Qualifier:
Blood Vessels / abnormalities,  injuries
Contrast Media
Gadolinium / diagnostic use
Hand / blood supply*
Humans
Image Processing, Computer-Assisted
Magnetic Resonance Angiography / methods*
Vascular Diseases / diagnosis*
Wrist / blood supply*
Chemical
Reg. No./Substance:
0/Contrast Media; 7440-54-2/Gadolinium

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


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