Document Detail


Nonenhanced methods for lower-extremity MRA: a phantom study examining the effects of stenosis and pathologic flow waveforms at 1.5T.
MedLine Citation:
PMID:  21274982     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: To evaluate the signal properties of 2D time of flight (TOF), quiescent-interval single-shot (QISS), ECG-gated 3D fast spin-echo (FBI), and ungated 3D fast spin-echo ghost (Ghost) magnetic resonance angiography (MRA) over a range of flow velocities in a pulsatile flow phantom with a 50% diameter stenosis at 1.5T.
MATERIALS AND METHODS: Blood-mimicking fluid was pumped at eight peak flow velocities through a stenotic region in triphasic and monophasic waveforms. Vascular signal proximal, within, and distal to the stenosis was measured from the source images of the four MRA methods. Coronal maximum intensity projection images were used to compare image quality.
RESULTS: TOF and QISS signal trends were similar, but QISS exhibited the most consistent signal across velocities. At high velocities (≥ 42.4 cm/s), TOF showed poststenotic signal loss that was not observed with QISS. FBI and Ghost signals peaked at low velocities (3.9-9.7 cm/s) without flow compensation and at high velocities (≥ 64.6 cm/s) with flow compensation.
CONCLUSION: FBI and Ghost demonstrated dependence on blood flow velocity and flow compensation. TOF was sensitive to flow artifacts at high velocities. QISS proved most robust for accurately depicting the normal lumen and stenosis under a wide range of flow conditions. Monophasic and triphasic flow did not appreciably affect the signal performance of any method.
Authors:
Erik J Offerman; Philip A Hodnett; Robert R Edelman; Ioannis Koktzoglou
Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Journal of magnetic resonance imaging : JMRI     Volume:  33     ISSN:  1522-2586     ISO Abbreviation:  J Magn Reson Imaging     Publication Date:  2011 Feb 
Date Detail:
Created Date:  2011-01-28     Completed Date:  2011-05-13     Revised Date:  2011-11-14    
Medline Journal Info:
Nlm Unique ID:  9105850     Medline TA:  J Magn Reson Imaging     Country:  United States    
Other Details:
Languages:  eng     Pagination:  401-8     Citation Subset:  IM    
Copyright Information:
Copyright © 2011 Wiley-Liss, Inc.
Affiliation:
Department of Radiology, NorthShore University HealthSystem, Evanston, Illinois 60201, USA. EOfferman@northshore.org
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MeSH Terms
Descriptor/Qualifier:
Arterial Occlusive Diseases / diagnosis*
Blood Flow Velocity
Contrast Media
Humans
Image Enhancement
Image Interpretation, Computer-Assisted / methods*
Lower Extremity / blood supply*,  pathology*,  physiopathology
Magnetic Resonance Angiography / instrumentation,  methods*
Peripheral Arterial Disease / diagnosis*
Phantoms, Imaging
Reproducibility of Results
Sensitivity and Specificity
Grant Support
ID/Acronym/Agency:
R01 HL096916-02/HL/NHLBI NIH HHS; R01HL096916/HL/NHLBI NIH HHS
Chemical
Reg. No./Substance:
0/Contrast Media

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


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