Document Detail


Retrospective respiratory triggering renal perfusion MRI.
MedLine Citation:
PMID:  21062133     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: artifacts of respiratory motion are one of the well-known limitations of dynamic contrast-enhanced MRI (DCE-MRI) of the kidney.
PURPOSE: to propose and evaluate a retrospective triggering approach to minimize the effect of respiratory motion in DCE-MRI of the kidney.
MATERIAL AND METHODS: nine consecutive patients underwent renal perfusion measurements. Data were acquired with a 2D saturation-recovery TurboFLASH sequence. In order to test the dependence of the results on size and location of the manually drawn triggering regions of interest (ROIs), three widely differing triggering regions were defined by one observer. Mean value, standard deviation, and variability of the renal function parameters plasma flow (F(P)), plasma volume (V(P)), plasma transit time (T(P)), tubular flow (F(T)), tubular volume (V(T)), and tubular transit time (T(T)) were calculated on a per-patient basis.
RESULTS: the results show that triggered data have adequate temporal resolution to measure blood flow. The overall average values of the function parameters were: 152.77 (F(P)), 15.18 (V(P)), 6,73 (T(P)), 18.50 (F(T)), 35.36 (V(T)), and 117.67 (T(T)). The variability (calculated in % SD from the mean value) for three different respiratory triggering regions defined on a per-patient basis was between 0.81% and 9.87% for F(P), 1.45% and 8.19% for V(P), 0% and 9.63% for T(P), 2.15% and 12.23% for T(F), 0.8% and 17.28% for V(T), and 1.97% and 12.87% for T(T).
CONCLUSION: triggering reduces the oscillations in the signal curves and produces sharper parametric maps. In contrast to numerically challenging approaches like registration and segmentation it can be applied in clinical routine, but a (semi)-automatic approach to select the triggering ROI is desirable to reduce user dependence.
Authors:
Ulrike I Attenberger; Steven P Sourbron; Henrik J Michaely; Maximilian F Reiser; Stefan O Schoenberg
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Acta radiologica (Stockholm, Sweden : 1987)     Volume:  51     ISSN:  1600-0455     ISO Abbreviation:  Acta Radiol     Publication Date:  2010 Dec 
Date Detail:
Created Date:  2010-11-10     Completed Date:  2010-12-14     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8706123     Medline TA:  Acta Radiol     Country:  England    
Other Details:
Languages:  eng     Pagination:  1163-71     Citation Subset:  IM    
Affiliation:
Department of Clinical Radiology and Nuclear Medicine, University Hospital Mannheim, Medical Faculty Mannheim, University of Heidelberg, Mannheim, Germany. ulrike.attenberger@medma.uni-heidelberg.de
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MeSH Terms
Descriptor/Qualifier:
Artifacts
Contrast Media / diagnostic use
Feasibility Studies
Female
Humans
Image Enhancement / methods
Image Processing, Computer-Assisted / methods
Kidney / blood supply,  pathology
Kidney Diseases / diagnosis*
Magnetic Resonance Angiography / methods*
Male
Meglumine / analogs & derivatives,  diagnostic use
Middle Aged
Organometallic Compounds / diagnostic use
Respiration*
Retrospective Studies
Chemical
Reg. No./Substance:
0/Contrast Media; 0/Organometallic Compounds; 113662-23-0/gadobenic acid; 6284-40-8/Meglumine

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