Document Detail


Temporal behavior of intraarticular gadolinium.
MedLine Citation:
PMID:  11584223     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: As imaging delays during MR arthrography can result in suboptimal studies and potential pitfalls in diagnosis, we sought to evaluate the temporal behavior of intraarticular Gd-DTPA. METHOD: We prospectively studied four shoulders, four knees, and four hips. Two of each group received either an intraarticular injection of 3 mmol/L Gd-DTPA and iodinated contrast medium or 2 mmol/L Gd-DTPA and 0.9% saline. We measured contrast-to-noise ratio (CNR) and joint distention on serial T1-weighted sequences. Retrospectively, we measured CNR and imaging delays in 31 MR arthrography patients (20 shoulders, 7 knees, and 4 hips). RESULTS: In the shoulder, maximal CNR and joint distention occurred at 15 min. CNR decreased 53% by 1 h. In the knee, maximal distention occurred at 1 h, whereas CNR peaked at 2.75 h and then declined 20 and 86% by 3.5 and 6.25 h, respectively. In the hip, peak CNR and distention occurred at 0.5 h. CNR declined 53% by 2 h. Both contrast mixtures yielded similar results. CONCLUSION: MR arthrography may tolerate imaging delays of 1 h for the shoulder, 2 h for the hip, and 3.5 h for the knee.
Authors:
S C Wagner; M E Schweitzer; D Weishaupt
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of computer assisted tomography     Volume:  25     ISSN:  0363-8715     ISO Abbreviation:  J Comput Assist Tomogr     Publication Date:    2001 Sep-Oct
Date Detail:
Created Date:  2001-10-03     Completed Date:  2001-10-18     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  7703942     Medline TA:  J Comput Assist Tomogr     Country:  United States    
Other Details:
Languages:  eng     Pagination:  661-70     Citation Subset:  IM    
Affiliation:
Department of Radiology, Thomas Jefferson University Hospital, Philadelphia, PA 19107, USA.
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MeSH Terms
Descriptor/Qualifier:
Adult
Chelating Agents / administration & dosage,  diagnostic use
Female
Gadolinium / administration & dosage,  diagnostic use,  pharmacokinetics*
Humans
Joint Diseases / radionuclide imaging*
Magnetic Resonance Imaging / methods
Male
Pentetic Acid / administration & dosage,  diagnostic use
Prospective Studies
Time Factors
Chemical
Reg. No./Substance:
0/Chelating Agents; 67-43-6/Pentetic Acid; 7440-54-2/Gadolinium

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


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