Document Detail


Volume-targeted and whole-heart coronary magnetic resonance angiography using an intravascular contrast agent.
MedLine Citation:
PMID:  19856454     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: To compare volume-targeted and whole-heart coronary magnetic resonance angiography (MRA) after the administration of an intravascular contrast agent. MATERIALS AND METHODS: Six healthy adult subjects underwent a navigator-gated and -corrected (NAV) free breathing volume-targeted cardiac-triggered inversion recovery (IR) 3D steady-state free precession (SSFP) coronary MRA sequence (t-CMRA) (spatial resolution = 1 x 1 x 3 mm(3)) and high spatial resolution IR 3D SSFP whole-heart coronary MRA (WH-CMRA) (spatial resolution = 1 x 1 x 2 mm(3)) after the administration of an intravascular contrast agent B-22956. Subjective and objective image quality parameters including maximal visible vessel length, vessel sharpness, and visibility of coronary side branches were evaluated for both t-CMRA and WH-CMRA. RESULTS: No significant differences (P = NS) in image quality were observed between contrast-enhanced t-CMRA and WH-CMRA. However, using an intravascular contrast agent, significantly longer vessel segments were measured on WH-CMRA vs. t-CMRA (right coronary artery [RCA] 13.5 +/- 0.7 cm vs. 12.5 +/- 0.2 cm; P < 0.05; and left circumflex coronary artery [LCX] 11.9 +/- 2.2 cm vs. 6.9 +/- 2.4 cm; P < 0.05). Significantly more side branches (13.3 +/- 1.2 vs. 8.7 +/- 1.2; P < 0.05) were visible for the left anterior descending coronary artery (LAD) on WH-CMRA vs. t-CMRA. Scanning time and navigator efficiency were similar for both techniques (t-CMRA: 6.05 min; 49% vs. WH-CMRA: 5.51 min; 54%, both P = NS). CONCLUSION: Both WH-CMRA and t-CMRA using SSFP are useful techniques for coronary MRA after the injection of an intravascular blood-pool agent. However, the vessel conspicuity for high spatial resolution WH-CMRA is not inferior to t-CMRA, while visible vessel length and the number of visible smaller-diameter vessels and side-branches are improved.
Authors:
Lijun Tang; Nico Merkle; Michael Sch??r; Grigorios Korosoglou; Meiyappan Solaiyappan; Vinzenz Hombach; Matthias Stuber
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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:  30     ISSN:  1522-2586     ISO Abbreviation:  J Magn Reson Imaging     Publication Date:  2009 Nov 
Date Detail:
Created Date:  2009-10-29     Completed Date:  2010-01-21     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9105850     Medline TA:  J Magn Reson Imaging     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1191-6     Citation Subset:  IM    
Affiliation:
Department of Radiology, First Affiliated Hospital of Nanjing Medical University, Nanjing, Jiangsu, China.
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MeSH Terms
Descriptor/Qualifier:
Adult
Contrast Media / pharmacology*
Coronary Vessels / anatomy & histology*,  pathology
Equipment Design
Female
Heart / radionuclide imaging*
Humans
Image Interpretation, Computer-Assisted / methods*
Image Processing, Computer-Assisted
Magnetic Resonance Angiography / methods*
Male
Middle Aged
Myocardium / pathology
Grant Support
ID/Acronym/Agency:
R01-HL084186/HL/NHLBI NIH HHS
Chemical
Reg. No./Substance:
0/Contrast Media

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