BACKGROUND: Choice of treatment for atherosclerosis depends on various clinical factors and radiological techniques. We aimed to assess the diagnostic accuracy of a new three-dimensional magnetic resonance angiography (3D MRA) strategy for the display of arterial vasculature from supra-aortic arteries to distal runoff vessels in 72 s. METHODS: We examined five healthy volunteers and six patients over 6 weeks. Conventional digital subtraction angiography (DSA) was available as reference standard in all six patients. Magnetic resonance imaging was done on a commercially available 1.5 Tesla scanner. The imaging technique was based on the acquisition of five 3D data sets in rapid succession with an optimum single injection protocol. FINDINGS: Compared with conventional catheter angiography, according to the findings of two independent and masked readers, whole-body MRA had overall sensitivities of 91% (95% CI 0.76-0.98) and 94% (0.8-0.99), and specificities of 93% (0.85-0.97) and 90% (0.82-0.96) for the detection of substantial vascular disease (luminal narrowing >50%), interobserver agreement for assessment of whole-body magnetic angiograms was very good (kappa=0.94; 95% CI 0.9-0.98). INTERPRETATION: The technique provides a comprehensive non-invasive approach for morphological screening assessment of the arterial vasculature from supra-aortic arteries to the distal runoff arteries.
BACKGROUND: Choice of treatment for atherosclerosis depends on various clinical factors and radiological techniques. We aimed to assess the diagnostic accuracy of a new three-dimensional magnetic resonance angiography (3D MRA) strategy for the display of arterial vasculature from supra-aortic arteries to distal runoff vessels in 72 s. METHODS: We examined five healthy volunteers and six patients over 6 weeks. Conventional digital subtraction angiography (DSA) was available as reference standard in all six patients. Magnetic resonance imaging was done on a commercially available 1.5 Tesla scanner. The imaging technique was based on the acquisition of five 3D data sets in rapid succession with an optimum single injection protocol. FINDINGS: Compared with conventional catheter angiography, according to the findings of two independent and masked readers, whole-body MRA had overall sensitivities of 91% (95% CI 0.76-0.98) and 94% (0.8-0.99), and specificities of 93% (0.85-0.97) and 90% (0.82-0.96) for the detection of substantial vascular disease (luminal narrowing >50%), interobserver agreement for assessment of whole-body magnetic angiograms was very good (kappa=0.94; 95% CI 0.9-0.98). INTERPRETATION: The technique provides a comprehensive non-invasive approach for morphological screening assessment of the arterial vasculature from supra-aortic arteries to the distal runoff arteries.
Authors: H Kramer; S O Schoenberg; K Nikolaou; A Huber; A Struwe; E Winnik; B Wintersperger; O Dietrich; B Kiefer; M F Reiser Journal: Radiologe Date: 2004-09 Impact factor: 0.635
Authors: Alex Frydrychowicz; Thorsten A Bley; Jan T Winterer; Andreas Harloff; Mathias Langer; Jürgen Hennig; Michael Markl Journal: MAGMA Date: 2006-08-26 Impact factor: 2.310
Authors: Ewald Moser; Andreas Stadlbauer; Christian Windischberger; Harald H Quick; Mark E Ladd Journal: Eur J Nucl Med Mol Imaging Date: 2009-03 Impact factor: 9.236