Houchun H Hu1, Amber L Pokorney2, Niccolo Stefani3, Jonathan M Chia4, Jeffrey H Miller2. 1. Department of Medical Imaging and Radiology, Phoenix Children's Hospital, 1919 East Thomas Road, Phoenix, AZ, 85016, USA. hhu1@phoenixchildrens.com. 2. Department of Medical Imaging and Radiology, Phoenix Children's Hospital, 1919 East Thomas Road, Phoenix, AZ, 85016, USA. 3. Philips HealthTech, Cleveland, OH, USA. 4. Philips HealthTech, Dallas, TX, USA.
Abstract
OBJECTIVE: We demonstrate the potential clinical utility of a 4D non-gadolinium dynamic angiography technique based on arterial spin-labeling called contrast inherent inflow enhanced multi-phase angiography (CINEMA) in pediatric patients. MATERIALS AND METHODS: CINEMA was qualitatively compared to conventional time-of-flight (TOF) angiography in a cohort of 31 pediatric patients at 3 Tesla. RESULTS: CINEMA data were successfully acquired and reconstructed in all patients with no image artifacts. There were no cases where CINEMA was rated inferior to TOF in depicting intracranial vessel conspicuity. In 19 cases, CINEMA was rated equivalent to TOF and in the 12 remaining cases CINEMA was rated superior to TOF. CONCLUSION: There is a steadily rising concern in adults and children over the potential effects of intracranial deposition of gadolinium. CINEMA is therefore a viable alternative in dynamic neurovascular imaging.
OBJECTIVE: We demonstrate the potential clinical utility of a 4D non-gadolinium dynamic angiography technique based on arterial spin-labeling called contrast inherent inflow enhanced multi-phase angiography (CINEMA) in pediatric patients. MATERIALS AND METHODS: CINEMA was qualitatively compared to conventional time-of-flight (TOF) angiography in a cohort of 31 pediatric patients at 3 Tesla. RESULTS: CINEMA data were successfully acquired and reconstructed in all patients with no image artifacts. There were no cases where CINEMA was rated inferior to TOF in depicting intracranial vessel conspicuity. In 19 cases, CINEMA was rated equivalent to TOF and in the 12 remaining cases CINEMA was rated superior to TOF. CONCLUSION: There is a steadily rising concern in adults and children over the potential effects of intracranial deposition of gadolinium. CINEMA is therefore a viable alternative in dynamic neurovascular imaging.
Authors: Luis Hernandez-Garcia; Verónica Aramendía-Vidaurreta; Divya S Bolar; Weiying Dai; Maria A Fernández-Seara; Jia Guo; Ananth J Madhuranthakam; Henk Mutsaerts; Jan Petr; Qin Qin; Jonas Schollenberger; Yuriko Suzuki; Manuel Taso; David L Thomas; Matthias J P van Osch; Joseph Woods; Moss Y Zhao; Lirong Yan; Ze Wang; Li Zhao; Thomas W Okell Journal: Magn Reson Med Date: 2022-08-19 Impact factor: 3.737