Patricia P Cardia1, Thiago J Penachim2, Adilson Prando2, Ulysses S Torres3, Giuseppe D'Ippólito1,3. 1. 1 Department of Diagnostic Imaging, Federal University of São Paulo (Universidade Federal de São Paulo-UNIFESP), Paulista School of Medicine, São Paulo, Brazil. 2. 2 Centro Radiológico Campinas, Vera Cruz Hospital, São Paulo, Brazil. 3. 3 Grupo Fleury, São Paulo, Brazil.
Abstract
OBJECTIVE: Although non-contrast MR angiography (NC-MRA) is well established for the evaluation of renal artery stenosis, its usefulness in the evaluation of other abdominal aortic branches remains to be studied. This study aimed at evaluating the image quality and diagnostic accuracy of NC-MRA using a three-dimensional balanced steady-state free-precession sequence in identifying stenosis in the celiac trunk (CTR) and superior mesenteric artery (SMA) as compared with CT angiography (CTA) as the reference standard. METHODS: 41 patients underwent both NC-MRA and CTA of the abdominal aorta. Two radiologists analyzed the quality of the images (diagnostic vs non-diagnostic) and the performance (accuracy, sensitivity and specificity) of NC-MRA for the identification of arterial stenosis. Kappa tests were used to determine the interobserver agreement and the intermethod agreement between NC-MRA and CTA. RESULTS: NC-MRA provided diagnostic quality images of the CTR and SMA in 87.8% and 90.2% of cases, respectively, with high interobserver agreement (kappa 0.95 and 0.80, respectively). For stenosis assessment, NC-MRA had a sensitivity of 100%, a positive-predictive value of 50% and a negative-predictive value of 100% for both segments, with accuracies of 88.8% for the CTR and 94.5% for the SMA. CONCLUSION: NC-MRA is an accurate method for detecting stenosis in the CTR and SMA. Advances in knowledge: Data from this study suggest that MR angiography with balanced steady-state free-precession sequence is a viable non-contrast alternative for stenosis evaluation of these branches in patients for whom a contrast-enhanced examination is contraindicated.
OBJECTIVE: Although non-contrast MR angiography (NC-MRA) is well established for the evaluation of renal artery stenosis, its usefulness in the evaluation of other abdominal aortic branches remains to be studied. This study aimed at evaluating the image quality and diagnostic accuracy of NC-MRA using a three-dimensional balanced steady-state free-precession sequence in identifying stenosis in the celiac trunk (CTR) and superior mesenteric artery (SMA) as compared with CT angiography (CTA) as the reference standard. METHODS: 41 patients underwent both NC-MRA and CTA of the abdominal aorta. Two radiologists analyzed the quality of the images (diagnostic vs non-diagnostic) and the performance (accuracy, sensitivity and specificity) of NC-MRA for the identification of arterial stenosis. Kappa tests were used to determine the interobserver agreement and the intermethod agreement between NC-MRA and CTA. RESULTS: NC-MRA provided diagnostic quality images of the CTR and SMA in 87.8% and 90.2% of cases, respectively, with high interobserver agreement (kappa 0.95 and 0.80, respectively). For stenosis assessment, NC-MRA had a sensitivity of 100%, a positive-predictive value of 50% and a negative-predictive value of 100% for both segments, with accuracies of 88.8% for the CTR and 94.5% for the SMA. CONCLUSION: NC-MRA is an accurate method for detecting stenosis in the CTR and SMA. Advances in knowledge: Data from this study suggest that MR angiography with balanced steady-state free-precession sequence is a viable non-contrast alternative for stenosis evaluation of these branches in patients for whom a contrast-enhanced examination is contraindicated.
Authors: Rolf Wyttenbach; Antonio Braghetti; Michael Wyss; Mario Alerci; Lukas Briner; Paolo Santini; Luca Cozzi; Marcello Di Valentino; Marcus Katoh; Claudio Marone; Peter Vock; Augusto Gallino Journal: Radiology Date: 2007-08-23 Impact factor: 11.105
Authors: Fernanda Garozzo Velloni; Patrícia Prando Cardia; Ulysses Dos Santos Torres; Marco Antonio Haddad Pereira; Thiago José Penachim; Larissa Rossini Favaro; Miguel Ramalho; Giuseppe D'Ippolito Journal: Radiol Bras Date: 2020 Jul-Aug
Authors: Roberto Simonini; Pietro Andrea Bonaffini; Marco Porta; Cesare Maino; Francesco Saverio Carbone; Ludovico Dulcetta; Paolo Brambilla; Paolo Marra; Sandro Sironi Journal: Diagnostics (Basel) Date: 2022-03-28