Kontrastmittelverstärkte MR-Angiographie der Becken- und Beingefäße in der klinischen Routinediagnostik
| Autor: | St. Feuerbach, T. Finkenzeller, Markus Lenhart, M. Strotzer, Johann Link, P. Kasprzak, Christian Paetzel, B. Djavidani, W. R. Nitz, S. Mann |
|---|---|
| Rok vydání: | 2002 |
| Předmět: |
medicine.medical_specialty
medicine.diagnostic_test Vascular disease business.industry Mr angiography medicine.disease Magnetic resonance angiography Catheter medicine.anatomical_structure Blood vessel prosthesis Arterial Occlusive Diseases medicine Radiology Nuclear Medicine and imaging Radiology Differential diagnosis business Pelvis |
| Zdroj: | RöFo - Fortschritte auf dem Gebiet der Röntgenstrahlen und der bildgebenden Verfahren. 174:1289-1295 |
| ISSN: | 1438-9010 1438-9029 |
| DOI: | 10.1055/s-2002-34553 |
| Popis: | PURPOSE: Prospective evaluation of the effectiveness of contrast-enhanced moving-table magnetic resonance angiography (CE-MRA) as the sole routine tool for the diagnosis of peripheral arterial occlusive disease and determination whether it can replace catheter arteriography. SUBJECTS AND METHODS: In a time period of 23 weeks, 100 consecutive patients were evaluated. A total of 112 contrast-enhanced moving-table MR angiograms were performed at 1.5 Tesla. A dedicated vascular coil system was used. It was evaluated in which cases MR angiography was sufficient to determine the treatment plan and in which cases limited quality required additional examinations. RESULTS: In 93.75 % (105/112) of all examinations, the treatment plan was determined by MRA as the sole diagnostic tool. Twenty-two patients underwent surgery or percutaneous angioplasty based on MRA findings. Additional examinations due to impaired quality were performed in seven (6.25 %) cases: two MR angiographies of the pelvic arteries, one MR angiography of the calf, and four selective arteriographies because of venous overlay at the calf. CONCLUSION: Contrast-enhanced MR angiography can take the place of catheter angiography in the routine work-up of patients with peripheral arterial occlusive disease. Further assessment might be necessary in five to ten percent of the cases when the diagnostic quality is inadequate, mostly due to venous overlay in the lower leg. |
| Databáze: | OpenAIRE |
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