Autor: Christine Reek, Graham R. Cherryman, Penelope R. Sensky, Nilesh J. Samani
Rok vydání: 2002
Předmět:
Zdroj: The International Journal of Cardiac Imaging. 18:373-383
ISSN: 0167-9899
DOI: 10.1023/a:1016057821005
Popis: Although contrast-enhanced first pass magnetic resonance imaging (MRI) has potential to quantify blood flow through extensive image post-processing, clinical utility is likely to depend on rapid qualitative analysis. Aims: To investigate use of an on-line analytical approach for detection of coronary artery disease (CAD). Methods and results: Thirty subjects with CAD underwent contrast-enhanced rest/adenosine stress MRI with basal, mid-papillary and apical short-axis image acquisition. Each short axis was divided into eight regions of interest (ROI). Regional perfusion was visually classified as normal or impaired according to transmural distribution and defect reversibility. MRI and angiographic data were compared. Qualitative MRI reporting was possible for 98% ROI. Eighty-six coronary artery (CA) territories were assessed of which 71 (83%) had stenoses. Sensitivity and specificity for detection of stenoses were 93 and 60%, respectively. The proportion of hypoperfused ROI rose from 31% with
Databáze: OpenAIRE