Magnetic resonance angiography imaging of pulmonary embolism using agents with blood pool properties as an alternative to computed tomography to avoid radiation exposure
| Autor: | Josephine Pressacco, Jean-Marc Chauny, Alain Desjardins, Chantal Lanthier, Marcel Desnoyers, Konstantin Papas, Paule Samson, Kevin Toporowicz, J. Paul Finn, Yassin Irislimane, Jean Lambert, Jeffrey H. Maki |
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| Rok vydání: | 2019 |
| Předmět: |
Adult
Male medicine.medical_specialty Computed Tomography Angiography Contrast Media Gadolinium Sensitivity and Specificity Magnetic resonance angiography Pelvis Meglumine Organometallic Compounds Pulmonary angiography Humans Medicine Radiology Nuclear Medicine and imaging Prospective Studies cardiovascular diseases Venous Thrombosis medicine.diagnostic_test business.industry Ultrasound Gadofosveset Phlebography General Medicine Emergency department Middle Aged Radiation Exposure Thorax medicine.disease Pulmonary embolism Venous thrombosis medicine.anatomical_structure Feasibility Studies Female Radiology Pulmonary Embolism business Magnetic Resonance Angiography medicine.drug |
| Zdroj: | European Journal of Radiology. 113:165-173 |
| ISSN: | 0720-048X |
| Popis: | Purpose To evaluate the feasibility and accuracy of a combined magnetic resonance angiography (MRA) - magnetic resonance venography (MRV) protocol using contrast agents with blood pool properties, gadofosveset trisodium and gadobenate dimeglumine, in the evaluation of pulmonary embolus (PE) and deep venous thrombosis (DVT) as compared to the standard clinical reference imaging modalities; computed tomography pulmonary angiography (CTPA) and color-coded Duplex ultrasound (DUS). Materials and methods This prospective clinical study recruited patients presenting to the emergency department with clinical suspicion for PE and scheduled for a clinically indicated CTPA. We performed both MRA of the chest for the evaluation of PE as well as MRV of the pelvis and thighs to evaluate for DVT using a single contrast injection. MRA-MRV data was compared to the clinical reference standard CTPA and DUS, respectively. Results A total of 40 patients were recruited. The results on a per-patient basis comparing MRA to CTPA for pulmonary embolus yielded 100% sensitivity and 97% specificity. There was a small subset of patients that underwent clinical DUS to evaluate for DVT, which demonstrated a sensitivity and specificity of 100% for MRV. Conclusions This single-center, preliminary study using contrast agents with blood pool properties to perform a relatively rapid combined MRA-MRV exam to image for PE and above knee DVT shows potential as an alternative imaging choice to CTPA. Further large-scale, multicentre studies are warranted. |
| Databáze: | OpenAIRE |
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