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European Radiology
Erschienen in: European Radiology 10/2007

01.10.2007 | Chest

Magnetic resonance imaging of acute pulmonary embolism

verfasst von: Christian Fink, Sebastian Ley, Stefan O. Schoenberg, Maximilian F. Reiser, H. U. Kauczor

Erschienen in: European Radiology | Ausgabe 10/2007

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Abstract

Pulmonary embolism (PE) is a very common and potentially life-threatening disease. In comparison with CT, the clinical relevance of magnetic resonance imaging (MRI) for the assessment of PE is low. Nevertheless, as there are some potential advantages of MRI over CT (e.g. radiation free method, better safety profile of MR contrast media, capability of functional imaging). In certain patient, groups MRI might therefore be considered as a valuable alternative in the assessment of suspected PE. This article reviews the relevant MRI techniques for the evaluation of PE and gives an overview of the current literature for contrast-enhanced MR angiography of PE.
Literatur
1.
Silverstein MD, Heit JA, Mohr DN, Petterson TM, O’Fallon WM, Melton LJ 3rd (1998) Trends in the incidence of deep vein thrombosis and pulmonary embolism: a 25-year population-based study. Arch Intern Med 158:585–593PubMedCrossRef
2.
3.
Tan KT, van Beek EJ (2002) Diagnosis and treatment of pulmonary embolism: An overview. Imaging Decis 6:3–10CrossRef
4.
Investigators TP (1990) Value of the ventilation/perfusion scan in acute pulmonary embolism. Results of the prospective investigation of pulmonary embolism diagnosis (PIOPED). The PIOPED investigators. JAMA 263:2753–2759CrossRef
5.
Schoepf UJ, Costello P (2004) CT angiography for diagnosis of pulmonary embolism: state of the art. Radiology 230:329–337PubMedCrossRef
6.
Thomsen HS (2006) Nephrogenic systemic fibrosis: A serious late adverse reaction to gadodiamide. Eur Radiol 16:2619–2621PubMedCrossRef
7.
Tombach B, Heindel W (2002) Value of 1.0-M gadolinium chelates: review of preclinical and clinical data on gadobutrol. Eur Radiol 12:1550–1556PubMedCrossRef
8.
Wells PS, Ginsberg JS, Anderson DR et al (1998) Use of a clinical model for safe management of patients with suspected pulmonary embolism. Ann Intern Med 129:997–1005PubMed
9.
Mayo JR, Aldrich J, Müller NL (2003) Radiation exposure at chest CT: A statement of the fleischner society. Radiology 228:15–21PubMedCrossRef
10.
Parker MS, Hui FK, Camacho MA, Chung JK, Broga DW, Sethi NN (2005) Female breast radiation exposure during CT pulmonary angiography. AJR Am J Roentgenol 185:1228–1233PubMedCrossRef
11.
Scarsbrook AF, Evans AL, Owen AR, Gleeson FV (2006) Diagnosis of suspected venous thromboembolic disease in pregnancy. Clin Radiol 61:1–12PubMedCrossRef
12.
Yousefzadeh DK, Ward MB, Reft C (2006) Internal barium shielding to minimize fetal irradiation in spiral chest CT: a phantom simulation experiment. Radiology 239:751–758PubMedCrossRef
13.
Groves AM, Yates SJ, Win T et al (2006) CT pulmonary angiography versus ventilation-perfusion scintigraphy in pregnancy: implications from a UK survey of doctors' knowledge of radiation exposure. Radiology 240:765–770PubMedCrossRef
14.
Webb JA, Thomsen HS, Morcos SK (2005) The use of iodinated and gadolinium contrast media during pregnancy and lactation. Eur Radiol 15:1234–1240PubMedCrossRef
15.
Kwong RY, Schussheim AE, Rekhraj S et al (2003) Detecting acute coronary syndrome in the emergency department with cardiac magnetic resonance imaging. Circulation 107:531–537PubMedCrossRef
16.
Schellinger PD, Jansen O, Fiebach JB et al (2000) Feasibility and practicality of MR imaging of stroke in the management of hyperacute cerebral ischemia. AJNR Am J Neuroradiol 21:1184–1189PubMed
17.
Goyen M, Shamsi K, Schoenberg SO (2006) Vasovist-enhanced MR angiography. Eur Radiol 16(Suppl 2):B9–B14PubMed
18.
Abolmaali ND, Hietschold V, Appold S, Ebert W, Vogl TJ (2002) Gadomer-17-enhanced 3D navigator-echo MR angiography of the pulmonary arteries in pigs. Eur Radiol 12:692–697PubMed
19.
Fink C, Ley S, Puderbach M, Plathow C, Bock M, Kauczor HU (2004) 3D pulmonary perfusion MRI and MR angiography of pulmonary embolism in pigs after a single injection of a blood pool MR contrast agent. Eur Radiol 14:1291–1296PubMedCrossRef
20.
van Beek EJ, Wild JM, Fink C, Moody AR, Kauczor HU, Oudkerk M (2003) MRI for the diagnosis of pulmonary embolism. J Magn Reson Imaging 18:627–640PubMedCrossRef
21.
Nael K, Michaely HJ, Kramer U et al (2006) Pulmonary circulation: contrast-enhanced 3.0-T MR angiography—initial results. Radiology 240:858–868PubMedCrossRef
22.
Korosec FR, Frayne R, Grist TM, Mistretta CA (1996) Time-resolved contrast-enhanced 3D MR angiography. Magn Reson Med 36:345–351PubMedCrossRef
23.
Schoenberg SO, Bock M, Floemer F et al (1999) High-resolution pulmonary arterio-and venography using multiple-bolus multiphase 3D-Gd-mRA. J Magn Reson Imaging 10:339–346PubMedCrossRef
24.
Goyen M, Laub G, Ladd ME et al (2001) Dynamic 3D MR angiography of the pulmonary arteries in under four seconds. J Magn Reson Imaging 13:372–377PubMedCrossRef
25.
Meaney JF, Weg JG, Chenevert TL, Stafford-Johnson D, Hamilton BH, Prince MR (1997) Diagnosis of pulmonary embolism with magnetic resonance angiography. N Engl J Med 336:1422–1427PubMedCrossRef
26.
Gupta A, Frazer CK, Ferguson JM et al (1999) Acute pulmonary embolism: diagnosis with MR angiography. Radiology 210:353–359PubMed
27.
Oudkerk M, van Beek EJ, Wielopolski P et al (2002) Comparison of contrast-enhanced magnetic resonance angiography and conventional pulmonary angiography for the diagnosis of pulmonary embolism: a prospective study. Lancet 359:1643–1647PubMedCrossRef
28.
Blum A, Bellou A, Guillemin F, Douek P, Laprevote-Heully MC, Wahl D (2005) Performance of magnetic resonance angiography in suspected acute pulmonary embolism. Thromb Haemost 93:503–511PubMed
29.
Pleszewski B, Chartrand-Lefebvre C, Qanadli SD et al (2006) Gadolinium-enhanced pulmonary magnetic resonance angiography in the diagnosis of acute pulmonary embolism: a prospective study on 48 patients. Clin Imaging 30:166–172PubMedCrossRef
30.
Kluge A, Luboldt W, Bachmann G (2006) Acute pulmonary embolism to the subsegmental level: diagnostic accuracy of three MRI techniques compared with 16-MDCT. AJR Am J Roentgenol 187:W7–W14PubMedCrossRef
31.
Ohno Y, Higashino T, Takenaka D et al (2004) MR angiography with sensitivity encoding (SENSE) for suspected pulmonary embolism: comparison with MDCT and ventilation-perfusion scintigraphy. AJR Am J Roentgenol 183:91–98PubMed
32.
Fink C, Risse F, Semmler W, Schoenberg SO, Kauczor HU, Reiser MF (2006) MRT der Lungenperfusion. Radiologe 46:290–299PubMedCrossRef
33.
Levin DL, Chen Q, Zhang M, Edelman RR, Hatabu H (2001) Evaluation of regional pulmonary perfusion using ultrafast magnetic resonance imaging. Magn Reson Med 46:166–171PubMedCrossRef
34.
Fink C, Bock M, Puderbach M, Schmahl A, Delorme S (2003) Partially parallel three-dimensional magnetic resonance imaging for the assessment of lung perfusion—initial results. Invest Radiol 38:482–488PubMedCrossRef
35.
Nikolaou K, Schoenberg SO, Attenberger U et al (2005) Pulmonary arterial hypertension: diagnosis with fast perfusion MR imaging and high-spatial-resolution MR angiography—preliminary experience. Radiology 236:694–703PubMedCrossRef
36.
Nikolaou K, Schoenberg SO, Brix G et al (2004) Quantification of pulmonary blood flow and volume in healthy volunteers by dynamic contrast-enhanced magnetic resonance imaging using a parallel imaging technique. Invest Radiol 39:537–545PubMedCrossRef
37.
Amundsen T, Torheim G, Kvistad KA et al (2002) Perfusion abnormalities in pulmonary embolism studied with perfusion MRI and ventilation-perfusion scintigraphy: an intra-modality and inter-modality agreement study. J Magn Reson Imaging 15:386–394PubMedCrossRef
38.
Fink C, Puderbach M, Bock M et al (2004) Regional lung perfusion: assessment with partially parallel three-dimensional MR imaging. Radiology 231:175–184PubMedCrossRef
39.
Kluge A, Gerriets T, Stolz E et al (2006) Pulmonary perfusion in acute pulmonary embolism: agreement of MRI and SPECT for lobar, segmental and subsegmental perfusion defects. Acta Radiol 47:933–940PubMedCrossRef
40.
Ley S, Fink C, Zaporozhan J et al (2005) Value of high spatial and high temporal resolution magnetic resonance angiography for differentiation between idiopathic and thromboembolic pulmonary hypertension: initial results. Eur Radiol 15:2256–2263PubMedCrossRef
41.
Kluge A, Gerriets T, Lange U, Bachman G (2005) MRI for short-term follow-up of acute pulmonary embolism. Assessment of thrombus appearance and pulmonary perfusion: a feasibility study. Eur Radiol 15:1969–1977PubMedCrossRef
42.
Remy-Jardin M, Louvegny S, Remy J et al (1997) Acute central thromboembolic disease: posttherapeutic follow-up with spiral CT angiography. Radiology 203:173–180PubMed
43.
Sampson FC, Goodacre SW, Thomas SM, van Beek EJ (2007) The accuracy of MRI in diagnosis of suspected deep vein thrombosis: systematic review and meta-analysis. Eur Radiol 17:175–181PubMedCrossRef
44.
Obernosterer A, Aschauer M, Portugaller H, Koppel H, Lipp RW (2005) Three-dimensional gadolinium-enhanced magnetic resonance angiography used as a "one-stop shop'' imaging procedure for venous thromboembolism: a pilot study. Angiology 56:423–430PubMedCrossRef
45.
Kluge A, Mueller C, Strunk J, Lange U, Bachmann G (2006) Experience in 207 combined MRI examinations for acute pulmonary embolism and deep vein thrombosis. AJR Am J Roentgenol 186:1686–1696PubMedCrossRef
46.
Edelman RR, Hatabu H, Tadamura E, Li W, Prasad PV (1996) Noninvasive assessment of regional ventilation in the human lung using oxygen-enhanced magnetic resonance imaging. Nat Med 2:1236–1239PubMedCrossRef
47.
Nakagawa T, Sakuma H, Murashima S, Ishida N, Matsumura K, Takeda K (2001) Pulmonary ventilation-perfusion MR imaging in clinical patients. J Magn Reson Imaging 14:419–424PubMedCrossRef
48.
Kreitner KF, Ley S, Kauczor HU et al (2004) Chronic thromboembolic pulmonary hypertension: pre-and postoperative assessment with breath-hold MR imaging techniques. Radiology 232:535–543PubMedCrossRef
49.
Roeleveld RJ, Marcus JT, Faes TJ et al (2005) Interventricular septal configuration at mr imaging and pulmonary arterial pressure in pulmonary hypertension. Radiology 234:710–717PubMedCrossRef
Metadaten
Titel
Magnetic resonance imaging of acute pulmonary embolism
verfasst von
Christian Fink
Sebastian Ley
Stefan O. Schoenberg
Maximilian F. Reiser
H. U. Kauczor
Publikationsdatum
01.10.2007
Verlag
Springer-Verlag
Erschienen in
European Radiology / Ausgabe 10/2007
Print ISSN: 0938-7994
Elektronische ISSN: 1432-1084
DOI
https://doi.org/10.1007/s00330-007-0664-4

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