nach oben

Erschienen in:

01.09.2013 | Magnetic Resonance

Contrast-enhanced time-resolved 4D MRA of congenital heart and vessel anomalies: image quality and diagnostic value compared with 3D MRA

verfasst von: Florian M. Vogt, Jens M. Theysohn, Dariusz Michna, Peter Hunold, Ulrich Neudorf, Sonja Kinner, Jörg Barkhausen, Harald H. Quick

Erschienen in: European Radiology | Ausgabe 9/2013

Einloggen, um Zugang zu erhalten

Abstract

Objectives

To evaluate time-resolved interleaved stochastic trajectories (TWIST) contrast-enhanced 4D magnetic resonance angiography (MRA) and compare it with 3D FLASH MRA in patients with congenital heart and vessel anomalies.

Methods

Twenty-six patients with congenital heart and vessel anomalies underwent contrast-enhanced MRA with both 3D FLASH and 4D TWIST MRA. Images were subjectively evaluated regarding total image quality, artefacts, diagnostic value and added diagnostic value of 4D dynamic imaging. Quantitative comparison included signal-to-noise ratio (SNR), contrast-to-noise ratio (CNR) and vessel sharpness measurements.

Results

Three-dimensional FLASH MRA was judged to be significantly better in terms of image quality (4.0 ± 0.6 vs 3.4 ± 0.6, P < 0.05) and artefacts (3.8 ± 0.4 vs 3.3 ± 0.5, P < 0.05); no difference in diagnostic value was found (4.2 ± 0.4 vs 4.0 ± 0.4); important additional functional information was found in 21/26 patients. SNR and CNR were higher in the pulmonary trunk in 4D TWIST, but slightly higher in the systemic arteries in 3D FLASH. No difference in vessel sharpness delineation was found.

Conclusions

Although image quality was inferior compared with 3D FLASH MRA, 4D TWIST MRA yields robust images and added diagnostic value through dynamic acquisition was found. Thus, 4D TWIST MRA is an attractive alternative to 3D FLASH MRA.

Key Points

• New magnetic resonance angiography (MRA) techniques are increasingly introduced for congenital cardiovascular problems.

• Time-resolved angiography with interleaved stochastic trajectories (TWIST) is an example.

• Four-dimensional TWIST MRA provided inferior image quality compared to 3D FLASH MRA but without significant difference in vessel sharpness.

• Four-dimensional TWIST MRA gave added diagnostic value.

Brickner ME, Hillis LD, Lange RA (2000) Congenital heart disease in adults. Second of two parts. N Engl J Med 342:334–342PubMedCrossRef

Brickner ME, Hillis LD, Lange RA (2000) Congenital heart disease in adults. First of two parts. N Engl J Med 342:256–263PubMedCrossRef

Foster E, Graham TP Jr, Driscoll DJ et al (2001) Task force 2: special health care needs of adults with congenital heart disease. J Am Coll Cardiol 37:1176–1183PubMedCrossRef

Lane DA, Lip GY, Millane TA (2002) Quality of life in adults with congenital heart disease. Heart 88:71–75PubMedCrossRef

Gutgesell HP, Huhta JC, Latson LA, Huffines D, McNamara DG (1985) Accuracy of two-dimensional echocardiography in the diagnosis of congenital heart disease. Am J Cardiol 55:514–518PubMedCrossRef

Murphy KF, Kotler MN, Reichek N, Perloff JK (1975) Ultrasound in the diagnosis of congenital heart disease. Am Heart J 89:638–656PubMedCrossRef

Sahn DJ, Vick GW 3rd (2001) Review of new techniques in echocardiography and magnetic resonance imaging as applied to patients with congenital heart disease. Heart 86(Suppl 2):II41–1153PubMed

Kramer H, Nikolaou K, Sommer W, Reiser MF, Herrmann KA (2009) Peripheral MR angiography. Magn Reson Imaging Clin N Am 17:91–100PubMedCrossRef

Michaely HJ, Attenberger UI, Kramer H, Nael K, Reiser MF, Schoenberg SO (2007) Abdominal and pelvic MR angiography. Magn Reson Imaging Clin N Am 15:301–314, v-viPubMedCrossRef

10.

Fenchel M, Saleh R, Dinh H et al (2007) Juvenile and adult congenital heart disease: time-resolved 3D contrast-enhanced MR angiography. Radiology 244:399–410PubMedCrossRef

11.

Song T, Laine AF, Chen Q et al (2009) Optimal k-space sampling for dynamic contrast-enhanced MRI with an application to MR renography. Magn Reson Med 61:1242–1248PubMedCrossRef

12.

Kinner S, Zenge MO, Heilmaier C et al (2011) Peripheral MRA with k-space segmentation and blood-pool contrast agent. Acad Radiol 18:113–119PubMedCrossRef

13.

Prince MR (1994) Gadolinium-enhanced MR aortography. Radiology 19:155–164

14.

Grist TM, Mistretta CA, Strother CM, Turski PA (2012) Time-resolved angiography: Past, present, and future. J Magn Reson Imaging 36:1273–1286PubMedCrossRef

15.

van Vaals JJ, Brummer ME, Dixon WT et al (1993) “Keyhole” method for accelerating imaging of contrast agent uptake. J Magn Reson Imaging 3:671–675PubMedCrossRef

16.

Korosec FR, Frayne R, Grist TM, Mistretta CA (1996) Time-resolved contrast-enhanced 3D MR angiography. Magn Reson Med 36:345–351PubMedCrossRef

17.

Fink C, Ley S, Kroeker R, Requardt M, Kauczor HU, Bock M (2005) Time-resolved contrast-enhanced three-dimensional magnetic resonance angiography of the chest: combination of parallel imaging with view sharing (TREAT). Invest Radiol 40:40–48PubMedCrossRef

18.

Krishnam MS, Tomasian A, Lohan DG, Tran L, Finn JP, Ruehm SG (2008) Low-dose, time-resolved, contrast-enhanced 3D MR angiography in cardiac and vascular diseases: correlation to high spatial resolution 3D contrast-enhanced MRA. Clin Radiol 63:744–755PubMedCrossRef

19.

Goo HW, Yang DH, Park IS et al (2007) Time-resolved three-dimensional contrast-enhanced magnetic resonance angiography in patients who have undergone a Fontan operation or bidirectional cavopulmonary connection: initial experience. J Magn Reson Imaging 25:727–736PubMedCrossRef

20.

Griswold MA, Jakob PM, Heidemann RM et al (2002) Generalized autocalibrating partially parallel acquisitions (GRAPPA). Magn Reson Med 47:1202–1210PubMedCrossRef

21.

Finn JP, Baskaran V, Carr JC et al (2002) Thorax: low-dose contrast-enhanced three-dimensional MR angiography with subsecond temporal resolution—initial results. Radiology 224:896–904PubMedCrossRef

22.

Seng K, Maderwald S, de Greiff A et al (2010) Dynamic contrast-enhanced magnetic resonance angiography of the thoracic vessels: an intraindividual comparison of different k-space acquisition strategies. Invest Radiol 45:708–714PubMedCrossRef

23.

Attenberger UI, Sourbron SP, Notohamiprodjo M et al (2008) MR-based semi-automated quantification of renal functional parameters with a two-compartment model—an interobserver analysis. Eur J Radiol 65:59–65PubMedCrossRef

24.

Fink C, Bock M, Kiessling F et al (2004) Time-resolved contrast-enhanced three-dimensional pulmonary MR-angiography: 1.0 M gadobutrol vs. 0.5 M gadopentetate dimeglumine. J Magn Reson Imaging 19:202–208PubMedCrossRef

25.

Nissen JC, Attenberger UI, Fink C et al (2009) Thoracic and abdominal MRA with gadofosveset: influence of injection rate on vessel signal and image quality. Eur Radiol 19:1932–1938PubMedCrossRef

Titel: Contrast-enhanced time-resolved 4D MRA of congenital heart and vessel anomalies: image quality and diagnostic value compared with 3D MRA
verfasst von: Florian M. Vogt
Jens M. Theysohn
Dariusz Michna
Peter Hunold
Ulrich Neudorf
Sonja Kinner
Jörg Barkhausen
Harald H. Quick
Publikationsdatum: 01.09.2013
Verlag: Springer Berlin Heidelberg
Erschienen in: European Radiology / Ausgabe 9/2013
Print ISSN: 0938-7994
Elektronische ISSN: 1432-1084
DOI: https://doi.org/10.1007/s00330-013-2845-7

Neu im Fachgebiet Radiologie

18.04.2024 | Pädiatrische Notfallmedizin | Nachrichten

Update Radiologie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

Newsletter bestellen

Live-Webinar: Aktuelle Leitlinien bei Herz-Kreislauf-Erkrankungen

Springer Medizin

Contrast-enhanced time-resolved 4D MRA of congenital heart and vessel anomalies: image quality and diagnostic value compared with 3D MRA

Abstract

Objectives

Methods

Results

Conclusions

Key Points

Neu im Fachgebiet Radiologie

Fünf Dinge, die im Kindernotfall besser zu unterlassen sind

Wie toxische Männlichkeit der Gesundheit von Männern schadet

Studie bestätigt Potenzial von KI in der Radiologie

Quantitative Angiografie könnte IVUS-Alternative darstellen

Update Radiologie

Live-Webinar: Aktuelle Leitlinien bei Herz-Kreislauf-Erkrankungen

Springer Medizin

Abstract

Objectives

Methods

Results

Conclusions

Key Points

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

Weitere Artikel der Ausgabe 9/2013

Contrast-enhanced ultrasound features of histologically proven focal nodular hyperplasia: diagnostic performance compared with contrast-enhanced CT

Erratum to: Embolisation of prostatic arteries as treatment of moderate to severe lower urinary symptoms (LUTS) secondary to benign hyperplasia: results of short- and mid-term follow-up

Vertebroplasty in the treatment of symptomatic vertebral haemangiomas without neurological deficit

Embolisation of prostatic arteries as treatment of moderate to severe lower urinary symptoms (LUTS) secondary to benign hyperplasia: results of short- and mid-term follow-up

Diffusion-weighted magnetic resonance imaging evaluation of intra-abdominal sites of implants to predict likelihood of suboptimal cytoreductive surgery in patients with ovarian carcinoma

Comparative diagnostic accuracy of contrast-enhanced MRI and 18F-FDOPA PET-CT in recurrent glioma

Neu im Fachgebiet Radiologie

Fünf Dinge, die im Kindernotfall besser zu unterlassen sind

Wie toxische Männlichkeit der Gesundheit von Männern schadet

Studie bestätigt Potenzial von KI in der Radiologie

Quantitative Angiografie könnte IVUS-Alternative darstellen

Update Radiologie