Skip to main content
Erschienen in: Pediatric Radiology 1/2005

01.01.2005 | Minisymposium

Magnetic resonance angiography of the body in pediatric patients: experience with a contrast-enhanced time-resolved technique

verfasst von: Taylor Chung

Erschienen in: Pediatric Radiology | Ausgabe 1/2005

Einloggen, um Zugang zu erhalten

Abstract

This paper reviews the general technique of contrast-enhanced magnetic resonance angiography (CE-MRA) and the challenges of applying CE-MRA to pediatric patients. In particular, the application of “time-resolved” CE-MRA on a commercially available MR scanner using parallel imaging technique such as sensitivity encoding (SENSE) is discussed in detail. Multiple clinical case examples are provided to highlight the broad clinical application of this particular technique and the ease of use of this technique. The main limitation of this technique is dictated by the trade-off between temporal and spatial resolution. Finally, some potential future techniques that may be able to provide better MRA in freely breathing pediatric patients are suggested.
Literatur
1.
Zurück zum Zitat Prince MR, Yucel E, Kaufman J, et al (1993) Dynamic gadolinium-enhanced three-dimensional abdominal MR arteriography. J Magn Reson Imaging 3:877–881PubMed Prince MR, Yucel E, Kaufman J, et al (1993) Dynamic gadolinium-enhanced three-dimensional abdominal MR arteriography. J Magn Reson Imaging 3:877–881PubMed
2.
Zurück zum Zitat Lam WW, Chan JH, Hui Y, et al (1998) Technical innovation: non-breath-hold gadolinium-enhanced MR angiography of the thoracoabdominal aorta: experience in 18 children. AJR 170:478–480PubMed Lam WW, Chan JH, Hui Y, et al (1998) Technical innovation: non-breath-hold gadolinium-enhanced MR angiography of the thoracoabdominal aorta: experience in 18 children. AJR 170:478–480PubMed
3.
Zurück zum Zitat Haliloglu M, Hoffer FA, Gronemeyer SA, et al (1999) Applications of 3D contrast enhanced MR angiography in paediatric oncology. Pediatr Radiol 29:863–868CrossRefPubMed Haliloglu M, Hoffer FA, Gronemeyer SA, et al (1999) Applications of 3D contrast enhanced MR angiography in paediatric oncology. Pediatr Radiol 29:863–868CrossRefPubMed
4.
Zurück zum Zitat Pawlik HN, Chung T (1999) Initial clinical experience with non-breath-hold gadolinium-enhanced 3D-MR angiography of thorax and abdomen in infants and children with pathology. Proc Int Soc Magn Reson Med 7:1221 Pawlik HN, Chung T (1999) Initial clinical experience with non-breath-hold gadolinium-enhanced 3D-MR angiography of thorax and abdomen in infants and children with pathology. Proc Int Soc Magn Reson Med 7:1221
5.
Zurück zum Zitat Teo EH, Strouse PJ, Prince MR (1999) Applications of magnetic resonance imaging and magnetic resonance angiography to evaluate the hepatic vasculature in the pediatric patient. Pediatr Radiol 29:238–243CrossRefPubMed Teo EH, Strouse PJ, Prince MR (1999) Applications of magnetic resonance imaging and magnetic resonance angiography to evaluate the hepatic vasculature in the pediatric patient. Pediatr Radiol 29:238–243CrossRefPubMed
6.
Zurück zum Zitat Haliloglu M, Hoffer FA, Gronemeyer SA, et al (2000) 3D gadolinium-enhanced MRA: evaluation of hepatic vasculature in children with hepatoblastoma. J Magn Reson Imaging 11:65–68CrossRefPubMed Haliloglu M, Hoffer FA, Gronemeyer SA, et al (2000) 3D gadolinium-enhanced MRA: evaluation of hepatic vasculature in children with hepatoblastoma. J Magn Reson Imaging 11:65–68CrossRefPubMed
7.
Zurück zum Zitat Ng KK, Cheng YF, Wong KW, et al (2000) Gadolinium-enhanced magnetic resonance portography: application in paediatric liver transplant recipients. Transplant Proc 21:2099–2100CrossRef Ng KK, Cheng YF, Wong KW, et al (2000) Gadolinium-enhanced magnetic resonance portography: application in paediatric liver transplant recipients. Transplant Proc 21:2099–2100CrossRef
8.
Zurück zum Zitat Holmqvist C, Larrsson E-M, Stehlberg F, et al (2001) Contrast-enhanced thoracic 3D-MR angiography in infants and children. Acta Radiol 42:50–58CrossRefPubMed Holmqvist C, Larrsson E-M, Stehlberg F, et al (2001) Contrast-enhanced thoracic 3D-MR angiography in infants and children. Acta Radiol 42:50–58CrossRefPubMed
9.
Zurück zum Zitat Kondo C, Takada K, Yokoyama U, et al (2001) Comparison of three-dimensional contrast-enhanced magnetic resonance angiography and axial radiographic angiography for diagnosing congenital stenoses in small pulmonary arteries. Am J Cardiol 87:420–24CrossRefPubMed Kondo C, Takada K, Yokoyama U, et al (2001) Comparison of three-dimensional contrast-enhanced magnetic resonance angiography and axial radiographic angiography for diagnosing congenital stenoses in small pulmonary arteries. Am J Cardiol 87:420–24CrossRefPubMed
10.
Zurück zum Zitat Kuroiwa M, Suzuki N, Hatakeyama S, et al (2001) Magnetic resonance angiogrpahy of portal collateral pathways after hepatic portoenterostomy in biliary atresia: comparisons with endoscopic findings, J Pediatr Surg 36:1012–1016 Kuroiwa M, Suzuki N, Hatakeyama S, et al (2001) Magnetic resonance angiogrpahy of portal collateral pathways after hepatic portoenterostomy in biliary atresia: comparisons with endoscopic findings, J Pediatr Surg 36:1012–1016
11.
Zurück zum Zitat Hernandez RJ, Strouse PJ, Londy FJ, et al (2001) Gadolinium-enhanced MR angiography (Gd-MRA) of thoracic vasculature in an animal model using double-dose gadolinium and quiet breathing. Pediatr Radiol 31:589–593CrossRefPubMed Hernandez RJ, Strouse PJ, Londy FJ, et al (2001) Gadolinium-enhanced MR angiography (Gd-MRA) of thoracic vasculature in an animal model using double-dose gadolinium and quiet breathing. Pediatr Radiol 31:589–593CrossRefPubMed
12.
Zurück zum Zitat Hernandez RJ (2002) Magnetic resonance imaging of mediastinal vessels. Magn Reson Imaging Clin N Am 10:237–251PubMed Hernandez RJ (2002) Magnetic resonance imaging of mediastinal vessels. Magn Reson Imaging Clin N Am 10:237–251PubMed
13.
Zurück zum Zitat Geva T, Greil GF, Marshall AC, et al (2002) Gadolinium-enhanced 3-dimensional magnetic resonance angiography of pulmonary blood supply in pateints with complex pulmonary stenosis or atresia: comparison with x-ray angiography. Circulation 106:473–478CrossRefPubMed Geva T, Greil GF, Marshall AC, et al (2002) Gadolinium-enhanced 3-dimensional magnetic resonance angiography of pulmonary blood supply in pateints with complex pulmonary stenosis or atresia: comparison with x-ray angiography. Circulation 106:473–478CrossRefPubMed
14.
Zurück zum Zitat Wilman AH, Riederer SJ (1997) Performance of elliptical centric view order for signal enhancement and motion artifact suppression in breath-hold three dimensional gradient echo imaging. Magn Reson Med 38:793–802PubMed Wilman AH, Riederer SJ (1997) Performance of elliptical centric view order for signal enhancement and motion artifact suppression in breath-hold three dimensional gradient echo imaging. Magn Reson Med 38:793–802PubMed
15.
Zurück zum Zitat Wilman AH, Reiderer SJ, Houston J, et al (1998) Arterial phase carotid and vertebral artery imaging in 3D contrast-enhanced MR angiography by combining fluoroscopic triggering with an elliptical centric acquisition order. Magn Reson Med 40:24–35PubMed Wilman AH, Reiderer SJ, Houston J, et al (1998) Arterial phase carotid and vertebral artery imaging in 3D contrast-enhanced MR angiography by combining fluoroscopic triggering with an elliptical centric acquisition order. Magn Reson Med 40:24–35PubMed
16.
Zurück zum Zitat Willinek WA, Gieseke J, Conrad R, et al (2002) Randomly segmented central k-space ordering in high-spatial-resolution contrast-enhanced MR angiography of the supraaortic arteries: initial experience. Radiology 225:583–585PubMed Willinek WA, Gieseke J, Conrad R, et al (2002) Randomly segmented central k-space ordering in high-spatial-resolution contrast-enhanced MR angiography of the supraaortic arteries: initial experience. Radiology 225:583–585PubMed
17.
Zurück zum Zitat Swan JS, Carroll TJ, Kennell TW, et al (2002) Time-resolved three-dimensional contrast-enhanced MR angiography of the peripheral vessels. Radiology 225:43–52PubMed Swan JS, Carroll TJ, Kennell TW, et al (2002) Time-resolved three-dimensional contrast-enhanced MR angiography of the peripheral vessels. Radiology 225:43–52PubMed
18.
Zurück zum Zitat Vigen KK, Peters DC, Grist TM, et al (2000) Undersampled projection-reconstruction imaging for time-resolved contrast-enhanced imaging. Magn Reson Med 43:170–176CrossRefPubMed Vigen KK, Peters DC, Grist TM, et al (2000) Undersampled projection-reconstruction imaging for time-resolved contrast-enhanced imaging. Magn Reson Med 43:170–176CrossRefPubMed
19.
Zurück zum Zitat Sodickson DK, Manning WJ (1997) Simultaneous acquisition of spatial harmonics (smash): fast imaging with radiofrequency coil arrays. Magn Reson Med 38:591–603PubMed Sodickson DK, Manning WJ (1997) Simultaneous acquisition of spatial harmonics (smash): fast imaging with radiofrequency coil arrays. Magn Reson Med 38:591–603PubMed
20.
Zurück zum Zitat Pruessmann KP, Weiger M, Schiedegger MB, et al (1999) SENSE: sensitivity encoding for fast MRI. Magn Reson Med 42:952–962CrossRefPubMed Pruessmann KP, Weiger M, Schiedegger MB, et al (1999) SENSE: sensitivity encoding for fast MRI. Magn Reson Med 42:952–962CrossRefPubMed
21.
Zurück zum Zitat van den Brink JS, Watanabe Y, Kuhl CK, et al (2003) Implications of SENSE MR in routine clinical practice. Eur J Radiol 46:3–27CrossRefPubMed van den Brink JS, Watanabe Y, Kuhl CK, et al (2003) Implications of SENSE MR in routine clinical practice. Eur J Radiol 46:3–27CrossRefPubMed
22.
Zurück zum Zitat Muthupillai R, Vick GW III, Flamm SD, et al (2003) Free breathing time resolved contrast enhanced MRA in pediatric patients with sensitivity encoding. J Magn Reson Imaging 17:559–564CrossRefPubMed Muthupillai R, Vick GW III, Flamm SD, et al (2003) Free breathing time resolved contrast enhanced MRA in pediatric patients with sensitivity encoding. J Magn Reson Imaging 17:559–564CrossRefPubMed
23.
Zurück zum Zitat Balci NC, Talcin Y, Polat B, et al (2002) In: Book of abstracts of the 88th Annual Scientific Session of the RSNA, p 529, abstract no.1153 Balci NC, Talcin Y, Polat B, et al (2002) In: Book of abstracts of the 88th Annual Scientific Session of the RSNA, p 529, abstract no.1153
24.
Zurück zum Zitat Finn JP, Baskaran V, Carr JC, et al (2002) Thorax: low-dose contrast-enhanced three-dimensional MR angiography with subsecond temporal resolution-initial reseults. Radiology 224:896–904PubMed Finn JP, Baskaran V, Carr JC, et al (2002) Thorax: low-dose contrast-enhanced three-dimensional MR angiography with subsecond temporal resolution-initial reseults. Radiology 224:896–904PubMed
25.
Zurück zum Zitat Tsao J, Behnia B, Webb AG (2001) Unifying linear prior-infomation-driven method for accelerated image acquisition. Magn Reson Med 46:652–660CrossRefPubMed Tsao J, Behnia B, Webb AG (2001) Unifying linear prior-infomation-driven method for accelerated image acquisition. Magn Reson Med 46:652–660CrossRefPubMed
26.
Zurück zum Zitat Tsao J, Kozerke S, Boesiger P, et al (2003) Eight-fold acceleration in real-time cardiac imaging using k-t BLAST and k-t SENSE with SSFP and segmented EPI. Proc Int Soc Mag Reson Med 11:209 Tsao J, Kozerke S, Boesiger P, et al (2003) Eight-fold acceleration in real-time cardiac imaging using k-t BLAST and k-t SENSE with SSFP and segmented EPI. Proc Int Soc Mag Reson Med 11:209
27.
Zurück zum Zitat Spuentrup E, Manning WJ, Bornert P, et al (2002) Renal arteries: navigator-gated balanced fast field-echo projection MR angiography with aortic spin labeling: initial experience. Radiology 225:589–596PubMed Spuentrup E, Manning WJ, Bornert P, et al (2002) Renal arteries: navigator-gated balanced fast field-echo projection MR angiography with aortic spin labeling: initial experience. Radiology 225:589–596PubMed
Metadaten
Titel
Magnetic resonance angiography of the body in pediatric patients: experience with a contrast-enhanced time-resolved technique
verfasst von
Taylor Chung
Publikationsdatum
01.01.2005
Erschienen in
Pediatric Radiology / Ausgabe 1/2005
Print ISSN: 0301-0449
Elektronische ISSN: 1432-1998
DOI
https://doi.org/10.1007/s00247-004-1219-3

Weitere Artikel der Ausgabe 1/2005

Pediatric Radiology 1/2005 Zur Ausgabe

Darf man die Behandlung eines Neonazis ablehnen?

08.05.2024 Gesellschaft Nachrichten

In einer Leseranfrage in der Zeitschrift Journal of the American Academy of Dermatology möchte ein anonymer Dermatologe bzw. eine anonyme Dermatologin wissen, ob er oder sie einen Patienten behandeln muss, der eine rassistische Tätowierung trägt.

Ein Drittel der jungen Ärztinnen und Ärzte erwägt abzuwandern

07.05.2024 Klinik aktuell Nachrichten

Extreme Arbeitsverdichtung und kaum Supervision: Dr. Andrea Martini, Sprecherin des Bündnisses Junge Ärztinnen und Ärzte (BJÄ) über den Frust des ärztlichen Nachwuchses und die Vorteile des Rucksack-Modells.

Endlich: Zi zeigt, mit welchen PVS Praxen zufrieden sind

IT für Ärzte Nachrichten

Darauf haben viele Praxen gewartet: Das Zi hat eine Liste von Praxisverwaltungssystemen veröffentlicht, die von Nutzern positiv bewertet werden. Eine gute Grundlage für wechselwillige Ärztinnen und Psychotherapeuten.

Akuter Schwindel: Wann lohnt sich eine MRT?

28.04.2024 Schwindel Nachrichten

Akuter Schwindel stellt oft eine diagnostische Herausforderung dar. Wie nützlich dabei eine MRT ist, hat eine Studie aus Finnland untersucht. Immerhin einer von sechs Patienten wurde mit akutem ischämischem Schlaganfall diagnostiziert.

Update Radiologie

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