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European Radiology

Erschienen in:

01.05.2012 | Neuro

Time-resolved MR angiography of the intracranial venous system: an alternative MR venography technique

verfasst von: Hasan Yiğit, Aynur Turan, Elif Ergün, Pınar Koşar, Uğur Koşar

Erschienen in: European Radiology | Ausgabe 5/2012

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Abstract

Objectives

To compare time-resolved imaging of contrast kinetics (TRICKS) magnetic resonance angiography (MRA) with two-dimensional time-of-flight (TOF) magnetic resonance venography (MRV), and three-dimensional contrast-enhanced (CE) MRV in the visualisation of normal cerebral veins and dural venous sinuses.

Methods

This prospective study consisted of 35 consecutive patients. All patients were examined with TOF MRV, TRICKS MRA and CE MRV; a single dose of intravenous contrast material was administered for the last two sequences. The image quality of these techniques was assessed and compared qualitatively (by a semiquantitative scoring system) and quantitatively (by calculating signal-to-noise ratios [SNRs] and contrast-to-noise ratios [CNRs]).

Results

Left transverse sinus, left sigmoid sinus, bilateral thalamostriate veins and Trolard veins were better visualised by TRICKS MRA and CE MRV compared with TOF MRV (P < 0.05). For left thalamostriate vein visualisation, TRICKS MRA was inferior to CE MRV (P < 0.05). With quantitative analysis the SNRs and CNRs were highest at TRICKS MRA, which was followed by CE MRV and TOF MRV (P < 0.05).

Conclusions

Despite its limited spatial resolution, TRICKS MRA is comparable to static CE MRV and better than TOF MRV in the visualisation of normal dural sinuses and cerebral veins.

Key Points

• Time resolved magnetic resonance angiography can image the intracranial venous system dynamically

• It seems comparable to contrast-enhanced MRV techniques in venous visualisation

• The optimal phase for venous structures can be chosen from the dynamic data set

• The diagnostic performance in venous thrombosis requires further research

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Agid R, Shelef I, Scott JN et al (2008) Imaging of the intracranial venous system. Neurologist 14:12–22PubMedCrossRef

Sheerin F (2009) The imaging of the cerebral venous sinuses. Semin Ultrasound CT MR 30:525–558PubMedCrossRef

Sun J, Wang J, Jie L et al (2010) Visualization of the internal cerebral veins on MR phase-sensitive imaging: comparison with 3D gadolinium-enhanced MR venography and fast-spoiled gradient recalled imaging. AJNR Am J Neuroradiol. doi:10.3174/ajnr.A2308

Wang J, Wang J, Sun J et al (2010) Evaluation of the anatomy and variants of internal cerebral veins with phase-sensitive MR imaging. Surg Radiol Anat 32:669–674PubMedCrossRef

Fujii S, Kanasaki Y, Matsusue E et al (2010) Demonstration of cerebral venous variations in the region of the third ventricle on phase-sensitive imaging. AJNR Am J Neuroradiol 31:55–59PubMedCrossRef

Meckel S, Glücker TM, Kretzschmar M et al (2008) Display of dural sinuses with time-resolved, contrast-enhanced three-dimensional MR venography. Cerebrovasc Dis 25:217–224PubMedCrossRef

Fu JH, Lai PH, Hsiao CC et al (2010) Comparison of real-time three-dimensional gadolinium-enhanced elliptic centric-ordered MR venography and two-dimensional time-of-flight MR venography of the intracranial venous system. J Chin Med Assoc 73:131–138PubMedCrossRef

Lettau M, Sartor K, Heiland S et al (2009) 3T high-spatial-resolution contrast-enhanced MR angiography of the intracranial venous system with parallel imaging. AJNR Am J Neuroradiol 30:185–187PubMedCrossRef

Kirchhof K, Welzel T, Jansen O et al (2002) More reliable noninvasive visualization of the cerebral veins and dural sinuses: comparison of three MR angiographic techniques. Radiology 224:804–810PubMedCrossRef

10.

Farb RI, Scott JN, Willinsky RA et al (2003) Intracranial venous system: gadolinium-enhanced three-dimensional MR venography with auto-triggered elliptic centric-ordered sequence – initial experience. Radiology 226:203–209PubMedCrossRef

11.

Cornfeld D, Mojibian H (2009) Clinical uses of time-resolved imaging in the body and peripheral vascular system. AJR Am J Roentgenol 193:W546–W557PubMedCrossRef

12.

Saleh RS, Lohan DG, Villablanca JP et al (2008) Assessment of craniospinal arteriovenous malformations at 3T with highly temporally and highly spatially resolved contrast-enhanced MR angiography. AJNR Am J Neuroradiol 29:1024–1031PubMedCrossRef

13.

Petkova M, Gauvrit JY, Trystram D et al (2009) Three-dimensional dynamic time-resolved contrast-enhanced MRA using parallel imaging and a variable rate k-space sampling strategy in intracranial arteriovenous malformations. J Magn Reson Imaging 29:7–12PubMedCrossRef

14.

Vattoth S, Cherian J, Pandey T (2007) Magnetic resonance angiographic demonstration of carotid-cavernous fistula using elliptical centric time resolved imaging of contrast kinetics (EC-TRICKS). Magn Reson Imaging 25:1227–1231PubMedCrossRef

15.

Farb RI, Agid R, Willinsky RA et al (2009) Cranial dural arteriovenous fistula: diagnosis and classification with time-resolved MR angiography at 3T. AJNR Am J Neuroradiol 30:1546–1551PubMedCrossRef

16.

Meckel S, Maier M, Ruiz DS et al (2007) MR angiography of dural arteriovenous fistulas: diagnosis and follow-up after treatment using a time-resolved 3D contrast-enhanced technique. AJNR Am J Neuroradiol 28:877–884PubMed

17.

Zou Z, Ma L, Cheng L et al (2008) Time-resolved contrast-enhanced MR angiography of intracranial lesions. J Magn Reson Imaging 27:692–699PubMedCrossRef

18.

Oleaga L, Dalal SS, Weigele JB et al (2010) The role of time-resolved 3D contrast-enhanced MR angiography in the assessment and grading of cerebral arteriovenous malformations. Eur J Radiol 74:e117–e121PubMedCrossRef

19.

Meckel S, Mekle R, Taschner C et al (2006) Time-resolved 3D contrast-enhanced MRA with GRAPPA on a 1.5-T system for imaging of craniocervical vascular disease: initial experience. Neuroradiology 48:291–299PubMedCrossRef

20.

Reinacher PC, Stracke P, Reinges MH et al (2007) Contrast-enhanced time-resolved 3-D MRA: applications in neurosurgery and interventional neuroradiology. Neuroradiology 49:S3–S13PubMedCrossRef

21.

Meckel S, Reisinger C, Bremerich J et al (2010) Cerebral venous thrombosis: diagnostic accuracy of combined, dynamic and static, contrast-enhanced 4D MR venography. AJNR Am J Neuroradiol 31:527–535PubMedCrossRef

22.

Mermuys KP, Vanhoenacker PK, Chappel P et al (2005) Three-dimensional venography of the brain with a volumetric interpolated sequence. Radiology 234:901–908PubMedCrossRef

23.

Wetzel SG, Johnson G, Tan AG et al (2002) Three-dimensional, T1-weighted gradient-echo imaging of the brain with a volumetric interpolated examination. AJNR Am J Neuroradiol 23:995–1002PubMed

24.

Chen Q, Quijano CV, Mai VM et al (2004) On improving temporal and spatial resolution of 3D contrast-enhanced body MR angiography with parallel imaging. Radiology 231:893–899PubMedCrossRef

25.

Ruhl KM, Katoh M, Langer S et al (2008) Time-resolved 3D MR angiography of the foot at 3T in patients with peripheral arterial disease. AJR Am J Roentgenol 190:W360–W364PubMedCrossRef

26.

Niendorf T, Sodickson DK (2006) Parallel imaging in cardiovascular MRI: methods and applications. NMR Biomed 19:325–341PubMedCrossRef

27.

Shoukri MM (2004) Measures of interobserver agreement and reliability. Chapman & Hall/CRC, Boca Raton, FL, USA

Titel: Time-resolved MR angiography of the intracranial venous system: an alternative MR venography technique
verfasst von: Hasan Yiğit
Aynur Turan
Elif Ergün
Pınar Koşar
Uğur Koşar
Publikationsdatum: 01.05.2012
Verlag: Springer-Verlag
Erschienen in: European Radiology / Ausgabe 5/2012
Print ISSN: 0938-7994
Elektronische ISSN: 1432-1084
DOI: https://doi.org/10.1007/s00330-011-2330-0

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Springer Medizin

Time-resolved MR angiography of the intracranial venous system: an alternative MR venography technique

Abstract

Objectives

Methods

Results

Conclusions

Key Points

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Springer Medizin

Abstract

Objectives

Methods

Results

Conclusions

Key Points

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