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Radiology, Vol 198, 725-732, Copyright © 1996 by Radiological Society of North America

ARTICLES

Three-dimensional gadolinium-enhanced MR angiography for aortoiliac inflow assessment plus renal artery screening in a single breath hold

JJ Snidow, MS Johnson, VJ Harris, PM Margosian, AM Aisen, SG Lalka, DF Cikrit and SO Trerotola
Department of Radiology, Indiana University Medical Center, Indianapolis 46202-5253, USA.

PURPOSE: To develop a magnetic resonance (MR) angiography protocol, with use of breath-hold techniques, for simultaneous aortoiliac inflow assessment and renal artery screening in patients with lower extremity ischemia or aortic aneurysm. MATERIALS AND METHODS: Breath-hold three dimensional gadolinium-enhanced MR angiography was performed in 50 patients (conventional arteriography in 47 was the standard of reference). After multiple strategies were tested in the first 18 patients, a final protocol was formulated and tested in the subsequent 32 patients. RESULTS: The final protocol comprised a single-slab (28 3- mm-thick partitions) coronal acquisition (repetition time, 7 msec; echo time, 2.8 msec; flip angle, 60 degrees) during a single breath hold, enhanced with 30 mL gadoteridol. In the final 32 patients, sensitivity and specificity, respectively, for obstructive lesions were 100% and 100% for the aorta, 100% and 98% for common iliac arteries, 100% and 89% for external iliac arteries, 100% and 89% for main renal arteries, and 100% and 62% for accessory renal arteries. CONCLUSION: This breath- hold protocol improves the accuracy of aortoiliac inflow assessment, but low resolution limits evaluation of small renal arteries.


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