Radiology, Vol 206, 693-701, Copyright © 1998 by Radiological Society of North America

ARTICLES

Aortic and lower-extremity arterial disease: evaluation with MR angiography versus conventional angiography

SF Quinn, RC Sheley, KG Semonsen, VJ Leonardo, K Kojima and J Szumowski
Department of Radiology, Legacy Good Samaritan Hospital and Medical Center, Portland, OR 97210, USA.

PURPOSE: To compare magnetic resonance (MR) angiography with conventional angiography in evaluation of the aorta and lower-extremity arterial system. MATERIALS AND METHODS: Fifty-seven patients were evaluated with femoral conventional and MR angiography. Iliac artery segments were evaluated with two-dimensional and contrast material- enhanced three-dimensional time-of-flight MR angiography. Infrainguinal regions were evaluated with two-dimensional time-of-flight MR angiography with a dedicated lower-extremity coil. Arteries depicted on femoral images were separately interpreted as 20 anatomic segments. Disease classification included normal to moderate disease (0%-50% stenosis), severe stenosis (> 50% stenosis), diffuse disease (more than one severe stenosis), and occlusion. Four readers interpreted the images and rendered treatment recommendations. RESULTS: Substantial to almost perfect interobserver agreement (kappa, 0.66-1.00) was achieved in most cases for MR angiogram interpretation. The three most experienced readers achieved substantial to almost perfect intraobserver agreement (kappa, 0.61-1.00) between conventional and MR angiogram interpretation in most cases. Among three readers, moderate agreement (kappa, 0.43-0.53) was found between treatment recommendations based on conventional versus MR angiographic findings; for the most experienced reader, this agreement was almost perfect (kappa, 0.90). CONCLUSION: For experienced readers, there was substantial to almost perfect agreement between conventional and MR angiographic image interpretations of the aorta and lower-extremity arterial system.

This article has been cited by other articles:

				M. Fenchel, R. Saleh, H. Dinh, M. H. Lee, K. Nael, M. Krishnam, S. G. Ruehm, S. Miller, J. Child, and J. P. Finn Juvenile and Adult Congenital Heart Disease: Time-resolved 3D Contrast-enhanced MR Angiography Radiology, August 1, 2007; 244(2): 399 - 410. [Abstract] [Full Text] [PDF]

				R. Tongdee, V. R. Narra, G. McNeal, C. F. Hildebolt, F. El-Merhi, G. Foster, and J. J. Brown Hybrid peripheral 3D contrast-enhanced MR angiography of calf and foot vasculature. Am. J. Roentgenol., June 1, 2006; 186(6): 1746 - 1753. [Abstract] [Full Text] [PDF]

				C Paetzel, N Zorger, O W Hamer, J Seitz, T Schleicher, S Feuerbach, W R Nitz, M Lenhart, and T Herold Intra-arterial MR angiography in the iliac system: initial clinical experience with 25 patients. Br. J. Radiol., April 1, 2006; 79(940): 298 - 302. [Abstract] [Full Text] [PDF]

				M. Goyen, M. Edelman, P. Perreault, E. O'Riordan, H. Bertoni, J. Taylor, D. Siragusa, M. Sharafuddin, E. R. Mohler III, R. Breger, et al. MR Angiography of Aortoiliac Occlusive Disease: A Phase III Study of the Safety and Effectiveness of the Blood-Pool Contrast Agent MS-325 Radiology, September 1, 2005; 236(3): 825 - 833. [Abstract] [Full Text] [PDF]

				J. H. Rapp, S. D. Wolff, S. F. Quinn, J. A. Soto, S. G. Meranze, S. Muluk, J. Blebea, S. P. Johnson, N. M. Rofsky, A. Duerinckx, et al. Aortoiliac Occlusive Disease in Patients with Known or Suspected Peripheral Vascular Disease: Safety and Efficacy of Gadofosveset-enhanced MR Angiography--Multicenter Comparative Phase III Study Radiology, July 1, 2005; 236(1): 71 - 78. [Abstract] [Full Text] [PDF]

				O. A. Meissner, J. Rieger, C. Weber, U. Siebert, B. Steckmeier, M. F. Reiser, and S. O. Schoenberg Critical Limb Ischemia: Hybrid MR Angiography Compared with DSA Radiology, April 1, 2005; 235(1): 308 - 318. [Abstract] [Full Text] [PDF]

				H. Ota, K. Takase, K. Igarashi, Y. Chiba, K. Haga, H. Saito, and S. Takahashi MDCT Compared with Digital Subtraction Angiography for Assessment of Lower Extremity Arterial Occlusive Disease: Importance of Reviewing Cross-Sectional Images Am. J. Roentgenol., January 1, 2004; 182(1): 201 - 209. [Abstract] [Full Text] [PDF]

				P. Perreault, M. A. Edelman, R. A. Baum, E. K. Yucel, R. M. Weisskoff, K. Shamsi, and E. R. Mohler III MR Angiography with Gadofosveset Trisodium for Peripheral Vascular Disease: Phase II Trial Radiology, December 1, 2003; 229(3): 811 - 820. [Abstract] [Full Text] [PDF]

				K. Visser, M. C. J. M. Kock, K. M. Kuntz, M. C. Donaldson, G. S. Gazelle, and M. G. Myriam Hunink Cost-effectiveness Targets for Multi-Detector Row CT Angiography in the Work-up of Patients with Intermittent Claudication Radiology, June 1, 2003; 227(3): 647 - 656. [Abstract] [Full Text] [PDF]

				M. L. Martin, K. H. Tay, B. Flak, P. D. Fry, D. L. Doyle, D. C. Taylor, Y. N. Hsiang, and L. S. Machan Multidetector CT Angiography of the Aortoiliac System and Lower Extremities: A Prospective Comparison with Digital Subtraction Angiography Am. J. Roentgenol., April 1, 2003; 180(4): 1085 - 1091. [Abstract] [Full Text] [PDF]

				P. V. Pandharipande, V. S. Lee, P. M. Reuss, H. W. Charles, R. J. Rosen, G. A. Krinsky, J. C. Weinreb, and N. M. Rofsky Two-Station Bolus-Chase MR Angiography with a Stationary Table: A Simple Alternative to Automated-Table Techniques Am. J. Roentgenol., December 1, 2002; 179(6): 1583 - 1589. [Abstract] [Full Text] [PDF]

				C. Loewe, M. Schoder, T. Rand, U. Hoffmann, J. Sailer, T. Kos, J. Lammer, and S. Thurnher Peripheral Vascular Occlusive Disease: Evaluation with Contrast-Enhanced Moving-Bed MR Angiography Versus Digital Subtraction Angiography in 106 Patients Am. J. Roentgenol., October 1, 2002; 179(4): 1013 - 1021. [Abstract] [Full Text] [PDF]

				N. M. Khilnani, P. A. Winchester, M. R. Prince, E. Vidan, D. W. Trost, H. L. Bush Jr, R. Watts, and Y. Wang Peripheral Vascular Disease: Combined 3D Bolus Chase and Dynamic 2D MR Angiography Compared with X-ray Angiography for Treatment Planning Radiology, July 1, 2002; 224(1): 63 - 74. [Abstract] [Full Text] [PDF]

				M. J. W. Koelemay, J. G. Lijmer, J. Stoker, D. A. Legemate, and P. M. M. Bossuyt Magnetic Resonance Angiography for the Evaluation of Lower Extremity Arterial Disease: A Meta-analysis JAMA, March 14, 2001; 285(10): 1338 - 1345. [Abstract] [Full Text] [PDF]

				K. Bertschinger, P. C. Cassina, J. F. Debatin, and S. G. Ruehm Surveillance of Peripheral Arterial Bypass Grafts with Three-Dimensional MR Angiography: Comparison with Digital Subtraction Angiography Am. J. Roentgenol., January 1, 2001; 176(1): 215 - 220. [Abstract] [Full Text]

				K. Visser and M. G. Myriam Hunink Peripheral Arterial Disease: Gadolinium-enhanced MR Angiography versus Color-guided Duplex US-A Meta-analysis Radiology, July 1, 2000; 216(1): 67 - 77. [Abstract] [Full Text]

				N. M. Rofsky and M. A. Adelman MR Angiography in the Evaluation of Atherosclerotic Peripheral Vascular Disease Radiology, February 1, 2000; 214(2): 325 - 338. [Abstract] [Full Text]

				J. Gates and G. G. Hartnell Optimized Diagnostic Angiography in High-Risk Patients with Severe Peripheral Vascular Disease RadioGraphics, January 1, 2000; 20(1): 121 - 133. [Abstract] [Full Text] [PDF]

				Y. Watanabe, M. Dohke, A. Okumura, Y. Amoh, T. Ishimori, K. Oda, T. Hayashi, A. Hiyama, and Y. Dodo Dynamic Subtraction Contrast-enhanced MR Angiography: Technique, Clinical Applications, and Pitfalls RadioGraphics, January 1, 2000; 20(1): 135 - 152. [Abstract] [Full Text] [PDF]

				P. R. Hilfiker, H. H. Quick, and J. F. Debatin Plain and Covered Stent-Grafts: In Vitro Evaluation of Characteristics at Three-dimensional MR Angiography Radiology, June 1, 1999; 211(3): 693 - 697. [Abstract] [Full Text]

				MR Angiography to Evaluate Peripheral Vascular Disease Journal Watch (General), March 20, 1998; 1998(320): 1 - 1. [Full Text]