HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Figures Only Full Text Full Text (PDF) Submit a response Alert me when this article is cited Alert me when eLetters are posted Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Huston, J. Articles by Busse, R. F. Search for Related Content PubMed PubMed Citation Articles by Huston, J., III Articles by Busse, R. F.

Carotid Arteries: Maximizing Arterial to Venous Contrast in Fluoroscopically Triggered Contrast-enhanced MR Angiography with Elliptic Centric View Ordering¹

¹ From the Department of Diagnostic Radiology, Mayo Clinic and Foundation, 200 First St SW, Rochester, MN 55905. Received June 18, 1998; revision requested August 5; revision received August 24; accepted October 6. Supported in part by National Institutes of Health grants HL 37310 and CA 37993, GE Medical Systems, and Bracco Diagnostics. Address reprint requests to J.H.

PURPOSE: To obtain high-spatial-resolution, venous-suppressed, contrast material–enhanced, three-dimensional (3D) magnetic resonance (MR) angiograms of the carotid arteries and aortic arch by using an elliptic centric view ordering with MR fluoroscopic triggering.

MATERIALS AND METHODS: Forty consecutive patients with cerebrovascular disease in the differential diagnosis were evaluated with fluoroscopically triggered 3D MR angiography (gadoteridol dose range, 0.1–0.3 mmol per kilogram of body weight; mean acquisition time, 40 seconds ± 8 [SD]). The contrast-enhanced 3D MR angiograms were evaluated for overall quality, vascular signal intensity, venous suppression, and motion artifact. Twenty patients also underwent two-dimensional (2D) time-of-flight (TOF) MR angiography. The overall quality of the 2D TOF MR angiograms and comparative quality between the 2D TOF and contrast-enhanced 3D MR angiograms were determined.

RESULTS: The contrast-enhanced 3D MR angiograms were of excellent or more than adequate quality for diagnosis in 36 of the 40 studies (90%). In 35 of the 38 contrast-enhanced 3D studies in which the contrast material bolus was detected fluoroscopically, the internal jugular vein signal intensity was either not detectable or barely visible. In 18 of the 20 patients who also underwent 2D TOF MR angiography, the quality of the contrast-enhanced 3D MR angiograms was graded as markedly superior or superior.

CONCLUSION: Contrast-enhanced, elliptic centric 3D MR angiography with real-time MR fluoroscopic triggering offers high-spatial-resolution images of the carotid arteries and aortic arch with reliable venous suppression.

Index terms: Carotid arteries, MR, 172.121412, 172.121416, 172.143 • Magnetic resonance (MR), three-dimensional • Magnetic resonance (MR), vascular studies, 172.121412, 172.121416, 172.12142, 172.12143

This article has been cited by other articles:

				D. R. Hadizadeh, J. Gieseke, S. H. Lohmaier, K. Wilhelm, J. Boschewitz, F. Verrel, H. H. Schild, and W. A. Willinek Peripheral MR Angiography with Blood Pool Contrast Agent: Prospective Intraindividual Comparative Study of High-Spatial-Resolution Steady-State MR Angiography versus Standard-Resolution First-Pass MR Angiography and DSA Radiology, September 3, 2008; (2008) 2492072033. [Abstract] [Full Text]

				C. K. Kuhl, F. Traber, and H. H. Schild Whole-Body High-Field-Strength (3.0-T) MR Imaging in Clinical Practice * Part I. Technical Considerations and Clinical Applications Radiology, March 1, 2008; 246(3): 675 - 696. [Abstract] [Full Text] [PDF]

				J. Huston III, M.A. Bernstein, and S.J. Riederer Feathering: Vertebral artery pseudostenosis with elliptical centric contrast-enhanced MR angiography. AJNR Am. J. Neuroradiol., April 1, 2006; 27(4): 850 - 852. [Abstract] [Full Text] [PDF]

				N. Sheehy, S. MacNally, C. S. Smith, G. Boyle, P. Madhavan, and J. F. M. Meaney Contrast-Enhanced MR Angiography of Subclavian Steal Syndrome: Value of the 2D Time-of-Flight "Localizer" Sign Am. J. Roentgenol., October 1, 2005; 185(4): 1069 - 1073. [Abstract] [Full Text] [PDF]

				N. P. Sheehy, G. E. Boyle, and J. F. M. Meaney Normal Anterior Spinal Arteries within the Cervical Region: High-Spatial-Resolution Contrast-enhanced Three-dimensional MR Angiography Radiology, August 1, 2005; 236(2): 637 - 641. [Abstract] [Full Text] [PDF]

				P. H. Luetmer, J. I. Lane, J. R. Gilbertson, M. A. Bernstein, J. Huston III, and J. L. D. Atkinson Preangiographic Evaluation of Spinal Dural Arteriovenous Fistulas with Elliptic Centric Contrast-Enhanced MR Angiography and Effect on Radiation Dose and Volume of Iodinated Contrast Material AJNR Am. J. Neuroradiol., April 1, 2005; 26(4): 711 - 718. [Abstract] [Full Text] [PDF]

				J. Alvarez-Linera, J. Benito-Leon, J. Escribano, J. Campollo, and R. Gesto Prospective Evaluation of Carotid Artery Stenosis: Elliptic Centric Contrast-Enhanced MR Angiography and Spiral CT Angiography Compared with Digital Subtraction Angiography AJNR Am. J. Neuroradiol., May 1, 2003; 24(5): 1012 - 1019. [Abstract] [Full Text] [PDF]

				C. J. Francois, S. M. Shors, R. O. Bonow, and J. P. Finn Analysis of Cardiopulmonary Transit Times at Contrast Material-enhanced MR Imaging in Patients with Heart Disease Radiology, May 1, 2003; 227(2): 447 - 452. [Abstract] [Full Text] [PDF]

				W. A. Willinek, J. Gieseke, R. Conrad, H. Strunk, R. Hoogeveen, M. von Falkenhausen, E. Keller, H. Urbach, C. K. Kuhl, and H. H. Schild Randomly Segmented Central k-Space Ordering in High-Spatial-Resolution Contrast-enhanced MR Angiography of the Supraaortic Arteries: Initial Experience Radiology, November 1, 2002; 225(2): 583 - 588. [Abstract] [Full Text] [PDF]

				J. P. Finn, V. Baskaran, J. C. Carr, R. M. McCarthy, F. S. Pereles, R. Kroeker, and G. A. Laub Thorax: Low-Dose Contrast-enhanced Three-dimensional MR Angiography with Subsecond Temporal Resolution—Initial Results Radiology, September 1, 2002; 224(3): 896 - 904. [Abstract] [Full Text] [PDF]

				R. Wutke, W. Lang, C. Fellner, R. Janka, C. Denzel, M. Lell, W. Bautz, and F. A. Fellner High-Resolution, Contrast-Enhanced Magnetic Resonance Angiography With Elliptical Centric k-Space Ordering of Supra-aortic Arteries Compared With Selective X-Ray Angiography Stroke, June 1, 2002; 33(6): 1522 - 1529. [Abstract] [Full Text] [PDF]

				J. J. Yang, M. D. Hill, W. F. Morrish, M. E. Hudon, P. A. Barber, A. M. Demchuk, R. J. Sevick, and R. Frayne Comparison of Pre- and Postcontrast 3D Time-of-Flight MR Angiography for the Evaluation of Distal Intracranial Branch Occlusions in Acute Ischemic Stroke AJNR Am. J. Neuroradiol., April 1, 2002; 23(4): 557 - 567. [Abstract] [Full Text] [PDF]

				J. C. Carr, J. Ma, V. Desphande, S. Pereles, G. Laub, and J. P. Finn High-Resolution Breath-Hold Contrast-Enhanced MR Angiography of the Entire Carotid Circulation Am. J. Roentgenol., March 1, 2002; 178(3): 543 - 549. [Abstract] [Full Text] [PDF]

				L. Remonda, P. Senn, A. Barth, M. Arnold, K.-O. Lovblad, and G. Schroth Contrast-Enhanced 3D MR Angiography of the Carotid Artery: Comparison with Conventional Digital Subtraction Angiography AJNR Am. J. Neuroradiol., February 1, 2002; 23(2): 213 - 219. [Abstract] [Full Text] [PDF]

				T. Phan, J. Huston III, M. A. Bernstein, S. J. Riederer, and R. D. Brown Jr Contrast-Enhanced Magnetic Resonance Angiography of the Cervical Vessels: Experience With 422 Patients Stroke, October 1, 2001; 32(10): 2282 - 2286. [Abstract] [Full Text] [PDF]

				X. Golay, S. J. Brown, R. Itoh, and E. R. Melhem Time-Resolved Contrast-Enhanced Carotid MR Angiography Using Sensitivity Encoding (SENSE) AJNR Am. J. Neuroradiol., September 1, 2001; 22(8): 1615 - 1619. [Abstract] [Full Text] [PDF]

				R. I. Farb, C. McGregor, J. K. Kim, M. Laliberte, J. A. Derbyshire, R. A. Willinsky, P. W. Cooper, D. G. Westman, G. Cheung, M. L. Schwartz, et al. Intracranial Arteriovenous Malformations: Real-Time Auto-triggered Elliptic Centric-ordered 3D Gadolinium-enhanced MR Angiography—Initial Assessment Radiology, July 1, 2001; 220(1): 244 - 251. [Abstract] [Full Text] [PDF]

				F. A. Fellner, R. Wutke, W. Lang, O. E. H. Elgersma, B. C. Eikelboom, and W. P. T. M. Mali Imaging of Internal Carotid Arterial Stenosis: Is the New Standard Noninvasive? Dr Elgersma and colleagues respond: Radiology, June 1, 2001; 219(3): 858 - 859. [Full Text] [PDF]

				D. A. Bluemke, A. E. Stillman, K. G. Bis, T. M. Grist, R. A. Baum, R. D’Agostino, E. S. Malden, J. A. Pierro, and E. K. Yucel Carotid MR Angiography: Phase II Study of Safety and Efficacy for MS-325 Radiology, April 1, 2001; 219(1): 114 - 122. [Abstract] [Full Text]

				S. B. Fain, B. F. King, J. F. Breen, D. G. Kruger, and S. J. Riederer High-Spatial-Resolution Contrast-enhanced MR Angiography of the Renal Arteries: A Prospective Comparison with Digital Subtraction Angiography Radiology, February 1, 2001; 218(2): 481 - 490. [Abstract] [Full Text]

				J. K. De Marco, S. Schonfeld, I. Keller, and M. A. Bernstein Contrast-Enhanced Carotid MR Angiography with Commercially Available Triggering Mechanisms and Elliptic Centric Phase Encoding Am. J. Roentgenol., January 1, 2001; 176(1): 221 - 227. [Abstract] [Full Text]

				J. H. III, S. B. Fain, J. T. Wald, P. H. Luetmer, C. H. Rydberg, D. J. Covarrubias, S. J. Riederer, M. A. Bernstein, R. D. Brown, F. B. Meyer, et al. Carotid Artery: Elliptic Centric Contrast-enhanced MR Angiography Compared with Conventional Angiography Radiology, January 1, 2001; 218(1): 138 - 143. [Abstract] [Full Text]

				M. A. Neimatallah, T. L. Chenevert, R. C. Carlos, F. J. Londy, Q. Dong, M. R. Prince, and H. M. Kim Subclavian MR Arteriography: Reduction of Susceptibility Artifact with Short Echo Time and Dilute Gadopentetate Dimeglumine Radiology, November 1, 2000; 217(2): 581 - 586. [Abstract] [Full Text]

				A. M. Masaryk, R. Frayne, O. Unal, A. H. Rappe, and C. M. Strother Utility of CT Angiography and MR Angiography for the Follow-up of Experimental Aneurysms Treated with Stents or Guglielmi Detachable Coils AJNR Am. J. Neuroradiol., August 1, 2000; 21(8): 1523 - 1531. [Abstract] [Full Text]

				X. Leclerc, L. Nicol, J.-Y. Gauvrit, V. L. Thuc, D. Leys, and J.-P. Pruvo Contrast-enhanced MR Angiography of Supraaortic Vessels: The Effect of Voxel Size on Image Quality AJNR Am. J. Neuroradiol., June 1, 2000; 21(6): 1021 - 1027. [Abstract] [Full Text]

				E. R. Melhem, J.-M. Serfaty, L. Jones, R. Itoh, B. S. Kuszyk, J.-B. Martin, P. Gailloud, K. P.J. Murphy, and D. A. Rufenacht Contrast-enhanced MR Angiography: The Effects of k-Space Truncation on Luminal Representation in a Carotid Artery Phantom Model AJNR Am. J. Neuroradiol., June 1, 2000; 21(6): 1028 - 1031. [Abstract] [Full Text]

				S. J. Riederer, M. A. Bernstein, J. F. Breen, R. F. Busse, R. L. Ehman, S. B. Fain, T. C. Hulshizer, J. H. III, B. F. King, D. G. Kruger, et al. Three-dimensional Contrast-enhanced MR Angiography with Real-time Fluoroscopic Triggering: Design Specifications and Technical Reliability in 330 Patient Studies Radiology, May 1, 2000; 215(2): 584 - 593. [Abstract] [Full Text]

				B. C. Bowen MR Angiography of Spinal Vascular Disease: What about Normal Vessels? AJNR Am. J. Neuroradiol., November 1, 1999; 20(10): 1773 - 1774. [Full Text]

				I. M. Meissner Expert Commentary Perspectives in Vascular Surgery and Endovascular Therapy, January 1, 1999; 12(1): 27 - 29. [PDF]