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Cardiac Imaging |
1 From the Department of Radiology, Leiden University Medical Center, Albinusdreef 2, Rm 62, Post Zone C2-S, 2333 ZA Leiden, the Netherlands (M.S.D., H.J.L., P.K., A.d.R.); and Guerbet Research, Aulnay Sous Bois, France (P.R., C.C.). From the 2001 RSNA scientific assembly. Received June 6, 2002; revision requested July 30; revision received September 3; accepted October 25. Address correspondence to M.S.D. (e-mail: m.s.dirksen@lumc.nl).
PURPOSE: To evaluate in an animal model the potential for clinical use of a new rapid clearance blood pool contrast agent to improve free-breathing and breath-hold magnetic resonance (MR) coronary angiography.
MATERIALS AND METHODS: Free-breathing and breath-hold MR coronary angiography were performed in a pig model (n = 9) (a) without use of a contrast agent; (b) with P792 (Guerbet Research, Aulnay Sous Bois, France), a monodisperse monogadolinated macromolecular compound that acts as a blood pool contrast agent with rapid clearance properties; and (c) with an extravascular gadolinium-based contrast agent. This resulted in six imaging options, which were compared in terms of contrast-to-noise ratio (CNR), signal-to-noise ratio, and vessel length measurements by using the Student t test.
RESULTS: Use of P792 improved CNR and visible vessel length significantly with both MR respiratory motion correction approaches, as compared with nonenhanced MR imaging (P < .05). CNR was improved by 76% (from 5.0 to 8.6) with the free-breathing approach and by 34% (from 6.2 to 8.2) with the breath-hold approach. Visible vessel length was increased by 27% (from 79.7 to 99.2 mm) with the free-breathing approach and by 90% (from 48.2 to 86.5 mm) with the breath-hold approach. The P792-enhanced free-breathing approach allowed more distal visualization of the coronary arteries than did the P792-enhanced breath-hold approach (P < .05). Use of the extravascular contrast agent did not improve image quality significantly when compared with that of nonenhanced MR images.
CONCLUSION: Use of P792 improves coronary artery MR imaging in conjunction with free-breathing and breath-hold approaches.
© RSNA, 2003
Index terms: Animals Contrast media, experimental studies Coronary vessels, MR, 541.12142, 541.12143 Magnetic resonance (MR), contrast enhancement, 541.12143 Magnetic resonance (MR), vascular studies, 541.12142
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M. Dewey, M. Taupitz, M. S. Dirksen, H. J. Lamb, and A. de Roos Contrast-enhanced Coronary MR Angiography [letter] * Dr Dirksen and colleagues respond: Radiology, June 1, 2004; 231(3): 924 - 924. [Full Text] [PDF] |
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