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DOI: 10.1148/radiol.2303021527
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Peripheral Vasculature: Whole-Body MR Angiography with Midfemoral Venous Compression—Initial Experience1

Christoph U. Herborn, MD, Waleed Ajaj, MD, Mathias Goyen, MD, Sandra Massing, RT, Stefan G. Ruehm, MD and Jörg F. Debatin, MD, MBA

1 From the Department of Diagnostic and Interventional Radiology, University Hospital Essen, Hufelandstrasse 55, 45122 Essen, Germany. Received November 21, 2002; revision requested January 21, 2003; final revision received June 10; accepted July 8. Address correspondence to C.U.H. (e-mail: christoph.herborn@uni-essen.de).



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  		Figure 1. Coronal 3D T1-weighted gradient-recalled-echo fast low-angle shot whole-body MR angiograms obtained with a rolling table platform and five contiguous stations in a 31-year-old volunteer. A, Images obtained with standard protocol. B, Images obtained with high-resolution protocol for the lower extremities. C, Images obtained with high-resolution protocol with midfemoral venous compression. All three protocols provide high diagnostic quality, but the arterial signal is improved with venous compression.

 


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  		Figure 2. Images obtained in a 68-year-old woman with peripheral arterial occlusive disease and multiple stenoses (arrows). A, Coronal DSA image. B-D, Coronal 3D T1-weighted gradient-recalled-echo fast low-angle shot MR angiograms obtained with a rolling table platform at the two distal stations with the standard (B), high-resolution (C), and high-resolution with venous compression (D) protocols. The posterior tibial artery (arrowheads) was judged to be occluded on both the standard and high-resolution MR angiograms, whereas multiple eccentric stenoses can be assessed on the venous compression MR angiogram, which is in good correlation with the DSA image. Note the considerable venous contamination in C and the high vessel signal intensity in D.

 




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