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MRA
Kinds of MRA Selected AbstractsA new type of susceptibility-artefact-based magnetic resonance angiography: intra-arterial injection of superparamagnetic iron oxide particles (SPIO) A Resovist® in combination with TrueFisp imaging: a feasibility studyCONTRAST MEDIA & MOLECULAR IMAGING, Issue 5 2006Robbert M. Maes Abstract The goal of this study was to evaluate the use of super paramagnetic particles of iron oxide (SPIO) as a dark blood contrast agent, in combination with a bright blood steady-state free precession sequence for magnetic resonance angiography (MRA), in an animal model. The original concentration of the SPIO of 500,mmol Fe/l and dilutions to 250, 125, 60, 30, 10 and 5,mmol Fe/l were intra-arterially injected into the aorta of a pig. Then the dilution of 10,mmol Fe/l was chosen for repeated intra-arterial injections into two pigs. During these intra-arterial SPIO injections MR images were acquired with a 1.5,T scanner. Signal intensity measurements were performed in the aorta. The signal-to-noise ratio during SPIO bolus passage was significantly less than during baseline conditions (Fisher's F -ratio 159.8, p,<,0.005) or the recovery signal-to-noise ratio (Fisher's F -ratio 144.6, p,<,0.005). Also, confirmation of flow distal to the catheter-tip position was possible. The use of SPIO as a dark blood agent in combination with a bright blood MR imaging sequence is feasible. Temporary loss of intraluminal signal occurs due to local decrease of the signal because of induction of local inhomogeneities after mixture the present blood and SPIO solution. It provides immediate information about blood flow distal to the catheter and is a potentially useful to guide intravascular MR-interventional procedures. Copyright © 2006 John Wiley & Sons Ltd. [source] Evaluating Cardiac Sources of Embolic Stroke with MRIECHOCARDIOGRAPHY, Issue 3 2007Asu Rustemli M.D. The evaluation of patients with stroke includes identifying its etiology in order to appropriately tailor therapy. Currently, the diagnostic work-up includes imaging of the brain, the arteries of the head and neck, the aorta, and the heart. Traditional methods of imaging include magnetic resonance imaging (MRI) and magnetic resonance angiography (MRA), duplex ultrasound, and transthoracic echocardiography (TTE) and/or transesophageal echocardiography (TEE). While echocardiography remains a cornerstone in the field of cardiac imaging, MRI is increasingly able to assess for the most common causes of cardioembolic stroke such as left atrial/left atrial appendage thrombus, left ventricular thrombus, aortic atheroma, cardiac masses and patent foramen ovale. This review will focus on the advantages and limitations of echocardiography and cardiac magnetic resonance (CMR) imaging in diagnosing patients suspected of having an embolic stroke and the role these modalities play in clinical practice today. [source] Time course of cerebral hemodynamics in cryptococcal meningitis in HIV-negative adultsEUROPEAN JOURNAL OF NEUROLOGY, Issue 7 2007W.-N. Chang To evaluate the cerebral hemodynamics in cryptococcal meningitis (CM) patients using non-invasive studies. Serial trans-cranial color-coded sonography (TCCS) and magnetic resonance angiography (MRA) studies were performed to measure the cerebral vasculopathy of 12 HIV-negative CM patients. With TCCS, 8 of the 22 middle cerebral arteries (MCAs) showed stenotic velocities, whereas the time-mean velocity (Vmean) of the 20 anterior cerebral arteries (ACAs), 22 posterior cerebral arteries (PCAs), and 12 basilar arteries (BAs) did not. In total, five patients had stenotic velocities, three of whom had bilateral M1 stenosis (<50%), whilst two had unilateral M1 stenosis (<50%). The Vmean of MCA increased from day 1 to day 35 and substantially decreased thereafter. The mean Pulsatility Index (PI) in the studied vessels was higher during the study period. A mismatch of the findings between TCCS and MRA studies were also demonstrated. There was a high incidence and a longer time-period of disturbed cerebral hemodynamics during the clinical course of CM. However, because of the limited case numbers for this study, further large-scale studies are needed to delineate the clinical characteristics and therapeutic influence of cerebrovascular insults in HIV-negative CM patients. [source] EFNS guideline on neuroimaging in acute stroke.EUROPEAN JOURNAL OF NEUROLOGY, Issue 12 2006Report of an EFNS task force Neuroimaging techniques are necessary for the evaluation of stroke, one of the leading causes of death and neurological impairment in developed countries. The multiplicity of techniques available has increased the complexity of decision making for physicians. We performed a comprehensive review of the literature in English for the period 1965,2005 and critically assessed the relevant publications. The members of the panel reviewed and corrected an initial draft, until a consensus was reached on recommendations stratified according to the European Federation of Neurological Societies (EFNS) criteria. Non-contrast computed tomography (CT) scan is the established imaging procedure for the initial evaluation of stroke patients. However, magnetic resonance imaging (MRI) has a higher sensitivity than CT for the demonstration of infarcted or ischemic areas and depicts well acute and chronic intracerebral hemorrhage. Perfusion and diffusion MRI together with MR angiography (MRA) are very helpful for the acute evaluation of patients with ischemic stroke. MRI and MRA are the recommended techniques for screening cerebral aneurysms and for the diagnosis of cerebral venous thrombosis and arterial dissection. For the non-invasive study of extracranial vessels, MRA is less portable and more expensive than ultrasonography but it has higher sensitivity and specificity for carotid stenosis. Transcranial Doppler is very useful for monitoring arterial reperfusion after thrombolysis, for the diagnosis of intracranial stenosis and of right-to-left shunts, and for monitoring vasospasm after subarachnoid hemorrhage. Currently, single photon emission computed tomography and positron emission tomography have a more limited role in the evaluation of the acute stroke patient. [source] On the segmentation of vascular geometries from medical imagesINTERNATIONAL JOURNAL FOR NUMERICAL METHODS IN BIOMEDICAL ENGINEERING, Issue 1 2010A. G. Radaelli Abstract A comprehensive analysis of vascular morphology and the application of generic models of vascular biomechanics to specific patients require the ability of extracting a geometrical representation of the vascular anatomy from medical images. Owing to the wide range of clinical manifestations of vascular disease and associated imaging modalities and protocols, several segmentation methods have been proposed over the last 20 years and are available in the literature. In this paper, we review the methods of segmentation of angiographic medical images and identify major advantages and disadvantages of state-of-the-art techniques. We further discuss the performance of some of the most popular intensity-based and gradient-based methods using a set of images of peripheral by-pass grafts acquired with magnetic resonance angiography (MRA). We then propose a threshold front method for the segmentation of MRA images and assess its performance using two anatomic scale replica models, reproducing a normal and a stenotic peripheral artery. The threshold front algorithm is a simple, fast and parameter-free (still adaptive) method achieving segmentation errors below pixel resolution. Copyright © 2009 John Wiley & Sons, Ltd. [source] Wavelet analysis of the Lisbon and Gibraltar North Atlantic Oscillation winter indicesINTERNATIONAL JOURNAL OF CLIMATOLOGY, Issue 5 2006S. Barbosa Abstract The North Atlantic Oscillation (NAO) is one of the most important climatic patterns in the Northern Hemisphere. Indices based on the normalised pressure difference between Iceland and a southern station, such as Lisbon or Gibraltar, have been defined in order to describe NAO temporal evolution. Although exhibiting interannual and decadal variability, the signals are statistically rather featureless and therefore it is difficult to discriminate between different types of stochastic models. In this study, Lisbon and Gibraltar NAO winter indices are analysed using the discrete wavelet transform discrete wavelet transform(DWT). A multi-resolution analysis (MRA) is carried out for a scale-based description of the indices and the wavelet spectrum is used to identify and estimate long-range dependence. The degree of association of the two NAO indices is assessed by estimating the wavelet covariance for the two signals. The scale-based approach inherent to the discrete wavelet methodology allows a scale-by-scale comparison of the signals and shows that although the short-term temporal pattern is very similar for both indices, the long-term temporal structure is distinct. Furthermore, the degree of persistence or ,memory' is also distinct: the Lisbon index is best described by a long-range dependent (LRD) process, while the Gibraltar index is adequately described by a short-range process. Therefore, while trend features in the Lisbon NAO index may be explainable by long-range dependence alone, with no need to invoke external factors, for the Gibraltar index such features cannot be interpreted as resulting only from internal variability through long-range dependence. Copyright © 2006 Royal Meteorological Society. [source] Three-Dimensional Anatomy of the Left Atrium by Magnetic Resonance Angiography: Implications for Catheter Ablation for Atrial FibrillationJOURNAL OF CARDIOVASCULAR ELECTROPHYSIOLOGY, Issue 7 2006MOUSSA MANSOUR M.D. Background: Pulmonary vein isolation (PVI) has become one of the primary treatments for symptomatic drug-refractory atrial fibrillation (AF). During this procedure, delivery of ablation lesions to certain regions of the left atrium can be technically challenging. Among the most challenging regions are the ridges separating the left pulmonary veins (LPV) from the left atrial appendage (LAA), and the right middle pulmonary vein (RMPV) from the right superior (RSPV) and right inferior (RIPV) pulmonary veins. A detailed anatomical characterization of these regions has not been previously reported. Methods: Magnetic resonance angiography (MRA) was performed in patients prior to undergoing PVI. Fifty consecutive patients with a RMPV identified by MRA were included in this study. Ridges associated with the left pulmonary veins were examined in an additional 30 patients who did not have a RMPV. Endoluminal views were reconstructed from the gadolinium-enhanced, breath-hold three-dimensional MRA data sets. Measurements were performed using electronic calipers. Results: The width of the ridge separating the LPV from the LAA was found to be 3.7 ± 1.1 mm at its narrowest point. The segment of this ridge with a width of 5 mm or less was 16.6 ± 6.4 mm long. The width of the ridges separating the RMPV from the RSPV and the RIPV was found to be 3.0 ±1.5 mm and 3.1 ±1.8 mm, respectively. There were no significant differences between LPV ridges for patients with versus without a RMPV. Conclusion: The width of the ridges of atrial tissue separating LPV from the LAA and the RMPV from its neighboring veins may explain the technical challenge in obtaining stable catheter positions in these areas. A detailed assessment of the anatomy of these regions may improve the safety and efficacy of catheter ablation at these sites. [source] Assessment of Pulmonary Vein Anatomic Variability by Magnetic Resonance Imaging:JOURNAL OF CARDIOVASCULAR ELECTROPHYSIOLOGY, Issue 4 2004Implications for Catheter Ablation Techniques for Atrial Fibrillation Introduction: Pulmonary vein (PV) isolation for atrial fibrillation (AF) currently is performed using either an ostial or an extra-ostial approach. The objective of this study was to analyze by three-dimensional (3D) magnetic resonance angiography (MRA) the anatomy of the PVs in order to detect structural variability that would impact the choice of ablation approach. Methods and Results: Three-dimensional MRA was performed in 105 patients undergoing PV isolation. The ostial diameter, branching pattern, and PV angulation were analyzed. Fifty-nine (56%) patients had the typical pattern of 4 PVs with 4 separate ostia, 30 (29%) patients had an additional PV, and 18 (17%) patients had a left common PV trunk. In two patients, there were three right-sided veins and a common left-sided trunk, giving rise to four ostia: three on the right and one on the left. Two different populations of right middle PVs were noted: one where the additional vein projected anteriorly to drain the right middle lobe and one posterior to drain the superior portion of the right lower lobe. The average intrapatient variability in PV diameter was 7.9 ± 4.2 mm. The PV ostium was <10 mm in 26 (25%) patients and >25 mm in 15 (14%) patients. The first branch originated 6.7 ± 2.3 mm from the ostium. The left superior, right superior, right inferior, and left inferior PVs were found to enter the left atrium at the following angles: 32 ± 13°, 131 ± 11°, 206 ± 16°, and 329 ± 14°, respectively. Forty-nine patients (47%) had at least one funnel shaped PV. Conclusion: This largest PV imaging study to date demonstrates that MRA is a valuable tool that allows detection of marked intrapatient and interpatient anatomic variability of the PVs. These findings suggest that, at least in some patients, circumferential extra-ostial left atrial encirclement of the PVs may be preferable to ostial PV isolation. These findings also may have significant implications on the future development of coil- and balloon-based catheter ablation designs for AF ablation. (J Cardiovasc Electrophysiol, Vol. 15, pp. 387-393, April 2004) [source] Artificial neural networks model for the prediction of steady state phenol biodegradation in a pulsed plate bioreactorJOURNAL OF CHEMICAL TECHNOLOGY & BIOTECHNOLOGY, Issue 9 2008K Vidya Shetty Abstract BACKGROUND: A recent innovation in fixed film bioreactors is the pulsed plate bioreactor (PPBR) with immobilized cells. The successful development of a theoretical model for this reactor relies on the knowledge of several parameters, which may vary with the process conditions. It may also be a time-consuming and costly task because of their nonlinear nature. Artificial neural networks (ANN) offer the potential of a generic approach to the modeling of nonlinear systems. RESULTS: A feedforward ANN based model for the prediction of steady state percentage degradation of phenol in a PPBR by immobilized cells of Nocardia hydrocarbonoxydans (NCIM 2386) during continuous biodegradation has been developed to correlate the steady state percentage degradation with the flow rate, influent phenol concentration and vibrational velocity (amplitude × frequency). The model used two hidden layers and 53 parameters (weights and biases). The network model was then compared with a Multiple Regression Analysis (MRA) model, derived from the same training data. Further these two models were used to predict the percentage degradation of phenol for blind test data. CONCLUSIONS: The performance of the ANN model was superior to that of the MRA model and was found to be an efficient data-driven tool to predict the performance of a PPBR for phenol biodegradation. Copyright © 2008 Society of Chemical Industry [source] Novel parameter for the diagnosis of distal middle cerebral artery stenosis with transcranial Doppler sonographyJOURNAL OF CLINICAL ULTRASOUND, Issue 8 2010Suk-Won Ahn MD Abstract Purpose Transcranial Doppler sonography (TCD) is commonly used for the diagnosis of middle cerebral artery (MCA) stenosis. However, TCD indices to predict distal MCA (M2) stenosis have not yet been established. We compared TCD and magnetic resonance angiography (MRA) to validate a new index for the diagnosis of M2 stenosis. Methods Consecutive patients who underwent TCD and MRA were included. Based on MRA, M2 stenosis was defined as >50% narrowing beyond the bifurcation area. TCD index of the M2/M1 ratio was defined as the ratio between the mean flow velocity (MFV) obtained at a depth of 30,44 mm (M2) and a depth of 45,65 mm (M1). Sensitivity and specificity of the M2/M1 ratio were calculated from the receiver operating characteristic curve. The diagnostic yield of elevated MFV (>80 cm/s) and asymmetry index of >30% for M2 stenosis were also investigated. Results Among the consecutive patients, 105 with M2 stenosis were compared with 123 without MCA stenosis. The M2/M1 ratio was significantly higher in the M2 stenosis group (1.10 versus 0.86, p < 0.001). Sensitivity and specificity for M2 stenosis were most satisfying when the M2/M1 ratio of 0.97 was adopted as the cutoff value. Diagnostic yield of the M2/M1 ratio was better than MFV or asymmetry index. Conclusions The M2/M1 ratio may be a highly specific parameter for assessing M2 stenosis with TCD. © 2010 Wiley Periodicals, Inc. J Clin Ultrasound 38:420,425, 2010 [source] Extracranial and intracranial vertebral artery dissection: Long-term clinical and duplex sonographic follow-upJOURNAL OF CLINICAL ULTRASOUND, Issue 8 2008Tiemo Wessels MD Abstract Purpose. To determine the value of color Doppler sonography (CDUS) in the diagnosis and follow-up of patients with extracranial and intracranial vertebral artery (VA) dissection. Method. Thirty-three patients aged 42 ± 12 years with 40 VADS confirmed via digital subtraction angiography (DSA) (n = 37) and magnetic resonance angiography (MRA) (n = 3) were included in the study. All patients were investigated with extracranial CDUS and transcranial CDUS (TCCDUS) over a mean ± SD follow-up period of 42 ± 24 months and occurrence of new ischemic symptoms was assessed. Sonographic results were compared with initial and follow-up angiographic results. Results. At presentation, 24/33 (73%) patients had suffered an ischemic stroke, 5/33 (15%) had a transient ischemic attack (TIA), and 4/33 (12%) were asymptomatic. Two patients had a recurrent vertebrobasilar TIA; there was no recurrent stroke. The initial DSA findings consisted of 14 stenoses, 20 tapered occlusions, and 6 pseudoaneurysms. During follow-up, 63% of the vessels recanalized. Sonographic findings were consistent with angiographic findings in 80% at the initial examination and in 86% during follow-up. The main reason for discordant results was the failure of CDUS to detect pseudoaneurysms. No recurrence occurred in the vertebral arteries (VA), but 1 patient had an asymptomatic carotid artery dissection during follow-up. Conclusion. Recurrent TIA or stroke after VAD appears to be extremely rare, independent of recanalization or persistent occlusion of the affected artery. CDUS and TCCDUS provide reliable follow-up of VAD in all patients presenting with stenosis or occlusion, but do not allow for detection of pseudoaneurysms of the VA. © 2008 Wiley Periodicals, Inc. J Clin Ultrasound, 2008 [source] Meta-Regression Analysis: A Quantitative Method of Literature SurveysJOURNAL OF ECONOMIC SURVEYS, Issue 3 2005T. D. Stanley Abstract., Pedagogically, literature reviews are instrumental. They summarize the large literature written on a particular topic, give coherence to the complex, often disparate, views expressed about an issue, and serve as a springboard for new ideas. However, literature surveys rarely establish anything approximating unanimous consensus. Ironically, this is just as true for the empirical economic literature. To harmonize this dissonance, we offer a quantitative methodology for reviewing the empirical economic literature. Meta-regression analysis (MRA) is the regression analysis of regression analyses. MRA tends to objectify the review process. It studies the processes that produce empirical economic results as though they were any other social scientific phenomenon. MRA provides a framework for replication and offers a sensitivity analysis for model specification. In this brief essay, we propose a new method of reviewing economic literature, MRA, and discuss its potential. [source] Sensory Modeling of Coffee with a Fuzzy Neural NetworkJOURNAL OF FOOD SCIENCE, Issue 1 2002O. Tominaga ABSTRACT: Models were constructed to predict sensory evaluation scores from the blending ratio of coffee beans. Twenty-two blended coffees were prepared from 3 representative beans and were evaluated with respect to 10 sensory attributes by 5 coffee cup-tasters and by models constructed using the response surface method (RSM), multiple regression analysis (MRA), and a fuzzy neural network (FNN). The RSM and MRA models showed good correlations for some sensory attributes, but lacked sufficient overall accuracy. The FNN model exhibited high correlations for all attributes, clearly demonstrated the relationships between blending ratio and flavor characteristics, and was accurate enough for practical use. FNN, thus, constitutes a powerful tool for accelerating product development. [source] Reproductive Allocation Patterns in Different Density Populations of Spring WheatJOURNAL OF INTEGRATIVE PLANT BIOLOGY, Issue 2 2008Jing Liu Abstract The effects of increased intraspecific competition on size hierarchies (size inequality) and reproductive allocation were investigated in populations of the annual plant, spring wheat (Triticum aestivum). A series of densities (100, 300, 1 000, 3 000 and 10 000 plants/m2) along a gradient of competition intensity were designed in this experiment. The results showed that average shoot biomass decreased with increased density. Reproductive allocation was negatively correlated to Gini coefficient (R2 = 0.927), which suggested that reproductive allocation is inclined to decrease as size inequality increases. These results suggest that both vegetative and reproductive structures were significantly affected by intensive competition. However, results also indicated that there were different relationships between plant size and reproductive allocation pattern in different densities. In the lowest density population, lacking competition (100 plants/m2), individual reproductive allocation was size independent but, in high density populations (300, 1 000, 3 000 and 10 000 plants/m2), where competition occurred, individual reproductive allocation was size dependent: the small proportion of larger individuals were winners in competition and got higher reproductive allocation (lower marginal reproductive allocation; MRA), and the larger proportion of smaller individuals were suppressed and got lower reproductive allocation (higher MRA). In conclusion, our results support the prediction that elevated intraspecific competition would result in higher levels of size inequality and decreased reproductive allocation (with a negative relationship between them). However, deeper analysis indicated that these frequency- and size-dependent reproductive strategies were not evolutionarily stable strategies. [source] Accelerating non-contrast-enhanced MR angiography with inflow inversion recovery imaging by skipped phase encoding and edge deghosting (SPEED)JOURNAL OF MAGNETIC RESONANCE IMAGING, Issue 3 2010Zheng Chang PhD Abstract Purpose: To accelerate non-contrast-enhanced MR angiography (MRA) with inflow inversion recovery (IFIR) with a fast imaging method, Skipped Phase Encoding and Edge Deghosting (SPEED). Materials and Methods: IFIR imaging uses a preparatory inversion pulse to reduce signals from static tissue, while leaving inflow arterial blood unaffected, resulting in sparse arterial vasculature on modest tissue background. By taking advantage of vascular sparsity, SPEED can be simplified with a single-layer model to achieve higher efficiency in both scan time reduction and image reconstruction. SPEED can also make use of information available in multiple coils for further acceleration. The techniques are demonstrated with a three-dimensional renal non-contrast-enhanced IFIR MRA study. Results: Images are reconstructed by SPEED based on a single-layer model to achieve an undersampling factor of up to 2.5 using one skipped phase encoding direction. By making use of information available in multiple coils, SPEED can achieve an undersampling factor of up to 8.3 with four receiver coils. The reconstructed images generally have comparable quality as that of the reference images reconstructed from full k -space data. Conclusion: As demonstrated with a three-dimensional renal IFIR scan, SPEED based on a single-layer model is able to reduce scan time further and achieve higher computational efficiency than the original SPEED. J. Magn. Reson. Imaging 2010;31:757,765. © 2010 Wiley-Liss, Inc. [source] Renovascular imaging in the NSF EraJOURNAL OF MAGNETIC RESONANCE IMAGING, Issue 6 2009Giles Roditi MD Abstract The detection of the association between nephrogenic systemic fibrosis (NSF), a rare but potentially life-threatening disease only encountered in patients with severely impaired renal function, and the previous administration of some Gd-chelates has cast a shadow on the administration of Gd-chelates in patients with chronic renal failure. So far, contrast-enhanced MR-angiography (MRA) was considered the best diagnostic modality in patients with suspected renal disease. This review explores the most appropriate use of renal MRA with a focus on newly developed nonenhanced MRA techniques. Nonenhanced MRA techniques mainly based on SSFP with ECG-gating allow for acceptable spatial resolution to visualize at least the proximal parts of the renal arteries. In addition functional renal imaging techniques and their current clinical role are critically appreciated. J. Magn. Reson. Imaging 2009;30:1323,1334. © 2009 Wiley-Liss, Inc. [source] Increased volume of coverage for abdominal contrast-enhanced MR angiography with two-dimensional autocalibrating parallel imaging: Initial experience at 3.0 TeslaJOURNAL OF MAGNETIC RESONANCE IMAGING, Issue 5 2009Darren P. Lum MD Abstract Purpose: To assess the feasibility and the quality of abdominal three-dimensional (3D) contrast enhanced MR angiograms acquired at 3.0 Tesla (T) using a new 2D-accelerated autocalibrating parallel reconstruction method for Cartesian sampling (2D-ARC). Materials and Methods: With institutional review board approval and written informed consent, a prospective trial in 6 normal healthy volunteers and 23 patients referred for evaluation of suspected renovascular disease was performed. The volunteers underwent abdominal MRA with and without 2D-ARC acceleration. Images were evaluated independently by two blinded vascular radiologists in randomized order. Vessel conspicuity was rated on a five-point scale. Evaluation for significant differences between the scores for each technique was performed using a Wilcoxon signed-rank test. Results: In the series of six volunteers, no statistical significance was found between the image quality scores for 2D-ARC accelerated and nonaccelerated exams. A high proportion of the 23 clinical 2D-ARC exams were graded as diagnostic (vessel conspicuity score ,2; Reader 1, 96%; Reader 2, 100%) for overall image quality. Conclusion: Subjective image quality of 2D-ARC accelerated MRA was equivalent to the conventional MRA method. However, the 2D-ARC accelerated sequence provided a 3.5-fold increase in imaging volume, complete abdominal coverage, and a 30% reduction in voxel volume, all within the same acquisition time. J. Magn. Reson. Imaging 2009;30:1093,1100. © 2009 Wiley-Liss, Inc. [source] Initial feasibility of a multi-station high resolution three-dimensional dark blood angiography protocol for the assessment of peripheral arterial diseaseJOURNAL OF MAGNETIC RESONANCE IMAGING, Issue 4 2009Georgeta Mihai PhD Abstract Purpose To evaluate the feasibility of a multi-station three dimensional (3D) T1-weighted turbo spin echo (TSE) dark-blood Sampling Perfection with Application optimized Contrasts using different flip angle Evolution sequence (T1w-SPACE), to assess aorta, iliac, and superficial femoral (SFA) arteries (inflow vessels) by comparing it with a multi-station contrast enhanced MR angiography (CE-MRA) with identical resolution. Materials and Methods A total of 6 volunteers and 14 peripheral arterial disease (PAD) patients were included in the study. Abdominal and thigh T1w-SPACE and lower leg time-resolved MRA (TR-MRA) with low dose contrast were followed by 3-station CE-MRA. Quantitative measurements of lumen area at 17 locations from T1w-SPACE and CE-MRA were obtained. Additionally, vessel wall areas at the same locations were obtained from the T1w-SPACE images. Results Quantitative comparison of lumen areas with T1w-SPACE and CE-MRA revealed strong correlation between the two techniques and strong inter-observer agreement for each of the two imaging methods (r > 0.9; P < 0.001). Localized vessel wall area measurements obtained in PAD patients were significantly greater compared with those obtained in normal volunteers (mean difference 43.75 ± 12.46 mm2; P < 0.001). Stenosis severity obtained from T1w-SPACE localized measurements showed significant arterial area stenosis in PAD patients. Conclusion T1w-SPACE imaging of inflow vessels is feasible, and in addition to CE-MRA has the ability to assess atherosclerotic plaque and vascular remodeling. J. Magn. Reson. Imaging 2009;30:785,793. © 2009 Wiley-Liss, Inc. [source] Magnetic resonance angiography findings of penile Mondor's diseaseJOURNAL OF MAGNETIC RESONANCE IMAGING, Issue 2 2009Rafael Boscolo-Berto MD Abstract A 53-year-old male was admitted to our Emergency Department affected by a contemporary high-flow priapism and induration on the dorsal penile surface, in consequence of a prior transrectal prostate biopsy performed 2 weeks earlier on the basis of a suspicion of prostate cancer. We describe a penile Mondor's disease (penile superficial dorsal vein thrombosis) of uncertain pathogenesis involving the penile superficial vein, and employing a careful diagnostic pathway by using magnetic resonance angiography (MRA). In the literature many reports described pulsed- and color-Doppler ultrasonography classical findings about penile Mondor's disease. For the first time we report the pathognomonic features of penile Mondor's disease on MRA, which may be considered a useful and comprehensive tool to deepen the analysis only in the case of a complex clinical picture such as the one presented. J. Magn. Reson. Imaging 2009;30:407,410. © 2009 Wiley-Liss, Inc. [source] Three-dimensional dynamic time-resolved contrast-enhanced MRA using parallel imaging and a variable rate k -space sampling strategy in intracranial arteriovenous malformationsJOURNAL OF MAGNETIC RESONANCE IMAGING, Issue 1 2009Mina Petkova MD Abstract Purpose To evaluate the effectiveness of three-dimensional (3D) dynamic time-resolved contrast-enhanced MRA (TR-CE-MRA) using a combination of a parallel imaging technique (ASSET: array spatial sensitivity encoding technique) and a time-resolved method (TRICKS: time-resolved imaging of contrast kinetics) and to compare it with 3D dynamic TR-CE-MRA using ASSET alone in the assessment of intracranial arteriovenous malformations (AVMs). Materials and Methods Twenty consecutive patients with angiographically confirmed AVMs were investigated using both 3D dynamic TR-CE-MRA techniques. Examinations were compared with respect to image quality, spatial resolution, number and type of feeders and drainers, nidus size, presence of early venous filling and temporal resolution. Digital subtraction angiography was used as standard of reference. Results The higher temporal and spatial resolution of 3D dynamic TR-CE-MRA TRICKS ASSET allowed a better assessment of intracranial vascular malformations, namely better depiction of feeders, drainers and better detection of early venous drainage. There was no significant difference between them in terms of nidus size. Conclusion 3D dynamic TR-CE-MRA combining parallel imaging and a time-resolved method with subsecond and submillimeter resolution could become the first-line investigation technique in both diagnosis and follow-up of intracranial AVMs. J. Magn. Reson. Imaging 2009;29:7,12. © 2008 Wiley-Liss, Inc. [source] MRA of intracranial aneurysms embolized with platinum coils: A vascular phantom study at 1.5T and 3TJOURNAL OF MAGNETIC RESONANCE IMAGING, Issue 1 2008Shingo Kakeda Abstract Purpose To analyze the influence of matrix and echo time (TE) of three-dimensional time-of-flight (3D TOF) magnetic resonance angiography (MRA) on the depiction of residual flow in aneurysms embolized with platinum coils at 1.5T and 3T. Materials and Methods A simulated intracranial aneurysm of the vascular phantom was loosely packed to maintain the patency of some residual aneurysmal lumen with platinum coils and connected to an electromagnetic flow pump with pulsatile flow. MRAs were obtained altering the matrix and TE of 3D TOF sequences at 1.5T and 3T. Results The increased spatial resolution and the shorter TE offered better image quality at 3T. For the depiction of an aneurysm remnant, the high-spatial-resolution 3T MRA (matrix size of 384 × 224 and 512 × 256) with a short TE of ,3.3 msec were superior to the 1.5T MRA obtained with any sequences. Conclusion 3T MRA is superior to 1.5T MRA for the assessment of aneurysms embolized with platinum coils; the combination of the 512 × 256 matrix and short TE (3.3 msec or less) seems feasible at 3T. J. Magn. Reson. Imaging 2008;28:13,20. © 2008 Wiley-Liss, Inc. [source] 3D nongadolinium-enhanced ECG-gated MRA of the distal lower extremities: Preliminary clinical experienceJOURNAL OF MAGNETIC RESONANCE IMAGING, Issue 1 2008FRANZCR, Ruth P. Lim MBBS Abstract Purpose To report our initial experience implementing a noncontrast-enhanced electrocardiograph (ECG) gated fast spin echo magnetic resonance angiography (MRA) technique for assessment of the calf arteries. Materials and Methods Noncontrast MRA images of 36 clinical patients examined over a 6-month period were evaluated by two radiologists for length and degree of stenosis of arterial segments. Diagnostic confidence in the technique was also recorded. The reference standard was a consensus reading by both radiologists using the noncontrast technique combined with two gadolinium-enhanced techniques: bolus-chase and time-resolved imaging. Results For stenosis evaluation the noncontrast technique demonstrated accuracy 79.4% (1083/1364), sensitivity 85.4% (437/512), and specificity 75.8% (646/852). The sequence demonstrated high negative predictive value (92.3%, 646/700). The technique had serious artifacts leading to poor diagnostic confidence in 17 patients (47.2%). These included motion (n = 7) and artifacts specific to the sequence, including inaccurate trigger delays (n = 5), linear artifact (n = 7), and vessel blurring (n = 5). When only patients in whom there was satisfactory diagnostic confidence were considered, accuracy, sensitivity, and negative predictive value were 92.2% (661/717), 92.4% (158/171), and 97.5% (503/516), respectively. Conclusion Our results indicate that when technically successful, noncontrast-enhanced MRA using ECG-gated fast spin echo can provide accurate imaging of the calf and pedal arteries. However, further development and optimization are needed to improve the robustness of the technique. J. Magn. Reson. Imaging 2008;28:181,189. © 2008 Wiley-Liss, Inc. [source] Correction for heart rate variability during 3D whole heart MR coronary angiographyJOURNAL OF MAGNETIC RESONANCE IMAGING, Issue 5 2008Stijntje D. Roes MD Abstract Purpose To evaluate the effect of a real-time adaptive trigger delay on image quality to correct for heart rate variability in 3D whole-heart coronary MR angiography (MRA). Materials and Methods Twelve healthy adults underwent 3D whole-heart coronary MRA with and without the use of an adaptive trigger delay. The moment of minimal coronary artery motion was visually determined on a high temporal resolution MRI. Throughout the scan performed without adaptive trigger delay, trigger delay was kept constant, whereas during the scan performed with adaptive trigger delay, trigger delay was continuously updated after each RR-interval using physiological modeling. Signal-to-noise, contrast-to-noise, vessel length, vessel sharpness, and subjective image quality were compared in a blinded manner. Results Vessel sharpness improved significantly for the middle segment of the right coronary artery (RCA) with the use of the adaptive trigger delay (52.3 ± 7.1% versus 48.9 ± 7.9%, P = 0.026). Subjective image quality was significantly better in the middle segments of the RCA and left anterior descending artery (LAD) when the scan was performed with adaptive trigger delay compared to constant trigger delay. Conclusion Our results demonstrate that the use of an adaptive trigger delay to correct for heart rate variability improves image quality mainly in the middle segments of the RCA and LAD. J. Magn. Reson. Imaging 2008;27:1046,1053. © 2008 Wiley-Liss, Inc. [source] Time-resolved contrast-enhanced MR angiography of intracranial lesionsJOURNAL OF MAGNETIC RESONANCE IMAGING, Issue 4 2008Zhitong Zou MD Abstract Purpose To determine if contrast-enhanced (CE) MRI of intracranial lesions benefits from time-resolved MR angiography (MRA) during contrast agent injection. Materials and Methods For 126 patients with suspected intracranial lesions undergoing routine CE MRI at 3.0T (N = 88) or 1.5T (N = 38), time-resolved CE MRA (three-dimensional [3D] time-resolved imaging of contrast kinetics [TRICKS]) was performed during injection of the routine gadolinium (Gd) dose of 0.1 mmol/kg. Time to peak (TTP) enhancement of lesions as well as time to internal carotid artery (ICA), middle cerebral artery (MCA), superior sagittal sinus (SSS), and jugular vein enhancement were measured. Source and maximum intensity projection (MIP) images were reviewed to delineate the spatial relationship of lesions and the vasculature. Results In 61 patients (48%), additional important findings were detected on time-resolved MRA that were not seen on the routine CE protocol, including aneurysms (N = 6), arteriovenous malformations (N = 7), ICA stenoses (N = 2), vascular anomalies (N = 18), and relationships between lesions and vessels (N = 28). In addition, tumor TTP correlated with glioma grade (r = 0.87) and discriminated epithelial from nonepithelial meningiomas (P = 2.6 × 10,5). MRA added eight minutes to the total exam time. Conclusion Time-resolved MRA performed during contrast agent injection adds information to the routine brain CE MRI examination of intracranial lesions with only a small time penalty and no additional risk to the patient. J. Magn. Reson. Imaging 2008. © 2008 Wiley-Liss, Inc. [source] Fast four-dimensional coronary MR angiography with k-t GRAPPAJOURNAL OF MAGNETIC RESONANCE IMAGING, Issue 3 2008Peng Lai MS Abstract Purpose To investigate the effectiveness of k-t GRAPPA for accelerating four-dimensional (4D) coronary MRA in comparison with GRAPPA and the feasibility of combining variable density undersampling with conventional k-t GRAPPA (k-t2 GRAPPA) to alleviate the overhead of acquiring autocalibration signals. Materials and Methods The right coronary artery of nine healthy volunteers was scanned at 1.5 Tesla. The 4D k -space datasets were fully acquired and subsequently undersampled to simulate partially parallel acquisitions, namely, GRAPPA, k-t GRAPPA, and k-t2 GRAPPA. Comparisons were made between the images reconstructed from full k-space datasets and those reconstructed from undersampled k-space datasets. Results k-t GRAPPA significantly reduced artifacts compared with GRAPPA and high acceleration factors were achieved with only minimal sacrifices in vessel depiction. k-t2 GRAPPA could further increase imaging speed without significant losses in image quality. Conclusion By exploiting high-degree spatiotemporal correlations during the rest period of a cardiac cycle, k-t GRAPPA and k-t2 GRAPPA can greatly increase data acquisition efficiency and, therefore, are promising solutions for fast 4D coronary MRA. J. Magn. Reson. Imaging 2008. © 2008 Wiley-Liss, Inc. [source] Coronary MR angiography at 3T during diastole and systoleJOURNAL OF MAGNETIC RESONANCE IMAGING, Issue 4 2007Ahmed M. Gharib MD Abstract Purpose To investigate the impact of end-systolic imaging on quality of right coronary magnetic resonance angiography (MRA) in comparison to diastolic and to study the effect of RR interval variability on image quality. Materials and Methods The right coronary artery (RCA) of 10 normal volunteers was imaged at 3T using parallel imaging (sensitivity encoding [SENSE]). Navigator-gated three-dimensional (3D) gradient echo was used three times: 1) end-systolic short acquisition (SS): 35-msec window; 2) diastolic short (DS): middiastolic acquisition using 35-msec window; and 3) diastolic long (DL): 75-msec diastolic acquisition window. Vectorcardiogram (VCG) data was used to analyze RR variability. Vessel sharpness, length, and diameter were compared to each other and correlated with RR variability. Blinded qualitative image scores of the images were compared. Results Quantitative and qualitative parameters were not significantly different and showed no significant correlation with RR variability. Conclusion Imaging the RCA at 3T during the end-systolic rest period using SENSE is possible without significant detrimental effect on image quality. Breaking away from the standard of imaging only during diastole can potentially improve image quality in tachycardic patients or used for simultaneous imaging during both periods in a single scan. J. Magn. Reson. Imaging 2007;26:921,926. © 2007 Wiley-Liss, Inc. [source] Magnetic resonance imaging for ischemic heart diseaseJOURNAL OF MAGNETIC RESONANCE IMAGING, Issue 1 2007Hajime Sakuma MD Abstract Cardiac MRI has long been recognized as an accurate and reliable means of evaluating cardiac anatomy and ventricular function. Considerable progress has been made in the field of cardiac MRI, and cardiac MRI can provide accurate evaluation of myocardial ischemia and infarction (MI). Late gadolinium (Gd)-enhanced MRI can clearly delineate subendocardial infarction, and the assessment of transmural extent of infarction on late enhanced MRI has been shown to be useful in predicting functional recovery of dysfunctional myocardium in patients after MI. Stress first-pass contrast-enhanced (CE) myocardial perfusion MRI can be used to detect subendocardial ischemia, and recent studies have demonstrated the high diagnostic accuracy of stress myocardial perfusion MRI for detecting significant coronary artery disease (CAD). Free-breathing, whole-heart coronary MR angiography (MRA) was recently introduced as a method that can provide visualization of all three major coronary arteries within a single three-dimensional (3D) acquisition. With further improvements in MRI techniques and the establishment of a standardized study protocol, cardiac MRI will play a pivotal role in managing patients with ischemic heart disease. J. Magn. Reson. Imaging 2007;26:3,13. © 2007 Wiley-Liss, Inc. [source] In vivo MR imaging of pulmonary arteries of normal and experimental emboli in small animalsJOURNAL OF MAGNETIC RESONANCE IMAGING, Issue 6 2006Mathieu Lederlin MD Abstract Purpose To demonstrate the feasibility of pulmonary MRA in living rodents. Materials and Methods A three-dimensional (3D) gradient echo sequence was adapted to perform a time-of-flight (TOF) angiography of rat lung. Angiogram with a spatial resolution of 195 × 228 × 228 ,m3 was acquired in around 33 minutes. The method was then applied in animals before and after pulmonary embolism (PE) induction. Section of the proximal right pulmonary artery was measured and compared between the two populations. Results Good quality images were obtained with a contrast-to-noise ratio (CNR) of 9 ± 3 in the proximal part of the pulmonary artery. Cross-section areas of the right main artery are statistically different before (3.45 ± 0.69 mm2) and after induction of PE (4.3 ± 0.86 mm2). Conclusion This noninvasive tool permits angiogram acquisition at around 200 ,m spatial resolution and objective distinction between healthy and embolized arteries. J. Magn. Reson. Imaging 2006. © 2006 Wiley-Liss, Inc. [source] High-resolution renal MRA: Comparison of image quality and vessel depiction with different parallel imaging acceleration factorsJOURNAL OF MAGNETIC RESONANCE IMAGING, Issue 1 2006Henrik J. Michaely MD Abstract Purpose To investigate the image quality and vessel depiction of renal MRA with integrated parallel imaging techniques (iPAT) using acceleration factors of 2 and 3. Materials and Methods In this prospective study renal MRA was performed on 14 and 12 patients with acceleration factors of 3 and 2, respectively. For the MRA a 3D-GRE sequence with an acquired spatial resolution of 0.9 × 0.8 × 1.0 mm3 was applied (TR/TE = 3.79 msec/1.39 msec, FOV = 400 mm × 320 mm, acquired matrix = 512 × 384, flip angle = 25°) on a 32-channel 1.5T MR scanner. The acquisition time was 26 seconds with iPAT 2, and 19 seconds with iPAT3. All parameters other than acquisition time and acceleration factor were kept constant. To assess the signal-to-noise ratio (SNR) we performed repetitive phantom measurements using iPAT 2 and 3. The images were rated by two radiologists in terms of noise, artifacts, and the quality of vessel depiction for the proximal, segmental, and subsegmental renal artery. A Mann-Whitney U-test and kappa-test were used for statistical analysis. Results SNR decreased significantly with iPAT 3 in the phantom measurements. The two readers found no difference in noise, but significantly fewer artifacts with iPAT 3. The depiction of segmental vessels was significantly better for both readers with iPAT 3, and the subsegmental vessels were rated significantly better by one reader. iPAT 3 also resulted in a better interreader agreement. Conclusion The use of iPAT 3 for renal MRA enables a better depiction of the distal parts of the renal artery. The decrease in SNR is not diagnostically impairing. J. Magn. Reson. Imaging 2006. © 2006 Wiley-Liss, Inc. [source] MR angiography fusion technique for treatment planning of intracranial arteriovenous malformationsJOURNAL OF MAGNETIC RESONANCE IMAGING, Issue 3 2006Kiaran P. McGee PhD Abstract Purpose To develop an image fusion technique using elliptical centric contrast-enhanced (CE) MR angiography (MRA) and three-dimensional (3D) time-of-flight (TOF) acquisitions for radiosurgery treatment planning of arteriovenous malformations (AVMs). Materials and Methods CE and 3D-TOF MR angiograms with disparate in-plane fields of view (FOVs) were acquired, followed by k-space reformatting to provide equal voxel dimensions. Spatial domain addition was performed to provide a third, fused data volume. Spatial distortion was evaluated on an MRA phantom and provided slice-dependent and global distortion along the three physical dimensions of the MR scanner. In vivo validation was performed on 10 patients with intracranial AVMs prior to their conventional angiogram on the day of gamma knife radiosurgery. Results Spatial distortion in the phantom within a volume of 14 × 14 × 3.2 cm3 was less than ±1 mm (±1 standard deviation (SD)) for CE and 3D-TOF data sets. Fused data volumes were successfully generated for all 10 patients. Conclusion Image fusion can be used to obtain high-resolution CE-MRA images of intracranial AVMs while keeping the fiducial markers needed for gamma knife radiosurgery planning. The spatial fidelity of these data is within the tolerance acceptable for daily quality control (QC) purposes and gamma knife treatment planning. J. Magn. Reson. Imaging 2006. © 2006 Wiley-Liss, Inc. [source] | ||||||||||||||||||||||||||||||||||