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J Magn Reson Imaging ; 39(2): 434-9, 2014 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-23681601

RESUMEN

PURPOSE: To assess image quality, presence of artifacts, arterial stenosis, and interobserver agreement of Tim-CT in assessment of the arterial system using contrast-enhanced whole-body-MRA (CE-Wb-MRA) with a single contrast-medium injection in patients with arteriosclerosis. MATERIALS AND METHODS: The retrospective study included 18 patients (mean age, 68 years). A total of 468 arteries were evaluated. CE-Wb-MRA was performed using Tim-CT technology on a 1.5 Tesla (T) MRI after injecting a single dose of Vasovist. Evaluations were independently performed by two radiologists. The arterial system was divided into seven anatomic locations. Each radiologist assessed the image quality, degree of artifacts, and arterial stenosis in different locations. RESULTS: All Wb-MRA examinations were technically successful. Image quality: 28.42% arteries were excellent, 29.17% were good, 22.54% were satisfactory, 9.40% were poor, and 5.13% of insufficient quality. Occurrence of artifacts: 37.25% were free of artifacts, 49.44% minimal artifacts not affecting diagnosis, and 13.31% strong artifacts not permitting a diagnosis. A total of 60.00% arteries showed no stenosis, 8.76% were ≤50% stenotic, 5.17% were 51-75% stenotic, 4.38% were 76-99%, and 8.54% total occlusion. The interobserver agreement was good for supra-aortic, pelvic, and upper and lower leg regions. CONCLUSION: CE-Wb-MRA using the TimCT technology and with a single contrast injection is a feasible tool for whole-body MRA.


Asunto(s)
Arteriopatías Oclusivas/diagnóstico , Gadolinio/administración & dosificación , Imagenología Tridimensional/instrumentación , Angiografía por Resonancia Magnética/instrumentación , Compuestos Organometálicos/administración & dosificación , Enfermedad Arterial Periférica/diagnóstico , Imagen de Cuerpo Entero/instrumentación , Anciano , Anciano de 80 o más Años , Medios de Contraste/administración & dosificación , Diseño de Equipo , Análisis de Falla de Equipo , Femenino , Humanos , Imagenología Tridimensional/métodos , Angiografía por Resonancia Magnética/métodos , Masculino , Persona de Mediana Edad , Variaciones Dependientes del Observador , Proyectos Piloto , Reproducibilidad de los Resultados , Sensibilidad y Especificidad , Imagen de Cuerpo Entero/métodos
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