scholarly journals Contrast-enhanced magnetic resonance angiography in peripheral arterial disease: Improving image quality by automated image registration

2008 ◽  
Vol 60 (1) ◽  
pp. 224-229 ◽  
Author(s):  
Jan Menke
Keyword(s):  
Magnetic Resonance ◽  
Image Quality ◽  
Image Registration ◽  
Magnetic Resonance Angiography ◽  
Peripheral Arterial Disease ◽  
Arterial Disease ◽  
Contrast Enhanced ◽  
Automated Image Registration ◽  
Peripheral Arterial

scholarly journals Balanced Steady-State Free Precision and Time of Flight Noncontrast Magnetic Resonance Angiography in Peripheral Arterial Disease

2021 ◽  
Author(s):  
Soumya Susan Regi ◽  
Aparna Irodi ◽  
Shyamkumar N. Keshava ◽  
Sunil Agarwal
Keyword(s):  
Steady State ◽  
Magnetic Resonance ◽  
Image Quality ◽  
Magnetic Resonance Angiography ◽  
Peripheral Arterial Disease ◽  
Predictive Value ◽  
Weighted Kappa ◽  
Arterial Disease ◽  
Peripheral Arterial

Abstract Purpose To determine the diagnostic efficacy of balanced steady-state free precession (bSSFP) and time-of-flight (TOF)-based noncontrast magnetic resonance angiography (NC-MRA) in lower limb peripheral arterial disease (PAD). Material and Methods 10 patients with suspected PAD underwent both NC-MRA (bSSFP and 2D TOF) and contrast-enhanced MR angiography (CE-MRA)/CT angiography (CTA). A total of 170 arterial segments (17 segments in each patient) were analyzed on NC-MRA and compared with CE-MRA/CTA for quality of images and for estimating the degree of stenoses. Image quality was graded as 1—poor, 2—fair, 3—good, and 4—excellent. The degree of stenoses was graded as 0—normal, 1— ≤ 50% narrowing, 2— > 50% narrowing, 3—near complete/100% occlusion. Sensitivity, specificity, positive predictive value, and negative predictive value of NC-MRA in identifying significant stenosis, as compared with CE-MRA/CTA, were estimated. Results a) Mean grade of the image quality of NC-MRA was 3.10 and the CE-MRA/CTA was 3.64. b) The agreement in the estimation of the degree of stenosis on NC-MRA as compared with CE-MRA/CTA was substantial in aortoiliac segments (weighted kappa 0.646 [95% CI] [0.361–0.931] [p < 0.001]), almost perfect in femoropopliteal segments (weighted kappa 0.911 [95% CI] [0.79–1.032] [p < 0.001]), and poor in infrapopliteal segments (weighted kappa 0.052 [95% CI] [0.189–0.293] [p < 0.33587]). Conclusion TOF and bSSFP-based NC-MRA was found to be comparable to the CE-MRA/CTA in the evaluation of PAD in lower limbs in the aortoiliac and femoropopliteal regions. NC-MRA was especially helpful in assessing the aortoiliac vessels and femoropopliteal vessels, with the imaging of infrapopliteal arteries being suboptimal.

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