Quantification of Three-Dimensional Motion of the Renal Arteries Using Image-Based Modeling Techniques

Author(s):  
Ga Young Suh ◽  
Gilwoo Choi ◽  
Mary Draney Blomme ◽  
Charles A. Taylor

Stents implanted to treat renal artery stenosis are vulnerable to stent fracture and thrombosis [1–3]. We hypothesize that the motion of the renal arteries during respiration is a possible cause of stent fracture or in-stent restenosis. However, the respiratory motion of the renal arteries and the kidneys is poorly understood. Using magnetic resonance imaging data we previously quantified the two-dimensional deformation of the renal arteries and demonstrated that respiration-induced kidney motion results in vessel bending near the ostia [4]. In this study we quantified the complex three-dimensional motion of the renal arteries and kidneys over the respiratory cycle using magnetic resonance angiography data and imaged-based modeling methods. We provide quantitative information on anatomic changes to the renal arteries that may provide data to design improved pre-clinical, benchtop tests for renal stents.

1998 ◽  
Vol 33 (9) ◽  
pp. 506-514 ◽  
Author(s):  
STEFAN O. SCHOENBERG ◽  
MICHAEL V. KNOPP ◽  
MARTIN R. PRINCE ◽  
FRANK LONDY ◽  
MONIKA A. KNOPP

2017 ◽  
Vol 59 (3) ◽  
pp. 296-304 ◽  
Author(s):  
Anja Laader ◽  
Karsten Beiderwellen ◽  
Oliver Kraff ◽  
Stefan Maderwald ◽  
Mark E Ladd ◽  
...  

Background Considering the currently reported association between a repetitive application and cumulative dosage of Gadolinium (Gd)-based contrast agents and Gd-deposition in brain tissue as well as the risk for the advent of nephrogenic systemic fibrosis (NSF), techniques allowing for a dose reduction become an important key aspect aside from non-enhanced magnetic resonance angiography (MRA) techniques. Thus, this study was focused on the reduction and/or complete omission of contrast agent for renal MRA at 7T. Purpose To evaluate the performance of time-of-flight MRA versus low-dose contrast-enhanced (CE) renal MRA at 7T. Material and Methods Ten healthy volunteers were examined on a 7T MR system comprising a TOF MRA and three-dimensional (3D) fast low angle shot spoiled gradient-echo sequence (FLASH) MRA after administration of one-quarter of clinical dose of gadobutrol. Qualitative image analysis was performed including overall image quality, artery delineation and presence of artifacts. Contrast ratio (CR), signal-to-noise ratio (SNR), and contrast-to-noise ratio (CNR) of the renal arteries were calculated. Results TOF MRA and low-CE MRA achieved comparable overall ratings, with slightly superior delineation of the main renal arteries in TOF MRA (TOF = 3.10 ± 0.75, low-CE = 2.95 ± 0.75). Segmental branches outside and inside the parenchyma were delineated significantly better on TOF MRA. Quantitative analysis demonstrated the superiority of TOF MRA, yielding higher scores for CR, SNR, and CNR. Conclusion The initial results of our study demonstrate the feasibility and comparable diagnostic performance of TOF and low-dose CE renal MRA at 7T.


2005 ◽  
Vol 56 (suppl_1) ◽  
pp. ONS-133-ONS-141 ◽  
Author(s):  
Volker A. Coenen ◽  
Timo Krings ◽  
Jürgen Weidemann ◽  
Franz-Josef Hans ◽  
Peter Reinacher ◽  
...  

Abstract OBJECTIVE: We present a technique that allows intraoperative display of brain shift and its effects on fiber tracts. METHODS: Three patients had intracranial lesions (one malignant glioma, one metastasis, and one cavernoma) in contact with either the corticospinal or the geniculostriate tract that were removed microneurosurgically. Preoperatively, magnetic resonance diffusion-weighted imaging (DWI) was performed to visualize the fiber tract at risk. DWI data were fused with those obtained from anatomic T1-weighted magnetic resonance imaging. A single-rack three-dimensional ultrasound neuronavigation system, which simultaneously displays the MRI scan and the corresponding ultrasound image, was used intraoperatively for 1) navigation; 2) definition of fixed and potentially shifting ultrasound landmarks near the fiber tract; and 3) sequential image updating at different steps of resection. The result was time-dependent brain deformation data. With a standard personal computer equipped with standard image software, the brain shift-associated fiber tract deformation was assessed by use of sequential landmark registration. After surgery, DWI was performed to confirm the predicted fiber tract deformation. RESULTS: The lesions were removed without morbidity. Comparison of three-dimensional ultrasound with DWI and T1-weighted magnetic resonance imaging data allowed us to define fixed and potentially shifting landmarks close to the respective fiber tract. Postoperative DWI confirmed that the actual fiber tract position at the conclusion of surgery corresponded to the sonographically predicted fiber tract position. CONCLUSION: By definition and sequential intraoperative registration of ultrasound landmarks near the fiber tract, brain shift-associated deformation of a tract that is not visible sonographically can be assessed correctly. This approach seems to help identify and avoid eloquent brain areas during intracranial surgery.


Vascular ◽  
2006 ◽  
Vol 14 (6) ◽  
pp. 366-371 ◽  
Author(s):  
Tamara N. Fitzgerald ◽  
Akihito Muto ◽  
Fabio Akimaro Kudo ◽  
Jose Mario Pimiento ◽  
Robert Todd Constable ◽  
...  

Vascular applications of magnetic resonance (MR) imaging are reviewed, with emphasis on algorithms that use nonpictorial information contained in the MR data set. Current clinical vascular practice generally limits use of MR angiography and three-dimensional vessel images to qualitative pictorial rendering without routinely using the available quantitative information contained within the MR data. This review is dedicated to recent advances that include characterization of vessel histology, assessment of carotid plaque vulnerability, characterization of blood flow dynamics, quantitative analysis of disease severity, and prediction of vascular intervention outcome. Examples from histologic preparation, in vitro and in vivo experiments, are discussed, with an emphasis on potential clinical applications and advances in acquisition technology.


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