Gadobutrol-enhanced moving-table magnetic resonance angiography in patients with peripheral vascular disease: a prospective, multi-centre blinded comparison with digital subtraction angiography
Tóm tắt
The purpose of this study was to compare moving-table three-dimensional contrast-enhanced magnetic resonance angiography (CE MRA), using 1.0-mol gadobutrol, with intra-arterial digital subtraction angiography (i.a. DSA) for evaluation of pelvic and peripheral arteries in patients with peripheral arterial occlusive disease. A total of 203 patients were examined in a prospective, multi-centre study at 1.0/1.5 T. Ten vessel segments of one leg were evaluated on-site and by three independent blinded reviewers off-site. One hundred eighty-two patients were evaluable in blinded reading. For pelvis and thigh, there was statistically significant diagnostic agreement between CE MRA and i.a. DSA on-site (94%) and off-site (86–88%). Overall, for detection of clinically significant stenoses, 93% sensitivity and 90% specificity were achieved in on-site evaluation, with 71–76 and 87–93% off-site; for detection of occlusion, sensitivity and specificity on-site were 91 and 97%, with 75–82 and 94–98% off-site. Evaluation was more sensitive on-site than off-site for detection of stenoses and occlusion, whereas specificity was similar. The CE MRA with 1.0-mol gadobutrol gave results comparable to those of i.a. DSA for the larger arteries of pelvis and thigh. Results for calf arteries were compromised by spatial resolution and technical limitations.
Tài liệu tham khảo
Voyt NT, Wolfson SK, Kuller LH (1992) Lower extremity arterial disease and the ageing process: a review. J Clin Epidemiol 45:529–542
Malone JM (1993) Lower extremity amputation. In: Moore WS (ed) Vascular surgery: a comprehensive review. Saunders, Philadelphia, pp 809–854
Waugh JR, Sacharias N (1992) Arteriographic complications in the DSA era. Radiology 182:243–246
Reidy JF, Ludman C (1996) Technical note: safety of outpatient arteriography using 3F catheters. Br J Radiol 66:1048–1052
Yucel EK, Kaufman JA, Geller SC, Waltman AC (1993) Atherosclerotic occlusive disease of the lower extremity: prospective evaluation with two-dimensional time-of-flight MR angiography. Radiology 187:635–641
Carpenter JP, Baum RA, Pentecost MJ, Holland GA, Barker CF (1994) Peripheral vascular surgery with magnetic resonance angiography as the sole preoperative imaging modality. J Vasc Surg 20:861–869
McCauley TR, Monib A, Dickey KW, Clemett J, Meier GH, Egglin TK, Gusberg RJ, Rosenblatt M, Pollak JS (1994) Peripheral vascular occlusive disease: accuracy and reliability of time-of-flight MR angiography. Radiology 192:351–355
Glickerman DJ, Obregon RG, Schmiedl UP, Harrison SD, Macaulay SE, Simon HE, Kohler TR (1996) Cardiac-gated MR angiography of the entire lower extremity. A prospective comparison with conventional angiography. Am J Roentgenol 167:445–451
Snidow JJ, Harris VJ, Trerotola SO, Cikrit DF, Lalka SG, Buckwater KA, Johnson MS (1995) Interpretations and treatment decisions based on MR angiography versus conventional arteriography in symptomatic lower extremity ischaemia. J Vasc Interv Radiol 6:595–599
Ho KY, de Haan MW, Oei TK, Koster D, Kessels AGH, Janevski BK, Kitslar P, van Engelshoven JM (1997) MR angiography of the iliac and upper femoral arteries using four different inflow techniques. Am J Roentgenol 169:45–53
Baum RA, Rutter CM, Sunshine JH et al. (1995) for the American College of Radiology New Technology Assessment Group: multicenter trial to evaluate peripheral vascular resonance angiography. J Am Med Assoc 274:875
Prince MR (1994) Gadolinium-enhanced MR aortography. Radiology 191:325
Prince MR, Narasimham DL, Stanley JC, Chenevert TL, Williams DM, Marx MV, Cho KJ (1995) Breath-hold gadolinium-enhanced MR angiography of the abdominal aorta and its major branches. Radiology 197:785–671
Snidow JJ, Johnson MS, Harris VJ, Margosian PM, Aisen AM, Lalka SG, Cikrit DF, Trerotola SO (1996) Three-dimensional gadolinium-enhanced MR angiography for aorto-iliac inflow assessment plus renal artery screening in a single breath hold. Radiology 198:725–729
Rofsky NM, Johnson G, Adelman MA, Rosen RJ, Krinsky GA, Weinreb JC (1997) Peripheral vascular disease evaluated with reduced-dose gadolinium-enhanced MR angiography. Radiology 205:163–169
Ho KY, Leiner T, de Haan MW, Kessels AG, Kitslaar PJ, van Engelshoven JM (1998) Peripheral vascular tree stenoses: evaluation with moving-bed infusion-tracking MR angiography. Radiology 206:683–692
Meaney FM, Ridgway JP, Chakraverty S, Robertson I, Kessel D, Radjenovic A, Kouwenhoven M, Kasner A, Smith MA (1999) Stepping-table gadolinium-enhanced digital subtraction MR angiography of the aorta and lower extremity arteries: preliminary experience. Radiology 211:59–67
Sueyoshi E, Sakamoro I, Matsuoko Y, Hayashi H, Hayashi K (1999) Aortoiliac and lower extremity arteries: comparison of three-dimensional dynamic contrast-enhanced subtraction MR angiography and conventional angiography. Radiology 210:683–688
Ruehm SG, Hany TF, Pfammater T, Ladd M, Debatin JF (2000) Pelvic and lower extremity arterial imaging: diagnostic performance of three-dimensional contrast-enhanced MR angiography. Am J Roentgenol 174:1127–1135
Ho VB, Choyke PL, Foo TK, Hood MN, Miller DL, Aisen AM (1999) Automated bolus chase peripheral MR angiography: initial practical experiences and future directions of this work-in-progress. J Magn Reson Imaging 10:376–388
Rofsky NM, Adelman MA (2000) MR angiography in the evaluation of atherosclerotic peripheral vascular disease. Radiology 214:325–338
Ho KY, de Haan MW, Kessels AG, Kitslaar PJ, van Engelshoven JM (1998) Peripheral vascular tree stenoses: detection with subtracted and nonsubtracted MR angiography. Radiology 206:673–681
Nelemans PJ, Leiner T, de Vet HCW, van Engelshoven JMA (2000) Peripheral arterial disease: meta-analysis of the diagnostic performance of MR angiography. Radiology 217:105–114
Eiberg JP, Lundorf E, Thomsen C, Schroeder TV (2001) Peripheral vascular surgery and magnetic resonance arteriography: a review. Eur J Vasc Endovsc Surg 22:396–402
Leiner T, Ho KY, Nelemans PJ, de Haan MW, van Engelshoven JM (2000) Three-dimensional contrast-enhanced moving-bed infusion-tracking (MoBI-track) peripheral MR angiography with flexible choice of imaging parameters for each field of view. J Magn Reson Imaging 11:368–377
Goyen M, Ruehm SG, Barkhausen J, Kroger K, Ladd ME, Truemmler KH, Bosk S, Requardt M, Reykowski A, Debatin JF (2001) Improved multi-station peripheral MR angiography with a dedicated vascular coil. J Magn Reson Imaging 13:475–480
Ruehm SG, Nanz D, Baumann A, Schmidt M, Debatin JF (2001) 3D contrast-enhanced MR angiography of the run-off vessels: value of image subtraction. J Magn Reson Imaging 13:402–411
Leiner T, de Weert TT, Nijenhuis RJ, Vasbinder GBC, Kessels AGH, Ho KYJAM, van Engelshoven JMA (2001) Need for background suppression in contrast-enhanced peripheral magnetic resonance angiography. J Magn Reson Imaging 14:724–733
Goyen M, Lauenstein TC, Herborn CU, Debatin JF, Bosk S, Ruehm SG (2001) 0.5 M Gd chelate (Magnevist): dose-independent effect on image quality of pelvis three-dimensional MR angiography. J Magn Reson Imaging 14:602–607
Hany TF, Schmidt M, Davis CP, Gohde SC, Debatin JF (1998) Diagnostic impact of four post-processing techniques in evaluating contrast-enhanced three-dimensional MR angiography Am J Roentgenol 170:907–912
Ho VB, Hood MN, Hess SL, Choyke PL (2001) Preferential arterial imaging using gated thick-slice gadolinium-enhanced phase-contrast acquisition in peripheral MRA. J Magn Reson Imaging 13:714–721
Wang Y, Winchester PA, Khilnani NM, Lee HM, Watts R, Trost DW, Bush HL, Kent KC, Prince MR (2001) Contrast-enhanced peripheral MR angiography from abdominal aorta to the pedal arteries. Combined dynamic two-dimensional and bolus-chase three-dimensional acquisition. Invest Radiol 36:170–177
Weiger M, Pruessmann KP, Kassner A, Rodite G, Reid A, Boesiger P (2000) Contrast-enhanced 3D MRA using SENSE. J Magn Reson Imaging 12:671–677