Clinical experience in timed arterial compression contrast-enhanced magnetic resonance angiography of the hand

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Abstract

Purpose: A retrospective analysis of the diagnostic performance of the timed arterial compression (TAC) technique, which allows freezing of the contrast bolus during first-pass contrast-enhanced (CE) magnetic resonance angiography (MRA) to diagnose vascular pathologies in the hand. Material and Methods: A total of 14 consecutive CE-MRAs of the hand were acquired by using the TAC technique. By inflating a blood pressure cuff up to 200 mm Hg triggered to the arterial contrast filling of the hand, prolonged measurement times up to 144 seconds, with a spatial resolution of 0.59 × 0.59 × 0.8 mm 3, could be realized. Overall image qualities, arterial signal-to-noise ratio (SNR), contrast-to-noise ratio (CNR), and vessel conspicuity besides the final diagnosis were evaluated. Results: All 14 TAC-CE-MRAs of the hand were successfully accomplished without any adverse events and yielded, in all cases, a final diagnosis with a high total number of vascular pathologies (57). High arterial SNR and CNR values exceeding the soil of 85 and 60, respectively, resulted. Thus, overall vessel visibility (>90%), vessel conspicuity (mean Δ signal intensity [SI]/mm = 1,193) and image quality on a per patient level (>60%) were rated as excellent or good. Conclusions: TAC-CE-MRA of the hand offers high diagnostic performance because of its increased spatial resolution while preserving contrast, which allowed detection of tiny stenoses of the digital arteries. © 2010 Canadian Association of Radiologists. All rights reserved.

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Gutzeit, A., Eckhardt, B., Beranek, J., Wentz, K. U., Willemse, E., Jenelten, R., … Froehlich, J. M. (2010). Clinical experience in timed arterial compression contrast-enhanced magnetic resonance angiography of the hand. Canadian Association of Radiologists Journal, 61(4), 206–216. https://doi.org/10.1016/j.carj.2009.11.005

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