Arterial flow characteristics in the presence of vascular disease and implications for fast spin echo-based noncontrast MR angiography.

Arterial flow characteristics in the presence of vascular disease and implications for fast spin echo-based noncontrast MR angiography.
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DOI:
10.1002/jmri.22812
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发表时间:
2011-12
影响因子:
4.4
通讯作者:
Lee, Vivian S.
Lee, Vivian S.
中科院分区:
医学2区
文献类型:
--
作者:
Storey, Pippa;Lim, Ruth P.;Kim, Sooah;Stoffel, David R.;Lee, Vivian S.

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To investigate arterial flow characteristics in the setting of vascular disease, and examine their effect on the performance of fast spin-echo (FSE)-based noncontrast MR angiography (NC-MRA). Seventeen patients were recruited from among those scheduled for routine contrast-enhanced MR angiography (CE-MRA) of the lower extremities at 1.5T. The research portion of the exam was performed prior to the clinically-indicated protocol and included phase-contrast imaging at multiple levels in the legs and FSE-based NC-MRA in the calf and thigh, using a 3D ECG-gated technique that exploits differences in arterial flow velocity between diastole and systole. Vascular occlusions were associated with reduced systolic velocity, a delayed systolic peak, and, in two middle-aged patients, an increase in diastolic velocity. Elevated systolic and diastolic velocities were observed in a subject with a non-healing ulcer. NC-MRA allowed visualization of arteries with systolic velocities as low as 3 cm/s, and exhibited comparable depiction to CE-MRA for diastolic velocities as high as 6 cm/s. At the highest diastolic velocities observed (15 cm/s) arterial depiction was severely degraded. FSE-based NC-MRA as presently implemented performs successfully over a wide range of flow patterns, but does not accommodate extremely low systolic velocities or very high diastolic velocities.
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