Ces radiol. 2007, 61(1):20-26

Contrast-enhanced MR angiography utilizing parallel acquisition techniques in renal artery stenosis detectionOriginal article

Martin Slanina1, Jan Žižka1, Ludovít Klzo1, M. Lojík1, Jiří Ceral2
1 Radiologická klinika LF UK a FN, Hradec Králové
2 I. interní klinika LF UK a FN, Hradec Králové

Aim: The aim of our study was to assess the diagnostic value of contrast-enhanced MR angiography (MRA) utilizing parallel acquisition techniques in the detection of renal artery stenosis.

Method: Seventy hypertensive subjects with suspected renal artery stenosis were examined on a 1.5 Tesla MR system with body array coil. Bolus tracking was used to monitor the arrival of contrast agent to the abdominal aorta. The MRA sequence parameters were as follows: TR 3.7 ms; TE 1.2 ms; flip angle 25°; acquisition time 18 s; voxel size 1.1 × 1.0 × 1.1 mm; centric k-space sampling; parallel acquisition techniques with acceleration factor of 2 (GRAPPA). Renal artery stenosis of 60 % and more was considered hemodynamically significant. The results of MRA were compared to digital subtraction angiography serving as a standard of reference.

Results: Sensitivity and specificity of MRA in the detection of hemodynamically significant renal artery stenosis were 92 % and 95 %, respectively. Its prevalence was 37 % in our study population.

Conclusion: Contrast-enhanced MRA with high spatial resolution offers sufficient sensitivity and specificity for screening of renal artery stenosis.

Keywords: contrast-enhanced MR angiography (MRA), digital subtraction angiography (DSA), renal artery stenosis (RAS), renovascular hypertension

Accepted: December 20, 2006; Published: March 1, 2007  Show citation

ACS AIP APA ASA Harvard Chicago Chicago Notes IEEE ISO690 MLA NLM Turabian Vancouver
Slanina M, Žižka J, Klzo L, Lojík M, Ceral J. Contrast-enhanced MR angiography utilizing parallel acquisition techniques in renal artery stenosis detection. Ces radiol. 2007;61(1):20-26.
Share...
Download citation
  • BibTeX (.bib)
  • Bookends (.ris)
  • EasyBib (.ris)
  • EndNote (.enw)
  • EndNote 8 (.xml)
  • ISI WoS (.isi)
  • Medlars (.medlars)
  • Mendeley (.ris)
  • MODS (.xml)
  • Papers (.ris)
  • RefWorks (.txt)
  • RefManager (.ris)
  • RIS (.ris)
  • MS Word (.xml)
  • Zotero (.ris)
    • Open full article

    References

    1. Carman TL, Olin JW. Diagnosis of renal artery stenosis: What is the optimal diagnostic test? Curr Interv Cardiol Rep 2000; 2(2): 111-118.
    2. Leiner T, de Haan MW, Nelemans PJ, van Engelshoven JMA, Vasbinder GBC. Contemporary imaging techniques for the diagnosis of renal artery stenosis. Eur Radiol 2005; 15(11): 2219-2229. Go to original source... Go to PubMed...
    3. Krajina A, Hlava A. Renovaskulární hypertenze. In Krajina A, Hlava A. Angiografie. Hradec Králové: Nucleus 1999; 371-386.
    4. Eliáš P, Žižka J. Vyšetření tepen a žil ledviny. In Eliáš P, Žižka J. Dopplerovská ultrasonografie. Hradec Králové: Nucleus 1998; 152-167.
    5. Tan KT, van Beek EJR, Brown PWG, van Delden OM, Tijssen J, Ramsay LE. Magnetic resonance angiography for the diagnosis of renal artery stenosis: a meta-analysis. Clin Radiol 2002; 57(7): 617-624. Go to original source... Go to PubMed...
    6. Vasbinder GBC, Nelemans PJ, Kessels AGH, Kroon AA, Maki JH, Leiner T, Beek FJA, Korst MBJM, Flobbe K, de Haan MW, van Zwam WH, Postma CT, Hunink MGM, de Leeuw PW, van Engelshoven JMA. Accuracy of computed tomographic angiography and magnetic resonance angiography for diagnosing renal artery stenosis. Ann Intern Med 2004; 141(9): 674-682. Go to original source... Go to PubMed...
    7. Valenta J. Renovaskulární hypertenze. In Zeman M, et al. Speciální chirurgie, 2. vyd. Praha: Galén 2004; 374.
    8. Vasbinder GBC, Nelemans PJ, Kessels AGH, Kroon AA, de Leeuw PW, van Engelshoven JMA. Diagnostic tests for renal artery stenosis in patients suspected of having renovascular hypertension: a meta-analysis. Ann Intern Med 2001; 135(6): 401-411. Go to original source... Go to PubMed...
    9. Krajina A, Peregrin JH. Angioplastika ledvinných tepen. In Krajina A, Peregrin JH, et al. Intervenční radiologie - Miniinvazivní terapie, 1. vyd. Hradec Králové: Olga Čermáková 2005; 167-178.
    10. Žabka J. Ledviny a hypertenze. In Klener P, et al. Vnitřní lékařství, 2. vyd. Praha: Galén 2001; 617-620.
    11. Mittal TK, Evans C, Perkins T, Wood AM. Renal arteriography using gadolinium enhanced 3D MR angiography - clinical experience with the technique, its limitations and pitfalls. Br J Radiol 2001; 74(882): 495-502. Go to original source... Go to PubMed...
    12. Radermacher J, Chavan A, Schaffer J, Stoess B, Vitzthum A, Kliem V, Rademaker J, Bleck J, Gebel MJ, Galanski M, Brunkhorst R. Detection of significant renal artery stenosis with color Doppler sonography: combining extrarenal and intrarenal approaches to minimize technical failure. Clin Nephrol 2000; 53(5): 333-343.
    13. Willmann JK, Wildermuth S, Pfammatter T, Roos JE, Seifert B, Hilfiker PR, Marincek B, Weishaupt D. Aortoiliac and renal arteries: prospective intraindividual comparison of contrast-enhanced three-dimensional MR angiography and multi-detector row CT angiography. Radiology 2003; 226(3): 798-811. Go to original source... Go to PubMed...
    14. Ferda J. Abdominální tepny - anatomie. In Ferda J. CT angiografie, 1. vyd. Praha: Galén 2004; 254-257.
    15. Garcia-Ruiz C, Martinez-Vea A, Sempere T, Sauri A, Olona M, Peralta C, Oliver A. Low risk of contrast nephropathy in high-risk patients undergoing spiral computed tomography angiography with the contrast medium iopromide and prophylactic oral hydratation. Clin Nephrol 2004; 61(3): 170-176. Go to original source... Go to PubMed...
    16. Lufft V, Hoogestraat-Lufft L, Fels LM, Egbeyong-Baiyee D, Tusch G, Galanski M, Olbricht CJ. Contrast media nephropathy: intravenous CT angiography versus intraarterial digital subtraction angiography in renal artery stenosis: a prospective randomized trial. Am J Kidney Dis 2002; 40(2): 236-242. Go to original source... Go to PubMed...
    17. Schoenberg SO, Rieger J, Weber CH, Michaely HJ, Waggershauser T, Ittrich C, Dietrich O, Reiser MF. High-spatial-resolution MR angiography of renal arteries with integrated parallel acquisitions: comparison with digital subtraction angiography and US. Radiology 2005; 235(2): 687-698. Go to original source... Go to PubMed...
    18. Bakker J, Beek FJA, Beutler JJ, Hené RJ, de Kort GAP, de Lange EE, Moons KGM, Mali WPTM. Renal artery stenosis and accessory renal arteries: accuracy of detection and visualization with gadolinium-enhanced breath-hold MR angiography. Radiology 1998; 207(2): 497-504. Go to original source... Go to PubMed...
    19. Shetty AN, Bis KG, Kirsch M, Weintraub J, Laub G. Contrast-enhanced breath-hold three-dimensional magnetic resonance angiography in the evaluation of renal arteries: optimization of technique and pitfalls. J Magn Reson Imaging 2000; 12(6): 912-923. Go to original source...
    20. Fain SB, King BF, Breen JF, Kruger DG, Riederer SJ. High-spatial-resolution contrast-enhanced MR angiography of the renal arteries: a prospective comparison with digital subtraction angiography. Radiology 2001; 218(2): 481-490. Go to original source... Go to PubMed...
    21. Griswold MA, Kannengiesser S, Heidemann RM, Wang J, Jakob PM. Field-of-view limitations in parallel imaging. Magn Reson Med 2004; 52(5): 1118-1126. Go to original source... Go to PubMed...
    22. Blaimer M, Breuer FA, Mueller MF, Heidemann RM, Griswold MA, Jakob PM. SMASH, SENSE, PILS, GRAPPA: how to choose the optimal method. Top Magn Reson Imaging 2004; 15(4): 223-236. Go to original source... Go to PubMed...

    This is an open access article distributed under the terms of the Creative Commons Attribution 4.0 International License (CC BY 4.0), which permits use, distribution, and reproduction in any medium, provided the original publication is properly cited. No use, distribution or reproduction is permitted which does not comply with these terms.


    Return to the content