Ces radiol. 2010, 64(1):28-33

MRA of the abdominal aorta and peripheral arteries: comparison of the use of different paramagnetic contrast materialsOriginal article

Lukáš Hrdina1, Martin Köcher1, Miroslav Heřman1, David Horák1, Marie Černá1, Jiří Kozák1, Jiří Bučil1, Kateřina Langová2
1 Radiologická klinika FN, Olomouc
2 Ústav lékařské biofyziky LF UP Olomouc

Aim: To compare the quality of the first pass MR angiography (MRA) performed with different paramagnetic contrast agents and to evaluate if the quality of MRA in the groups is sufficient for optimal therapeutic planning.

Method: We compared 38 examinations, which were performed with different paramagnetic contrast agent - Gadovist (2 groups with amount of contrastn agent 10 ml a 8 ml), Multihance (10 ml), Vasovist (10 ml). The examinations were choosen randomly, age of the patients was from 26 to 86, mean 61 years. 1,5 T MR machine (Siemens Magnetom Avanto) was used for the examinations with standard examination protocol. Objective evaluation of the quality of MRA was assesed by postcontrast increase of signal intensity comparison. Subjective evaluation of tha quality of MRA was assesed by six blinded evaluators. Anova test and analysis of variance were used for statistic assessment.

Results: There was a statistically significant difference in postcontrast increase of signal intensity in abdominal aorta between both groups of Gadovist compared with the group of Multihance and Vasovist in objective evaluation. Subjectively there was no significant difference in the quality of MRA.

Conclusion: The quality of all MRA examinations performed with contrast agents mentioned above was sufficeint to obtain adequate diagnostic information, subjectively there was no statistically significant difference in the quality of MRA. Gadovist-enhanced MRA was the best evaluated objectively.

Keywords: ischemic disease of lower leg arteries, MR angiography, paramagnetic contrast agent
Grants and funding:

Tato práce byla podpořena výzkumným projektem ministerstva školství MSM 6198959216.

Accepted: February 15, 2010; Published: March 1, 2010  Show citation

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Hrdina L, Köcher M, Heřman M, Horák D, Černá M, Kozák J, et al.. MRA of the abdominal aorta and peripheral arteries: comparison of the use of different paramagnetic contrast materials. Ces radiol. 2010;64(1):28-33.
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    References

    1. Kuijk van JP, Flu WJ, Bax JJ, Poldermans D. Prevalence of (a)symptomatic peripheral arterial disease; the additional value of ankle-brachial index on cardiovascular risk stratification. Eur J Vasc Endovasc Surg 2009; 38(3): 305-311. Go to original source... Go to PubMed...
    2. American College of Radiology. ACR Appropriateness Criteria: claudication-suspected vascular etiology. Available at: http://www.acr.org/SecondaryMainMenuCategories/quality_safety/app_criteria/pdf/Vascular/ClaudicationDoc9.aspx. Accessed February 22, 2010.
    3. Hirsch AT, Haskal ZJ, Hertzer NR, et al. ACC/AHA 2005 Practice Guidelines for the management of patients with peripheral arterial disease (lower extremity, renal, mesenteric, and abdominal aortic): a collaborative report from the American Association for Vascular Surgery/Society for Vascular Surgery, Society for Cardiovascular Angiography and Interventions, Society for Vascular Medicine and Biology, Society of Interventional Radiology, and the ACC/AHA Task Force on Practice Guidelines (Writing Committee to Develop Guidelines for the Management of Patients With Peripheral Arterial Disease): endorsed by the American Association of Cardiovascular and Pulmonary Rehabilitation; National Heart, Lung, and Blood Institute; Society for Vascular Nursing; TransAtlantic Inter-Society Consensus; and Vascular Disease Foundation. Circulation 2006; 113(11): e463-e654. Go to original source...
    4. Ferda J, Novák M, Šlauf F, et al. Význam multidetektorové CT-angiografie pro volbu léčby u akutní ischemie dolní končetiny. Čes Radiol 2008; 62: 334-341.
    5. Eliáš P, Žižka J. Dopplerovská ultrasonografie. 1. vydání. Hradec Králové: Nucleus 1998; 108-130.
    6. Giovagnoni A, Catalano C. Application of blood-pool agents in visualization of peripheral vessels. Eur Radiol Suppl 2007; 17(Suppl 2): B18-B23.
    7. Meaney JFM, Goyen M. Recent advances in contrast-enhanced magnetic resonance angiography. Eur Radiol Suppl 2007; 17(Suppl 2): B2-B6.
    8. Prince MR, Grist TM, Debatin JF. 3D contrast MR angiography. Berlin: Springer 2003.

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