Recent advances in magnetic resonance angiography of carotid and vertebral arteries

Current Opinion in Neurology

Volumn 13, Issue 1, 2000, Pages 75-82

  Leclerc, Xavier ^a   Pruvo, Jean Pierre ^a  

^a LILLE UNIVERSITY HOSPITAL   (France)

Author keywords

[No Author keywords available]

Indexed keywords

GADOLINIUM; CONTRAST MEDIUM; IODINATED CONTRAST MEDIUM; NUCLEAR MAGNETIC RESONANCE IMAGING AGENT;

AORTA ARCH; AORTA FLOW; BRAIN CIRCULUS ARTERIOSUS; CAROTID ARTERY; CATHETER; COMPUTER ANALYSIS; CONTRAST ENHANCEMENT; CONTRAST RADIOGRAPHY; HUMAN; IMAGE QUALITY; MAGNETIC RESONANCE ANGIOGRAPHY; REVIEW; VERTEBRAL ARTERY; ANGIOGRAPHY; ARTERY CATHETER; ATHEROSCLEROSIS; CAROTID ARTERIOGRAPHY; CAROTID ARTERY OBSTRUCTION; DIAGNOSTIC ACCURACY; ECHOGRAPHY; ELECTRON SPIN RESONANCE; FOURIER TRANSFORMATION; NEPHROTOXICITY; QUALITY CONTROL; VERTEBRAL ARTERIOGRAPHY; VERTEBRAL ARTERY STENOSIS;

BRAIN DISEASES; CAROTID ARTERIES; CAROTID ARTERY DISEASES; HUMANS; MAGNETIC RESONANCE ANGIOGRAPHY; VERTEBRAL ARTERY;

EID: 0034006606     PISSN: 13507540     EISSN: None     Source Type: Journal    
DOI: 10.1097/00019052-200002000-00014     Document Type: Review

References (27)

1. Dion JE, Gates PC, Fox AJ, Barnett HJM, Blom RJ. Clinical events following neuroangiography: a prospective study. Stroke 1987; 18:997-1004.
2. Heiserman JE, Dean BL, Hodak JA, Flom RA, Bird CR, Drayer BP, et al. Neurologic complications of cerebral angiography. Am J Neuroradiol 1994; 15:1401-1407.
3. Caroll B. Carotid sonography. Radiology 1991; 178:303-313.
4. Mittl RL, Broderick M, Carpenter JP, Goldberg HI, Listerud J, Mishkin MM, et al. Blinded-reader comparison of magnetic resonance angiography and Duplex ultrasonography for carotid artery bifurcation stenosis. Stroke 1994; 25:4-10.
5. Lamparello PJ, Riles TS. MR angiography in carotid stenosis: a clinical prospective. Magn Reson Imaging Clin N Am 1995; 3:455-465.
6. Prince MR, Narasimham DL, Jacoby WT, Williams DM, Cho KJ, Marx MV, et al. Three-dimensional gadolinium-enhanced MR angiography of the thoracic aorta. AJR Am J Roentgenol 1996; 166:1387-1397.
7. Cloft HJ, Murphy KJ, Prince MR, Brunberg JA. 3D gadolinium-enhanced MR angiography of the carotid arteries. Magn Reson Imaging 1996; 14:593-600.
8. Saloner D. Determinants of image appearance in contrast-enhanced magnetic resonance angiography. Invest Radiol 1998; 33:488-495. •• This paper provides an excellent overwiew of technical aspects of contrast-enhanced MRA. The influence of each parameter on image quality is well explained, as are the advantages and the limitations of the technique.
9. Enochs WS, Ackerman RH, Kaufman JA, Candia M. Gadolinium-enhanced MR angiography of the carotid arteries. J Neuroimaging 1988; 8:185-190.
10. Willig DS, Turski PA, Frayne R, Graves VB, Korosec FR, Swan JS, et al. Contrast-enhanced 3D MR DSA of the carotid artery bifurcation: preliminary study of comparison with unenhanced 2D and 3D time-of-flight MR angiography. Radiology 1998; 208:447-451. •• The authors reported an innovative method to improve vessel conspicuity which combines high-resolution images and temporal resolution of 4.5 s by using a variable-rate k-space sampling and sophisticated postprocessing. This provides angiograms at different stages of the contrast media passage with accurate information on the carotid artery morphology.
11. Kopka L, Vosshenrich R, Rodenwaldt J, Grabbe E. Differences in injection rates on contrast-enhanced breath-hold three-dimensional MR angiography. AJR Am J Roentgenol 1998; 170:345-348.
12. Levy RA, Prince MR. Arterial-phase three-dimensional contrast-enhanced MR angiography of the carotid arteries. AJR Am J Roentgenol 1996; 167:211-215.
13. Mezrich R. A perspective on K-space. Radiology 1995; 195:297-315.
14. Huston J III, Fain SB, Riederer SJ, Wilman AH, Berntein MA, Busse RF. Carotid arteries: maximizing arterial to venous contrast in fluoroscopically triggered contrast-enhanced MR angiography with elliptic centric view ordering. Radiology 1999; 211:265-273. • A recent technological development is described and applied in 40 consecutive patients with cerebrovascular disease. The authors used a high-resolution sequence with a 40-s acquisition time. The lowest spatial frequencies were sampled at the beginning of the acquisition and the sequence was manually triggered by magnetic resonance fluoroscopy. This allowed venous suppression and high-quality images in 36 studies (90%).
15. Korosec FR, Frayne R, Grist TM, Mistretta CA. Time-resolved contrast-enhanced 3D MR angiography. Magn Reson Med 1996; 36:345-351.
16. Levy RA, Maki JH. Three-dimensional contrast-enhanced MR angiography of the extracranial carotid arteries: two techniques. Am J Neuroradiol 1998; 19:688-690.
17. Remonda L, Heid O, Schroth G. Carotid artery stenosis, occlusion, and pseudo-occlusion: first-pass, gadolinium-enhanced, three-dimensional MR angiography: preliminary study. Radiology 1998; 209:95-102. •• This is a prospective study conducted in 21 consecutive patients to compare gadolinium-enhanced three-dimensional MRA with conventional catheter angiography for the evaluation of carotid artery stenosis. The authors used dynamic sequences using a 9.5-s scan time with four consecutive three-dimensional acquisitions starting immediately after the bolus injection was initiated. The agreement with conventional angiography was 94% for the detection of severe stenoses.
18. Leclerc X, Martinat P, Godefroy O, Lucas C, Giboreau F, Soto Ares G, et al. Contrast-enhanced three-dimensional with steady-state (FISP) MR angiography of supraaortic vessels: preliminary study. Am J Neuroradiol 1998; 19:1405-1413.
19. Sardanelli F, Zandrino F, Parodi RC, De Caro G. MR angiography of internal carotid arteries: breath-hold gd-enhanced 3D fast imaging with steady-state precession versus unenhanced 2D and 3D time-of-flight techniques. J Comput Assist Tomogr 1999; 23:208-215. •• This study compared a contrast-enhanced three-dimensional MRA sequence using a 30-s scan time with unenhanced two-dimensional and three-dimensional TOF sequences in 30 patients with carotid atherosclerotic disease. The authors found a significant difference in the overestimation of the degree of stenosis with the TOF techniques.
20. Hany TF, McKinnon GC, Leung DA, Pfammatter T, Debatin JF. Optimization of contrast timing for breath-hold three-dimensional MR angiography. J Magn Reson Imaging 1997; 7:551-556.
21. Kim JK, Farb RI, Wright GA, Test bolus examination in the carotid artery at dynamic gadolinium-enhanced MR angiography. Radiology 1998; 206:283-289. • The test bolus examination is described and evaluated to determine its reliability to calculate the transit travel time from a brachial vein to the carotid artery. The technique was found to be a simple tool, that is inexprensive and effective as a prelude to three-dimensional MRA to acquire first-pass arterial enhancement images.
22. Lentschig MG, Reimer P, Rausch-Lentschig UL, Allkemper T, Oelerich M, Laub G, Breath-hold gadolinium-enhanced MR angiography of the major vessels at 1.0 T: dose-response findings and angiographic correlation. Radiology 1998; 208:353-357.
23. Ho VB, Foo TKF. Optimization of gadolinium-enhanced magnetic resonance angiography using an automated bolus-detection algorithm (MR smartprep). Invest Radiol 1998; 33:515-523.
24. Isoda H, Takehara Y, Isogai S, Takeda H, Kaneko M, Nozaki A, et al. Technique for arterial-phase contrast-enhanced three-dimensional MR angiography of the carotid and vertebral arteries. Am J Neuroradiol 1998; 19:1241-1244. • This paper suggests utility of the smartprep technique to selectively enhance the carotid and vertebral arteries. By using a tracker volume placed in the common carotid artery, the three-dimensional angiographic sequence is automatically triggered when the signal increases beyond a preset threshold.
25. Slosman F, Stolpen AH, Lexa FJ, Schnall MD, Langlotz CP, Carpenter JP, et al. Extracranial atherosclerotic carotid artery disease: evaluation of non-breath-hold three-dimensional gadolinium-enhanced MR angiography. AJR Am J Roentgenol 1998; 170:489-495.
26. Leclerc X, Gauvrit JY, Nicol L, Martinat P, Pruvo JP. Gadolinium-enhanced fast three-dimensional angiography of the neck: technical aspect. Invest Radiol 1999; 34:204-210.
27. Krinsky G, Maya M, Rofsky N, Lebowitz J, Nelson PK, Ambrosino M, et al. Gadolinium-enhanced 3D MRA of the aortic arch vessels in the detection of atherosclerotic cerebrovascular occlusive disease. J Comput Assist Tomogr 1998; 22:167-178.