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  • 1
    ISSN: 1432-1084
    Keywords: Magnetic resonance ; Magnetic resonance-pulse sequences ; Magnetic resonance angiography ; Carotid arteries
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Three-dimensional (3D) time-of-flight methods are used to study anatomy and pathology of the supra-aortic arteries because they are quick and optimal for fast-flow conditions. Although highest signal intensities can be obtained by orientating the sections perpendicular to the long axis of the artery (axial), sagittal and/or coronal slice orientations cover the regions of interest with smaller volumes and therefore give adequate information in less time. Sagittal and coronal time-of-flight magnetic resonance angiography (MRA) gave excellent results (sensitivity 92.3%, specificity 85.7%, accuracy 90.9%) compared with intra-arterial digital subtraction angiography (DSA) in 30 patients, when coronal and sagittal acquisition were combined for final diagnosis. These values decreased to 69.6%/57.1%/66.7% for coronal and 83.6%/78.6%/81.7% for sagittal sections. Reasons for the variable extent of signal dropout at the site of a stenosis and for the different appearances of post-stenotic slow flow in the various planes are explained by T1 phenomena and intravoxel phase dispersion due to variable parameter settings.
    Type of Medium: Electronic Resource
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  • 2
    Electronic Resource
    Electronic Resource
    Springer
    European radiology 7 (1997), S. S178 
    ISSN: 1432-1084
    Keywords: Key words: Magnetic resonance angiography ; Contrast media ; Pulmonary arteries ; Carotid arteries ; Renal arteries
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract. MR angiography (MRA) is a technique under ongoing discussion. Its non-invasiveness and sensitivity to flow irregularities make it an investigational technique which is easy to apply but which does not always lead to comprehensive results. It requires special skill to perform and also experience for correct interpretation of the results. The lengthiness of the procedure combined with certain physical properties tends to limit its use to mostly neurovascular applications. With the introduction of ultrafast MRA in conjunction with peripheral bolus-injection of extracellular contrast media, a new approach to the imaging of such regions as the thoracic and abdominal vasculature not to mention other vascular territories has become possible. In this paper, considerations of bolus and measurement optimization and timing protocols for dedicated indications are presented together with an overview on the experience acquired to date for CE-MRA of the carotid artery, mediastinal and pulmonary vessels, abdominal vasculature, and peripheral vessels. The main advantage of ultrafast CE-MRA is that patients are subjected to much more tolerable breath-hold investigations with the result that physiological motion such as peristalsis or major pulsation is minimised.
    Type of Medium: Electronic Resource
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