Zoltán P Nagy, Bogner Péter, Bajzik Gábor, Repa Imre
Kaposvári Egyetem, Diagnosztikai Intézet.
Orv Hetil. 2003 Jul 20;144(29):1419-25.
Three-dimensional contrast enhanced magnetic resonance angiography (3D CE MRA) is an increasingly important tool in modern noninvasive vascular imaging. MR angiography has rapidly advanced in the past few years making vascular imaging throughout the body safer and more accurate.
The authors analyse the diagnostic and clinical value of the method based on their own experience and guidelines given by the literature. This article describes the basic technical principles of 3D CE MRA, and gives a short overview of the usefulness of this technique investigating vascular diseases.
Between August 17, 1999 and September 28, 2001 the authors performed eighty nine contrast-enhanced MR angiography with a 1.5 T scanner. Contrast material was administered intravenuosly with a power injector. The most frequent examinations included imaging of the aorta, supraaortic and renal arteries.
82 technically successful angiography was performed. The images could not be evaluated due to poor quality in 5 cases and failure in 2 cases. MR angiographic images provided adequate spatial resolution within single breathhold.
The time-of-flight and phase contrast MR angiographic techniques have been replaced in most vascular territories by the contrast-enhanced method. With future technical developments greater spatial and temporal resolution will become possible, thus increasing the usefulness of 3D CE MR angiography. In the near future this method of imaging will become the method of choice in the investigation of the arterial system, and in some special cases of the venous system.
三维对比增强磁共振血管造影(3D CE MRA)在现代无创血管成像中是一种日益重要的工具。在过去几年中,磁共振血管造影发展迅速,使全身血管成像更安全、更准确。
作者根据自身经验及文献给出的指南分析该方法的诊断和临床价值。本文描述了3D CE MRA的基本技术原理,并简要概述了该技术在研究血管疾病方面的实用性。
在1999年8月17日至2001年9月28日期间,作者使用1.5T扫描仪进行了89次对比增强磁共振血管造影。通过高压注射器静脉注射造影剂。最常见的检查包括主动脉、主动脉弓及肾动脉成像。
共进行了82次技术上成功的血管造影。5例因图像质量差、2例因失败而无法评估图像。磁共振血管造影图像在单次屏气内提供了足够的空间分辨率。
在大多数血管区域,飞行时间和相位对比磁共振血管造影技术已被对比增强方法所取代。随着未来技术的发展,更高的空间和时间分辨率将成为可能,从而增加3D CE MRA的实用性。在不久的将来,这种成像方法将成为动脉系统及某些特殊情况下静脉系统检查的首选方法。