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使用血池造影剂钆布醇三钠的首次通过全身磁共振血管造影(MRA):与钆喷酸葡胺的比较。

First-pass whole-body magnetic resonance angiography (MRA) using the blood-pool contrast medium gadofosveset trisodium: comparison to gadopentetate dimeglumine.

作者信息

Klessen Christian, Hein Patrick A, Huppertz Alexander, Voth Matthias, Wagner Moritz, Elgeti Thomas, Kroll Hannes, Hamm Bernd, Taupitz Matthias, Asbach Patrick

机构信息

Department of Radiology, Charité - Universitätsmedizin Berlin, Charitéplatz 1, 10117 Berlin, Germany.

出版信息

Invest Radiol. 2007 Sep;42(9):659-64. doi: 10.1097/RLI.0b013e318063c635.

Abstract

OBJECTIVES

To evaluate gadofosveset trisodium for first-pass magnetic resonance angiography (MRA) in the setting of whole-body MRA (WB-MRA).

MATERIALS AND METHODS

Forty patients were examined using either 10 mL gadofosveset trisodium (n = 20) or 30 mL gadopentetate dimeglumine (n = 20), followed by arterial-phase imaging of 4 consecutive anatomic regions. Signal intensity was measured in 2 vessels per region. Relative contrast values (RC) were calculated. Arterial contrast, venous overlay, and image quality were rated by 2 radiologists. The Mann-Whitney U test was used to test for significance.

RESULTS

Compared with gadopentetate dimeglumine, gadofosveset trisodium enhanced imaging revealed higher RC values in 2 vessel regions, with the differences being significant in 3 of 4 vessel segments. Gadofosveset trisodium revealed lower RC values in 2 regions with significant differences in 2 segments. Qualitative evaluation revealed higher ratings for gadofosveset trisodium regarding all 3 criteria with significant differences in 2 regions.

CONCLUSIONS

Gadofosveset trisodium serves well for first-pass imaging in WB-MRA.

摘要

目的

评估钆弗塞特三钠用于全身磁共振血管造影(WB-MRA)中的首次通过磁共振血管造影(MRA)。

材料与方法

40例患者分别使用10 mL钆弗塞特三钠(n = 20)或30 mL钆喷酸葡胺(n = 20)进行检查,随后对4个连续解剖区域进行动脉期成像。每个区域在2条血管中测量信号强度。计算相对对比值(RC)。由2名放射科医生对动脉对比、静脉重叠和图像质量进行评分。采用Mann-Whitney U检验进行显著性检验。

结果

与钆喷酸葡胺相比,钆弗塞特三钠增强成像在2个血管区域显示出更高的RC值,在4个血管节段中的3个节段差异具有显著性。钆弗塞特三钠在2个区域显示出较低的RC值,在2个节段差异具有显著性。定性评估显示,钆弗塞特三钠在所有3项标准上的评分更高,在2个区域差异具有显著性。

结论

钆弗塞特三钠在WB-MRA的首次通过成像中表现良好。

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