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非增强磁共振血管造影:胸部、腹部和盆腔成像中的物理原理及临床应用

Non-contrast MR angiography: physical principles and clinical applications in chest, abdomen and pelvis imaging.

作者信息

Gumus Kazim Z, Virarkar Mayur, Miyazaki Mitsue, Francois Christopher J, Kee-Sampson Joanna, Gopireddy Dheeraj R

机构信息

Department of Radiology, College of Medicine, University of Florida, Jacksonville, FL, USA.

Department of Radiology, University of California, San Diego, School of Medicine, San Diego, CA, USA.

出版信息

Abdom Radiol (NY). 2025 Jan;50(1):453-466. doi: 10.1007/s00261-024-04500-8. Epub 2024 Jul 20.

Abstract

This review article focuses on the advancements in non-contrast magnetic resonance angiography (NC-MRA) and its increasing importance in body imaging, especially for patients with renal complications, pregnant women, and children. It highlights the relevance of NC-MRA in chest, abdominal, and pelvis imaging and details various bright-blood NC-MRA techniques like cardiac-gated 3D Fast Spin Echo (FSE), balanced Steady-State Free Precession (bSSFP), Arterial Spin Labeling (ASL), and 4D flow methods. The article explains the operational principles of these techniques, their clinical applications, and their advantages over traditional contrast-enhanced methods. Special attention is given to the utility of these techniques in diverse imaging scenarios, including liver, renal, and pelvic imaging. The article underscores the growing importance of NC-MRA in medical diagnostics, offering insights into current practices and potential future developments. This comprehensive review is a valuable resource for radiologists and clinicians, emphasizing NC-MRA's role in enhancing patient care and diagnostic accuracy across various medical conditions.

摘要

这篇综述文章聚焦于非对比磁共振血管造影(NC-MRA)的进展及其在体部成像中日益增加的重要性,特别是对于有肾脏并发症的患者、孕妇和儿童。它强调了NC-MRA在胸部、腹部和盆腔成像中的相关性,并详细介绍了各种亮血NC-MRA技术,如心脏门控三维快速自旋回波(FSE)、平衡稳态自由进动(bSSFP)、动脉自旋标记(ASL)和四维血流方法。文章解释了这些技术的操作原理、临床应用以及它们相对于传统对比增强方法的优势。特别关注了这些技术在包括肝脏、肾脏和盆腔成像在内的各种成像场景中的实用性。文章强调了NC-MRA在医学诊断中日益增长的重要性,深入探讨了当前的实践和潜在的未来发展。这篇全面的综述对于放射科医生和临床医生来说是一份宝贵的资源,强调了NC-MRA在改善各种医疗状况下患者护理和诊断准确性方面的作用。

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