Arlart I P
Radiologisches Institut, Katharinenhospital, Stuttgart.
Radiologe. 1997 Jul;37(7):554-65. doi: 10.1007/s001170050253.
Conventional MR-angiography (MRA) of the abdominal veins is a noninvasive and useful technique that has been accepted in clinical routine. The aim of this presentation is to evaluate the actual status of MRA including contrast-enhanced techniques and to compare clinical results with alternative diagnostic procedures such as ultrasonography, CT, and digital subtraction angiography (DSA).
Four different MRA techniques available today are presented that can be used for examination of the abdominal veins including sequence-parameters of the 2D TOF-FLASH technique, the 2D/ 3D PC techniques, the 2D True FISP technique, and the ultrafast 3D FLASH technique following i.v. administration of Gd-DTPA.
From data of the current literature usefulness and accuracy of MRA is demonstrated in different provinces of the abdominal veins.
On the basis of specific questions that are focused on MRA of the abdominal veins the value of this method is discussed under consideration of different techniques. MRA is evaluated under consideration of critical vascular areas, the role of contrast-enhanced MRA, suitable doses of contrast material, and new hard-ware configurations in the future. Furthermore, advantages and drawbacks of conventional MRA are compared with contrast-enhanced MRA-techniques, ultrasonography, CT and DSA.
腹部静脉的传统磁共振血管造影(MRA)是一种无创且实用的技术,已被临床常规所接受。本报告的目的是评估MRA的实际状况,包括对比增强技术,并将临床结果与超声、CT和数字减影血管造影(DSA)等其他诊断方法进行比较。
介绍了目前可用的四种不同MRA技术,可用于检查腹部静脉,包括二维TOF-FLASH技术、二维/三维PC技术、二维True FISP技术以及静脉注射钆喷酸葡胺后的超快三维FLASH技术的序列参数。
从当前文献数据中可以看出,MRA在腹部静脉的不同区域具有实用性和准确性。
基于针对腹部静脉MRA的具体问题,在考虑不同技术的情况下讨论了该方法的价值。在考虑关键血管区域、对比增强MRA的作用、合适的对比剂剂量以及未来新的硬件配置的情况下对MRA进行了评估。此外,还将传统MRA的优缺点与对比增强MRA技术、超声、CT和DSA进行了比较。