Advertisement

Gadolinium-free MR in coarctation—can contrast-enhanced MR angiography be replaced?

  • Peter I. Kalmar
    Correspondence
    Corresponding author. Medical University of Graz, LKH-Univ. Klinikum Graz, Auenbruggerplatz 9, 8036 Graz, Austria. Tel.: +43-316-385-30001; fax: +43-316-385-13851.
    Affiliations
    Department of Radiology, Division of Pediatric Radiology, Medical University of Graz, LKH-Univ. Klinikum Graz, Austria

    Department of Radiology, Division of Vascular and Interventional Radiology, Medical University of Graz, LKH-Univ. Klinikum Graz, Austria
    Search for articles by this author
  • Martin Koestenberger
    Affiliations
    Department of Pediatrics and Adolescent Medicine, Division of Pediatric Cardiology, Medical University of Graz, LKH-Univ. Klinikum Graz, Austria
    Search for articles by this author
  • Robert Marterer
    Affiliations
    Department of Radiology, Division of Pediatric Radiology, Medical University of Graz, LKH-Univ. Klinikum Graz, Austria
    Search for articles by this author
  • Sebastian Tschauner
    Affiliations
    Department of Radiology, Division of Pediatric Radiology, Medical University of Graz, LKH-Univ. Klinikum Graz, Austria
    Search for articles by this author
  • Erich Sorantin
    Affiliations
    Department of Radiology, Division of Pediatric Radiology, Medical University of Graz, LKH-Univ. Klinikum Graz, Austria
    Search for articles by this author

      Abstract

      Objective

      To determine the difference in vessel measurements, signal-to-noise ratio (SNR), and voxel size between contrast-enhanced and noncontrast magnetic resonance techniques in patients with coarctation of the aorta (CoA).

      Materials and methods

      In 39 patients, vessel size, SNR, and voxel size were compared in cine magnetic resonance imaging (MRI), gadolinium-free magnetic resonance angiography (Gd-free MRA), and contrast-enhanced MRA (ce-MRA).

      Results

      There was no significant difference in measurement and SNR, but there was a significant difference in voxel size (P<.001).

      Conclusions

      Our results show that, in CoA patients, monitoring of vessel size using cine MRI and Gd-free MRA is equivalent to ce-MRA while being less invasive.

      Keywords

      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to Clinical Imaging
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • Ferguson EC
        • Krishnamurthy R
        • Oldham SAA
        Classic imaging signs of congenital cardiovascular abnormalities.
        Radiographics. 2007; 27: 1323-1334https://doi.org/10.1148/rg.275065148
        • Elzenga NJ
        • AC
        • GG
        Localised coarctation of the aorta. An age dependent spectrum.
        Br Heart J. 1983; 49: 317-323
        • Rao PS
        • Chopra PS
        Role of balloon angioplasty in the treatment of aortic coarctation.
        Ann Thorac Surg. 1991; 52: 621-631
        • Thanopoulos BD
        • Giannakoulas G
        • Giannopoulos A
        • Galdo F
        • Tsaoussis GS
        Initial and six-year results of stent implantation for aortic coarctation in children.
        Am J Cardiol. 2012; 109: 1499-1503https://doi.org/10.1016/j.amjcard.2012.01.365
        • Roos-Hesselink JW
        • Schölzel BE
        • Heijdra RJ
        • Spitaels SEC
        • Meijboom FJ
        • Boersma E
        • et al.
        Aortic valve and aortic arch pathology after coarctation repair.
        Heart. 2003; 89: 1074-1077
        • Roselli EE
        • Qureshi A
        • Idrees J
        • Lima B
        • Greenberg RK
        • LG Svensson
        • et al.
        Open, hybrid, and endovascular treatment for aortic coarctation and postrepair aneurysm in adolescents and adults.
        Ann Thorac Surg. 2012;
        • Rosenthal E
        Coarctation of the aorta from fetus to adult: curable condition or life long disease process?.
        Heart. 2005; 91: 1495-1502
        • Cohen M
        • Fuster V
        • Steele PM
        • Driscoll D
        • McGoon DC
        Coarctation of the aorta. Long-term follow-up and prediction of outcome after surgical correction.
        Circulation. 1989; 80: 840-845https://doi.org/10.1161/01.CIR.80.4.840
        • Tsai SF
        • Trivedi M
        • CJ Daniels
        Comparing imaging modalities for screening aortic complications in patients with bicuspid aortic valve.
        Congenit Heart Dis. 2012;
        • Muzzarelli S
        • Meadows AK
        • Ordovas KG
        • Higgins CB
        • Meadows JJ
        Usefulness of cardiovascular magnetic resonance imaging to predict the need for intervention in patients with coarctation of the aorta.
        Am J Cardiol. 2012; 109: 861-865
        • Cantinotti M
        • Hegde S
        • Bell A
        • Razavi R
        Diagnostic role of magnetic resonance imaging in identifying aortic arch anomalies.
        Congenit Heart Dis. 2008; 3: 117-123
        • Thomsen HS
        Contrast media and the kidney: European Society of Urogenital Radiology (ESUR) guidelines.
        Br J Radiol. 2003; 76: 513-518https://doi.org/10.1259/bjr/26964464
        • Bongartz G
        • Mayr M
        • Bilecen D
        Magnetic resonance angiography (MRA) in renally impaired patients: when and how.
        Eur J Radiol. 2008; 66: 213-219
        • Katoh M
        • Buecker A
        • Stuber M
        • Günther RW
        • Spuentrup E
        Free-breathing renal MR angiography with steady-state free-precession (SSFP) and slab-selective spin inversion: initial results.
        Kidney Int. 2004; 66: 1272-1278https://doi.org/10.1111/j.1523-1755.2004.00882.x
        • Coenegrachts KL
        • Hoogeveen RM
        • Vaninbroukx JA
        • Bosmans HT
        • Bielen DJ
        • Maleux G
        • et al.
        High-spatial-resolution 3D balanced turbo field-echo technique for MR angiography of the renal arteries: initial experience.
        Radiology. 2004; 231: 237-242https://doi.org/10.1148/radiol.2311030044
        • Riquelme C
        • Laissy JP
        • Menegazzo D
        • Debray MP
        • Cinqualbre A
        • Langlois J
        • et al.
        MR imaging of coarctation of the aorta and its postoperative complications in adults: assessment with spin-echo and cine-MR imaging.
        Magn Reson Imaging. 1999; 17: 37-46
        • Varaprasathan GA
        • Araoz PA
        • Higgins CB
        • Reddy GP
        Quantification of flow dynamics in congenital heart disease: applications of velocity-encoded cine MR imaging.
        Radiographics. 2002; 22 ([discussion 905–6]): 895-905
        • Kaufman L
        • Kramer DM
        • Crooks LE
        • Ortendahl DA
        Measuring signal-to-noise ratios in MR imaging.
        Radiology. 1989; 173: 265-267https://doi.org/10.1148/radiology.173.1.2781018
        • Schmidta M
        • Theissen P
        • Klempt G
        • Deutsch HJ
        • Baer FM
        • Dietlein M
        • et al.
        Long-term follow-up of 82 patients with chronic disease of the thoracic aorta using spin-echo and cine gradient magnetic resonance imaging.
        Magn Reson Imaging. 2000; 18: 795-806
        • Eichhorn JG
        • Krissak R
        • Rüdiger H-JH-J
        • Ley S
        • Arnold R
        • Boese J
        • et al.
        Compliance of the normal-sized aorta in adolescents with Marfan syndrome: comparison of MR measurements of aortic distensibility and pulse wave velocity.
        RöFo. 2007; 179: 841-846https://doi.org/10.1055/s-2007-963192
        • Morasch MD
        • Gurjala AN
        • Washington E
        • Chiou AC
        • Simonetti OP
        • Finn JP
        • et al.
        Cross-sectional magnetic resonance angiography is accurate in predicting degree of carotid stenosis.
        Ann Vasc Surg. 2002; 16: 266-272https://doi.org/10.1007/s10016-001-0102-z
      1. Ota H, Takase K, Rikimaru H, Tsuboi M, Yamada T, Sato A, et al. Quantitative vascular measurements in arterial occlusive disease. Radiographics 25:1141–58. doi:http://dx.doi.org/10.1148/rg.255055014.

        • Bartlett ES
        • Symons SP
        • Fox AJ
        Correlation of carotid stenosis diameter and cross-sectional areas with CT angiography.
        AJNR Am J Neuroradiol. 2006; 27: 638-642
        • Isselbacher EM
        Thoracic and abdominal aortic aneurysms.
        Circulation. 2005; 111: 816-828https://doi.org/10.1161/01.CIR.0000154569.08857.7A
        • Hiratzka LF
        • Bakris GL
        • Beckman JA
        • Bersin RM
        • Carr VF
        • Casey DE
        • et al.
        2010 ACCF/AHA/AATS/ACR/ASA/SCA/SCAI/SIR/STS/SVM guidelines for the diagnosis and management of patients with thoracic aortic disease: executive summary: a report of the American College of Cardiology Foundation/American Heart Association Task Force on PRA.
        Anesth Analg. 2010; 111: 279-315https://doi.org/10.1213/ANE.0b013e3181dd869b
        • Nienaber CA
        • Kische S
        • Skriabina V
        • Ince H
        Noninvasive imaging approaches to evaluate the patient with known or suspected aortic disease.
        Circ Cardiovasc Imaging. 2009; 2: 499-506https://doi.org/10.1161/CIRCIMAGING.109.850206
        • Pereles FS
        • McCarthy RM
        • Baskaran V
        • Carr JC
        • Kapoor V
        • Krupinski EA
        • et al.
        Thoracic aortic dissection and aneurysm: evaluation with nonenhanced true FISP MR angiography in less than 4 minutes.
        Radiology. 2002; 223: 270-274https://doi.org/10.1148/radiol.2231010966