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PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
4
pubmed:dateCreated
1997-9-23
pubmed:abstractText
The purpose of this study was to evaluate the capability of contrast-enhanced breath-hold fast imaging with steady-state precession (FISP) three-dimensional MR angiography (MRA) to detect stenotic lesions of the abdominal aorta, the renal arteries, and the iliac arteries by using a K-space-centered 20-ml gadolinium-diethylene pentaacetic acid (Gd-DTPA) bolus. Fifty patients were studied before conventional x-ray angiography. Contrast-enhanced breath-hold FISP three-dimensional MRA was applied in the coronal view, centered at the renal arteries. Twenty ml of Gd-DTPA was used in all subjects. A test bolus was applied to determine the injection time for the K-space-centered bolus injection. Of 300 segments, 284 segments were classified correctly, 11 were overestimated, and five were underestimated. Sensitivity was 98%, specificity was 96%, positive predictive value was 96%, negative predictive value was 98%, and accuracy was 97%. Of the 50 patients studied, 43 were staged correctly. No venous overlay was seen in 31 patients; partial overlay was seen in 16 patients, and venous structure overlay obscuring arterial anatomy was found in two patients. Six of nine accessory renal arteries could be identified by MRA. Intraobserver variability was .94. This study has shown the ability of contrast-enhanced breath-hold FISP three-dimensional MRA to detect and grade vascular lesions in the abdominal aorta and the renal arteries. The method may serve as a screening tool in the future.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:issn
1053-1807
pubmed:author
pubmed:issnType
Print
pubmed:volume
7
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
617-22
pubmed:dateRevised
2004-11-17
pubmed:meshHeading
pubmed-meshheading:9243378-Adult, pubmed-meshheading:9243378-Aged, pubmed-meshheading:9243378-Aged, 80 and over, pubmed-meshheading:9243378-Angiography, Digital Subtraction, pubmed-meshheading:9243378-Aorta, Abdominal, pubmed-meshheading:9243378-Aortic Diseases, pubmed-meshheading:9243378-Contrast Media, pubmed-meshheading:9243378-Female, pubmed-meshheading:9243378-Gadolinium, pubmed-meshheading:9243378-Gadolinium DTPA, pubmed-meshheading:9243378-Humans, pubmed-meshheading:9243378-Iliac Artery, pubmed-meshheading:9243378-Image Processing, Computer-Assisted, pubmed-meshheading:9243378-Magnetic Resonance Angiography, pubmed-meshheading:9243378-Male, pubmed-meshheading:9243378-Middle Aged, pubmed-meshheading:9243378-Observer Variation, pubmed-meshheading:9243378-Organometallic Compounds, pubmed-meshheading:9243378-Pentetic Acid, pubmed-meshheading:9243378-Predictive Value of Tests, pubmed-meshheading:9243378-Renal Artery, pubmed-meshheading:9243378-Renal Artery Obstruction, pubmed-meshheading:9243378-Sensitivity and Specificity
pubmed:articleTitle
Contrast-enhanced, K-space-centered, breath-hold MR angiography of the renal arteries and the abdominal aorta.
pubmed:affiliation
Department of Radiology, University Kiel, Germany.
pubmed:publicationType
Journal Article