Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
5
pubmed:dateCreated
1998-12-21
pubmed:abstractText
The purpose of this study was to assess the diagnostic value of two-dimensional (2D) MR subtraction angiography of lower extremities in patients with symptomatic peripheral arterial occlusive disease with conventional angiography as the standard of reference. Twenty patients were prospectively included. 2D subtraction MR angiography (MRA) consisted of multisection gradient-recalled echo (GRE) acquisitions with the shortest TE available on our machine (4 msec), obtained in the coronal plane before and after intravenous bolus administration of gadolinium chelate. MR images were reconstructed after subtraction with a maximum-pixel-intensity-projection (MIP) algorithm. MRA was performed in all cases 1-4 days before diagnostic angiography. In a prospective blinded analysis, the number and location of significant (ie, >50%) stenoses and occlusions were evaluated for each vascular segment. Sensitivity and specificity were used to evaluate MRA data. Significant stenoses (38 of 46, 83%) and occlusions (66 of 67, 99%) seen at conventional angiography were identified with MRA. The sensitivity and specificity of MRA for determination of stenoses >50% or occlusions was 100% and 97%, respectively. The location and extent of stenoses and/or occlusions on MRA and angiograms were well correlated (kappa values, r = .73, P < .05). Contrast 2D MR subtraction angiography, by providing comparable information to that of conventional angiography, is well suited to evaluate the presence and severity of atherosclerotic lesions of the lower limbs.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:issn
1053-1807
pubmed:author
pubmed:issnType
Print
pubmed:volume
8
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
1060-5
pubmed:dateRevised
2006-11-15
pubmed:meshHeading
pubmed-meshheading:9786142-Algorithms, pubmed-meshheading:9786142-Arterial Occlusive Diseases, pubmed-meshheading:9786142-Contrast Media, pubmed-meshheading:9786142-Feasibility Studies, pubmed-meshheading:9786142-Female, pubmed-meshheading:9786142-Gadolinium, pubmed-meshheading:9786142-Humans, pubmed-meshheading:9786142-Image Processing, Computer-Assisted, pubmed-meshheading:9786142-Magnetic Resonance Angiography, pubmed-meshheading:9786142-Male, pubmed-meshheading:9786142-Meglumine, pubmed-meshheading:9786142-Middle Aged, pubmed-meshheading:9786142-Observer Variation, pubmed-meshheading:9786142-Organometallic Compounds, pubmed-meshheading:9786142-Peripheral Vascular Diseases, pubmed-meshheading:9786142-Prospective Studies, pubmed-meshheading:9786142-Sensitivity and Specificity, pubmed-meshheading:9786142-Subtraction Technique
pubmed:articleTitle
Prospective evaluation of peripheral arterial occlusive disease by 2D MR subtraction angiography.
pubmed:affiliation
Department of Radiology, Hôpital Bichat, Paris, France.
pubmed:publicationType
Journal Article, Comparative Study