Skip to main content
Top
Published in: European Radiology 11/2009

01-11-2009 | Magnetic Resonance

MR angiography with parallel acquisition for assessment of the visceral arteries: comparison with conventional MR angiography and 64-detector-row computed tomography

Authors: Reto Sutter, Christina Heilmaier, Amelie M. Lutz, Dominik Weishaupt, Burkhardt Seifert, Jürgen K. Willmann

Published in: European Radiology | Issue 11/2009

Login to get access

Abstract

The purpose of the study was to retrospectively compare three-dimensional gadolinium-enhanced magnetic resonance angiography (conventional MRA) with MRA accelerated by a parallel acquisition technique (fast MRA) for the assessment of visceral arteries, using 64-detector-row computed tomography angiography (MDCTA) as the reference standard. Eighteen patients underwent fast MRA (imaging time 17 s), conventional MRA (29 s) and MDCTA of the abdomen and pelvis. Two independent readers assessed subjective image quality and the presence of arterial stenosis. Data were analysed on per-patient and per-segment bases. Fast MRA yielded better subjective image quality in all segments compared with conventional MRA (P = 0.012 for reader 1, P = 0.055 for reader 2) because of fewer motion-induced artefacts. Sensitivity and specificity of fast MRA for the detection of arterial stenosis were 100% for both readers. Sensitivity of conventional MRA was 89% for both readers, and specificity was 100% (reader 1) and 99% (reader 2). Differences in sensitivity between the two types of MRA were not significant for either reader. Interobserver agreement for the detection of arterial stenosis was excellent for fast (κ = 1.00) and good for conventional MRA (κ = 0.76). Thus, subjective image quality of visceral arteries remains good on fast MRA compared with conventional MRA, and the two techniques do not differ substantially in the grading of arterial stenosis, despite the markedly reduced acquisition time of fast MRA.
Literature
1.
go back to reference Cognet F, Ben Salem D, Dranssart M et al (2002) Chronic mesenteric ischemia: imaging and percutaneous treatment. Radiographics 22:863–879PubMed Cognet F, Ben Salem D, Dranssart M et al (2002) Chronic mesenteric ischemia: imaging and percutaneous treatment. Radiographics 22:863–879PubMed
2.
go back to reference Horton KM, Fishman EK (2007) Multidetector CT angiography in the diagnosis of mesenteric ischemia. Radiol Clin North Am 45:275–288CrossRefPubMed Horton KM, Fishman EK (2007) Multidetector CT angiography in the diagnosis of mesenteric ischemia. Radiol Clin North Am 45:275–288CrossRefPubMed
3.
go back to reference Shih M-CP, Hagspiel KD (2007) CTA and MRA in mesenteric ischemia: part 1, role in diagnosis and differential diagnosis. AJR Am J Roentgenol 188:452–461CrossRefPubMed Shih M-CP, Hagspiel KD (2007) CTA and MRA in mesenteric ischemia: part 1, role in diagnosis and differential diagnosis. AJR Am J Roentgenol 188:452–461CrossRefPubMed
4.
go back to reference Meaney JF, Prince MR, Nostrant TT, Stanley JC (1997) Gadolinium-enhanced MR angiography of visceral arteries in patients with suspected chronic mesenteric ischemia. J Magn Reson Imaging 7:171–176CrossRefPubMed Meaney JF, Prince MR, Nostrant TT, Stanley JC (1997) Gadolinium-enhanced MR angiography of visceral arteries in patients with suspected chronic mesenteric ischemia. J Magn Reson Imaging 7:171–176CrossRefPubMed
5.
go back to reference Hany TF, Schmidt M, Schoenenberger AW, Debatin JF (1998) Contrast-enhanced three-dimensional magnetic resonance angiography of the splanchnic vasculature before and after caloric stimulation. Original investigation. Invest Radiol 33:682–686 Hany TF, Schmidt M, Schoenenberger AW, Debatin JF (1998) Contrast-enhanced three-dimensional magnetic resonance angiography of the splanchnic vasculature before and after caloric stimulation. Original investigation. Invest Radiol 33:682–686
6.
go back to reference Heiss SG, Li KC (1998) Magnetic resonance angiography of mesenteric arteries. A review. Invest Radiol 33:670–681CrossRefPubMed Heiss SG, Li KC (1998) Magnetic resonance angiography of mesenteric arteries. A review. Invest Radiol 33:670–681CrossRefPubMed
7.
go back to reference Billaud Y, Beuf O, Desjeux G, Valette PJ, Pilleul F (2005) 3D contrast-enhanced MR angiography of the abdominal aorta and its distal branches: interobserver agreement of radiologists in a routine examination. Acad Radiol 12:155–163CrossRefPubMed Billaud Y, Beuf O, Desjeux G, Valette PJ, Pilleul F (2005) 3D contrast-enhanced MR angiography of the abdominal aorta and its distal branches: interobserver agreement of radiologists in a routine examination. Acad Radiol 12:155–163CrossRefPubMed
8.
go back to reference Ernst O, Asnar V, Sergent G et al (2000) Comparing contrast-enhanced breath-hold MR angiography and conventional angiography in the evaluation of mesenteric circulation. AJR Am J Roentgenol 174:433–439PubMed Ernst O, Asnar V, Sergent G et al (2000) Comparing contrast-enhanced breath-hold MR angiography and conventional angiography in the evaluation of mesenteric circulation. AJR Am J Roentgenol 174:433–439PubMed
9.
go back to reference Prince MR, Narasimham DL, Stanley JC et al (1995) Breath-hold gadolinium-enhanced MR angiography of the abdominal aorta and its major branches. Radiology 197:785–792PubMed Prince MR, Narasimham DL, Stanley JC et al (1995) Breath-hold gadolinium-enhanced MR angiography of the abdominal aorta and its major branches. Radiology 197:785–792PubMed
10.
go back to reference Sodickson DK, Manning WJ (1997) Simultaneous acquisition of spatial harmonics (SMASH): fast imaging with radiofrequency coil arrays. Magn Reson Med 38:591–603CrossRefPubMed Sodickson DK, Manning WJ (1997) Simultaneous acquisition of spatial harmonics (SMASH): fast imaging with radiofrequency coil arrays. Magn Reson Med 38:591–603CrossRefPubMed
11.
go back to reference Pruessmann KP, Weiger M, Scheidegger MB, Boesiger P (1999) SENSE: sensitivity encoding for fast MRI. Magn Reson Med 42:952–962CrossRefPubMed Pruessmann KP, Weiger M, Scheidegger MB, Boesiger P (1999) SENSE: sensitivity encoding for fast MRI. Magn Reson Med 42:952–962CrossRefPubMed
12.
go back to reference Heilmaier C, Sutter R, Lutz AM et al (2007) Mapping of hepatic vascular anatomy: dynamic contrast-enhanced parallel MR imaging compared with 64 detector row CT. Radiology 245:872–880CrossRefPubMed Heilmaier C, Sutter R, Lutz AM et al (2007) Mapping of hepatic vascular anatomy: dynamic contrast-enhanced parallel MR imaging compared with 64 detector row CT. Radiology 245:872–880CrossRefPubMed
13.
go back to reference McKenzie CA, Lim D, Ransil BJ et al (2004) Shortening MR image acquisition time for volumetric interpolated breath-hold examination with a recently developed parallel imaging reconstruction technique: clinical feasibility. Radiology 230:589–594CrossRefPubMed McKenzie CA, Lim D, Ransil BJ et al (2004) Shortening MR image acquisition time for volumetric interpolated breath-hold examination with a recently developed parallel imaging reconstruction technique: clinical feasibility. Radiology 230:589–594CrossRefPubMed
14.
go back to reference Werder R, Nanz D, Lutz AM et al (2007) Assessment of the abdominal aorta and its visceral branches by contrast-enhanced dynamic volumetric hepatic parallel magnetic resonance imaging: feasibility, reliability and accuracy. Eur Radiol 17:541–551CrossRefPubMed Werder R, Nanz D, Lutz AM et al (2007) Assessment of the abdominal aorta and its visceral branches by contrast-enhanced dynamic volumetric hepatic parallel magnetic resonance imaging: feasibility, reliability and accuracy. Eur Radiol 17:541–551CrossRefPubMed
15.
go back to reference Xu PJ, Yan FH, Wang JH, Lin J, Fan J (2007) Utilizing generalized autocalibrating partial parallel acquisition (GRAPPA) to achieve high-resolution contrast-enhanced MR angiography of hepatic artery: initial experience in orthotopic liver transplantation candidates. Eur J Radiol 61:507–512CrossRefPubMed Xu PJ, Yan FH, Wang JH, Lin J, Fan J (2007) Utilizing generalized autocalibrating partial parallel acquisition (GRAPPA) to achieve high-resolution contrast-enhanced MR angiography of hepatic artery: initial experience in orthotopic liver transplantation candidates. Eur J Radiol 61:507–512CrossRefPubMed
16.
go back to reference Ho LM, Merkle EM, Paulson EK, Dale BM (2007) Contrast-enhanced hepatic magnetic resonance angiography at 3 T: does parallel imaging improve image quality? J Comput Assist Tomogr 31:177–180CrossRefPubMed Ho LM, Merkle EM, Paulson EK, Dale BM (2007) Contrast-enhanced hepatic magnetic resonance angiography at 3 T: does parallel imaging improve image quality? J Comput Assist Tomogr 31:177–180CrossRefPubMed
17.
go back to reference Sutter R, Nanz D, Lutz AM et al (2007) Assessment of aortoiliac and renal arteries: MR angiography with parallel acquisition versus conventional MR angiography and digital subtraction angiography. Radiology 245:276–284CrossRefPubMed Sutter R, Nanz D, Lutz AM et al (2007) Assessment of aortoiliac and renal arteries: MR angiography with parallel acquisition versus conventional MR angiography and digital subtraction angiography. Radiology 245:276–284CrossRefPubMed
18.
go back to reference Kroencke TJ, Wasser MN, Pattynama PM et al (2002) Gadobenate dimeglumine-enhanced MR angiography of the abdominal aorta and renal arteries. AJR Am J Roentgenol 179:1573–1582PubMed Kroencke TJ, Wasser MN, Pattynama PM et al (2002) Gadobenate dimeglumine-enhanced MR angiography of the abdominal aorta and renal arteries. AJR Am J Roentgenol 179:1573–1582PubMed
19.
go back to reference Schoenberg SO, Bock M, Knopp MV et al (1999) Renal arteries: optimization of three-dimensional gadolinium-enhanced MR angiography with bolus-timing-independent fast multiphase acquisition in a single breath hold. Radiology 211:667–679PubMed Schoenberg SO, Bock M, Knopp MV et al (1999) Renal arteries: optimization of three-dimensional gadolinium-enhanced MR angiography with bolus-timing-independent fast multiphase acquisition in a single breath hold. Radiology 211:667–679PubMed
20.
go back to reference Goyen M, Herborn CU, Kroger K, Lauenstein TC, Debatin JF, Ruehm SG (2003) Detection of atherosclerosis: systemic imaging for systemic disease with whole-body three-dimensional MR angiography - initial experience. Radiology 227:277–282CrossRefPubMed Goyen M, Herborn CU, Kroger K, Lauenstein TC, Debatin JF, Ruehm SG (2003) Detection of atherosclerosis: systemic imaging for systemic disease with whole-body three-dimensional MR angiography - initial experience. Radiology 227:277–282CrossRefPubMed
21.
go back to reference Goldfarb JW (2004) The SENSE ghost: field-of-view restrictions for SENSE imaging. J Magn Reson Imaging 20:1046–1051CrossRefPubMed Goldfarb JW (2004) The SENSE ghost: field-of-view restrictions for SENSE imaging. J Magn Reson Imaging 20:1046–1051CrossRefPubMed
22.
go back to reference Goshima S, Kanematsu M, Kondo H et al (2006) MDCT of the liver and hypervascular hepatocellular carcinomas: optimizing scan delays for bolus-tracking techniques of hepatic arterial and portal venous phases. AJR Am J Roentgenol 187:W25–W32CrossRefPubMed Goshima S, Kanematsu M, Kondo H et al (2006) MDCT of the liver and hypervascular hepatocellular carcinomas: optimizing scan delays for bolus-tracking techniques of hepatic arterial and portal venous phases. AJR Am J Roentgenol 187:W25–W32CrossRefPubMed
23.
go back to reference Chen Q, Quijano CV, Mai VM et al (2004) On improving temporal and spatial resolution of 3D contrast-enhanced body MR angiography with parallel imaging. Radiology 231:893–899CrossRefPubMed Chen Q, Quijano CV, Mai VM et al (2004) On improving temporal and spatial resolution of 3D contrast-enhanced body MR angiography with parallel imaging. Radiology 231:893–899CrossRefPubMed
24.
go back to reference Zenge MO, Vogt FM, Brauck K et al (2006) High-resolution continuously acquired peripheral MR angiography featuring partial parallel imaging GRAPPA. Magn Reson Med 56:859–865CrossRefPubMed Zenge MO, Vogt FM, Brauck K et al (2006) High-resolution continuously acquired peripheral MR angiography featuring partial parallel imaging GRAPPA. Magn Reson Med 56:859–865CrossRefPubMed
25.
go back to reference Landis JR, Koch GG (1977) An application of hierarchical kappa-type statistics in the assessment of majority agreement among multiple observers. Biometrics 33:363–374CrossRefPubMed Landis JR, Koch GG (1977) An application of hierarchical kappa-type statistics in the assessment of majority agreement among multiple observers. Biometrics 33:363–374CrossRefPubMed
26.
go back to reference Shirkhoda A, Konez O, Shetty AN, Bis KG, Ellwood RA, Kirsch MJ (1998) Contrast-enhanced MR angiography of the mesenteric circulation: a pictorial essay. Radiographics 18:851–861 discussion 862–855PubMed Shirkhoda A, Konez O, Shetty AN, Bis KG, Ellwood RA, Kirsch MJ (1998) Contrast-enhanced MR angiography of the mesenteric circulation: a pictorial essay. Radiographics 18:851–861 discussion 862–855PubMed
27.
go back to reference Jeays AD, Lawford PV, Gillott R et al (2007) Characterisation of the haemodynamics of the superior mesenteric artery. J Biomech 40:1916–1926CrossRefPubMed Jeays AD, Lawford PV, Gillott R et al (2007) Characterisation of the haemodynamics of the superior mesenteric artery. J Biomech 40:1916–1926CrossRefPubMed
28.
go back to reference Wasser MN, Geelkerken RH, Kouwenhoven M et al (1996) Systolically gated 3D phase contrast MRA of mesenteric arteries in suspected mesenteric ischemia. J Comput Assist Tomogr 20:262–268CrossRefPubMed Wasser MN, Geelkerken RH, Kouwenhoven M et al (1996) Systolically gated 3D phase contrast MRA of mesenteric arteries in suspected mesenteric ischemia. J Comput Assist Tomogr 20:262–268CrossRefPubMed
29.
go back to reference Schoepf UJ, Becker C, Bruning R et al (1999) Computed tomography of the abdomen with multidetector-array CT. Radiologe 39:652–661CrossRefPubMed Schoepf UJ, Becker C, Bruning R et al (1999) Computed tomography of the abdomen with multidetector-array CT. Radiologe 39:652–661CrossRefPubMed
30.
go back to reference Vasbinder GB, Maki JH, Nijenhuis RJ et al (2002) Motion of the distal renal artery during three-dimensional contrast-enhanced breath-hold MRA. J Magn Reson Imaging 16:685–696CrossRefPubMed Vasbinder GB, Maki JH, Nijenhuis RJ et al (2002) Motion of the distal renal artery during three-dimensional contrast-enhanced breath-hold MRA. J Magn Reson Imaging 16:685–696CrossRefPubMed
31.
go back to reference Nael K, Saleh R, Lee M et al (2006) High-spatial-resolution contrast-enhanced MR angiography of abdominal arteries with parallel acquisition at 3.0 T: initial experience in 32 patients. AJR Am J Roentgenol 187:W77–W85CrossRefPubMed Nael K, Saleh R, Lee M et al (2006) High-spatial-resolution contrast-enhanced MR angiography of abdominal arteries with parallel acquisition at 3.0 T: initial experience in 32 patients. AJR Am J Roentgenol 187:W77–W85CrossRefPubMed
32.
go back to reference Chang KJ, Kamel IR, Macura KJ, Bluemke DA (2008) 3.0-T MR imaging of the abdomen: comparison with 1.5 T. Radiographics 28:1983–1998CrossRefPubMed Chang KJ, Kamel IR, Macura KJ, Bluemke DA (2008) 3.0-T MR imaging of the abdomen: comparison with 1.5 T. Radiographics 28:1983–1998CrossRefPubMed
33.
go back to reference Krautmacher C, Willinek WA, Tschampa HJ et al (2005) Brain tumors: full- and half-dose contrast-enhanced MR imaging at 3.0 T compared with 1.5 T–initial experience. Radiology 237:1014–1019CrossRefPubMed Krautmacher C, Willinek WA, Tschampa HJ et al (2005) Brain tumors: full- and half-dose contrast-enhanced MR imaging at 3.0 T compared with 1.5 T–initial experience. Radiology 237:1014–1019CrossRefPubMed
34.
go back to reference Michaely HJ, Kramer H, Dietrich O et al (2007) Intraindividual comparison of high-spatial-resolution abdominal MR angiography at 1.5 T and 3.0 T: initial experience. Radiology 244:907–913CrossRefPubMed Michaely HJ, Kramer H, Dietrich O et al (2007) Intraindividual comparison of high-spatial-resolution abdominal MR angiography at 1.5 T and 3.0 T: initial experience. Radiology 244:907–913CrossRefPubMed
35.
go back to reference Nael K, Laub G, Finn JP (2005) Three-dimensional contrast-enhanced MR angiography of the thoraco-abdominal vessels. Magn Reson Imaging Clin N Am 13:359–380CrossRefPubMed Nael K, Laub G, Finn JP (2005) Three-dimensional contrast-enhanced MR angiography of the thoraco-abdominal vessels. Magn Reson Imaging Clin N Am 13:359–380CrossRefPubMed
Metadata
Title
MR angiography with parallel acquisition for assessment of the visceral arteries: comparison with conventional MR angiography and 64-detector-row computed tomography
Authors
Reto Sutter
Christina Heilmaier
Amelie M. Lutz
Dominik Weishaupt
Burkhardt Seifert
Jürgen K. Willmann
Publication date
01-11-2009
Publisher
Springer-Verlag
Published in
European Radiology / Issue 11/2009
Print ISSN: 0938-7994
Electronic ISSN: 1432-1084
DOI
https://doi.org/10.1007/s00330-009-1473-8

Other articles of this Issue 11/2009

European Radiology 11/2009 Go to the issue