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MRA of the Aorta and Peripheral Arteries

  • Servet TatliEmail author
  • E. Kent Yucel
Chapter
Part of the Contemporary Cardiology book series (CONCARD)

Abstract

It can be argued that magnetic resonance angiography of the aorta and peripheral vessels has undergone more dramatic changes over the last couple decades than any other form of cardiovascular magnetic resonance imaging. The first useful clinical applications primarily used two-dimensional time-of-flight technology. However, in the mid-1990s, this approach was replaced to a large degree by contrast-enhanced techniques using conventional agents in dynamic, multiphase mode. Blood pool agents have also been developed for use in magnetic resonance angiography, but their precise role remains to be determined. Given the risks of gadolinium contrast in patients with renal failure, which is not an unusual concomitant in patients undergoing vascular evaluation, there has been a recent resurgence in interest in the use of non-contrast magnetic resonance angiographic approaches.

Keywords

Time-of-flight MRA Phase-contrast MRA Steady-state free precession Contrast-enhanced MRA Aortic aneurysm Renal arteries Mesenteric arteries Atherosclerotic disease 

Supplementary material

Video 21.1

Coronal MIP of CE-MRA of the thoracic aorta including arch vessels. Images of the MIP reformations from different angles can be placed in a cine loop for demonstration as in this example or can be viewed individually (AVI 12290 kb)

Video 21.2

Coronal MIPs of CE-MRA of calf with TRICKS technique in a cine loop shows normal filling of the popliteal arteries with three-vessel runoff (AVI 1457 kb)

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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2019

Authors and Affiliations

  1. 1.Department of Radiology, Lehigh Valley Health NetworkAllentownUSA
  2. 2.Tufts Medical CenterDepartment of RadiologyBostonUSA

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