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Peripheral Artery Magnetic Resonance Angiography

  • Jason CraftEmail author
  • Subha V. Raman
Chapter

Abstract

The advent of table movement angiography, high field strengths, fast gradient systems, and parallel imaging has rapidly advanced magnetic resonance imaging of the peripheral vascular system. In addition to contrast-enhanced techniques, non-contrast techniques are also robust and have gathered recent interest and attention with concerns over nephrogenic systemic fibrosis and gadolinium retention. Magnetic resonance angiography (MRA) techniques show excellent agreement with digital subtraction angiography (DSA), avoid the use of ionizing radiation, and avoid invasive procedure-related complications. This chapter provides an overview of the applications, technical considerations, and limitations of different MR-based methods to image the peripheral arteries.

Keywords

Peripheral artery magnetic resonance angiography Peripheral arterial disease MRA Peripheral artery MRA Contrast-enhanced techniques SSFP-based non-contrast MRA 

References

  1. 1.
    Murray CJ, Atkinson C, Bhalla K, Birbeck G, Burstein R, Chou D, Dellavalle R, Danaei G, Ezzati M, Fahimi A, Flaxman D, Foreman, Gabriel S, Gakidou E, Kassebaum N, Khatibzadeh S, Lim S, Lipshultz SE, London S, Lopez, MacIntyre MF, Mokdad AH, Moran A, Moran AE, Mozaffarian D, Murphy T, Naghavi M, Pope C, Roberts T, Salomon J, Schwebel DC, Shahraz S, Sleet DA, Murray, Abraham J, Ali MK, Atkinson C, Bartels DH, Bhalla K, Birbeck G, Burstein R, Chen H, Criqui MH, Dahodwala, Jarlais, Ding EL, Dorsey ER, Ebel BE, Ezzati M, Fahami, Flaxman S, Flaxman AD, Gonzalez-Medina D, Grant B, Hagan H, Hoffman H, Kassebaum N, Khatibzadeh S, Leasher JL, Lin J, Lipshultz SE, Lozano R, Lu Y, Mallinger L, McDermott MM, Micha R, Miller TR, Mokdad AA, Mokdad AH, Mozaffarian D, Naghavi M, Narayan KM, Omer SB, Pelizzari PM, Phillips D, Ranganathan D, Rivara FP, Roberts T, Sampson U, Sanman E, Sapkota A, Schwebel DC, Sharaz S, Shivakoti R, Singh GM, Singh D, Tavakkoli M, Towbin JA, Wilkinson JD, Zabetian A, Murray, Abraham J, Ali MK, Alvardo M, Atkinson C, Baddour LM, Benjamin EJ, Bhalla K, Birbeck G, Bolliger I, Burstein R, Carnahan E, Chou D, Chugh SS, Cohen A, Colson KE, Cooper LT, Couser W, Criqui MH, Dabhadkar KC, Dellavalle RP, Jarlais, Dicker D, Dorsey ER, Duber H, Ebel BE, Engell RE, Ezzati M, Felson DT, Finucane MM, Flaxman S, Flaxman AD, Fleming T, Foreman, Forouzanfar MH, Freedman G, Freeman MK, Gakidou E, Gillum RF, Gonzalez-Medina D, Gosselin R, Gutierrez HR, Hagan H, Havmoeller R, Hoffman H, Jacobsen KH, James SL, Jasrasaria R, Jayarman S, Johns N, Kassebaum N, Khatibzadeh S, Lan Q, Leasher JL, Lim S, Lipshultz SE, London S, Lopez, Lozano R, Lu Y, Mallinger L, Meltzer M, Mensah GA, Michaud C, Miller TR, Mock C, Moffitt TE, Mokdad AA, Mokdad AH, Moran A, Naghavi M, Narayan KM, Nelson RG, Olives C, Omer SB, Ortblad K, Ostro B, Pelizzari PM, Phillips D, Raju M, Razavi H, Ritz B, Roberts T, Sacco RL, Salomon J, Sampson U, Schwebel DC, Shahraz S, Shibuya K, Silberberg D, Singh JA, Steenland K, Taylor JA, Thurston GD, Vavilala MS, Vos T, Wagner GR, Weinstock MA, Weisskopf MG, Wulf S, Murray, Collaborators USBoD. The state of US health, 1990-2010: burden of diseases, injuries, and risk factors. JAMA. 2013;310:591–608.CrossRefGoogle Scholar
  2. 2.
    Rybicki FJ, Nallamshetty L, Yucel EK, Holtzman SR, Baum RA, Foley WD, Ho VB, Mammen L, Narra VR, Stein B, Moneta GL. American College of R. ACR appropriateness criteria on recurrent symptoms following lower-extremity angioplasty. J Am Coll Radiol. 2008;5:1176–80.CrossRefGoogle Scholar
  3. 3.
    Hiratzka LF, Bakris GL, Beckman JA, Bersin RM, Carr VF, Casey DE Jr, Eagle KA, Hermann LK, Isselbacher EM, Kazerooni EA, Kouchoukos NT, Lytle BW, Milewicz DM, Reich DL, Sen S, Shinn JA, Svensson LG, Williams DM, American College of Cardiology F, American Heart Association Task Force on Practice G, American Association for Thoracic S, American College of R, American Stroke A, Society of Cardiovascular A, Society for Cardiovascular A, Interventions, Society of Interventional R, Society of Thoracic S, Society for Vascular M. 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 Practice Guidelines, American Association for Thoracic Surgery, American College of Radiology, American Stroke Association, Society of Cardiovascular Anesthesiologists, Society for Cardiovascular Angiography and Interventions, Society of Interventional Radiology, Society of Thoracic Surgeons, and Society for Vascular Medicine. Catheter Cardiovasc Interv. 2010;76:E43–86.CrossRefGoogle Scholar
  4. 4.
    Hay JW, Lawler E, Yucel K, Guo A, Balzer T, Gaziano JM, Scranton RE. Cost impact of diagnostic imaging for lower extremity peripheral vascular occlusive disease. Value Health. 2009;12:262–6.CrossRefGoogle Scholar
  5. 5.
    Wang J, Yan F, Liu J, Lu J, Li D, Luan J, Wang X, Li Y, Iezzi R, De Cobelli F. Multicenter, intra-individual comparison of single dose gadobenate dimeglumine and double dose gadopentetate dimeglumine for MR angiography of the peripheral arteries (the Peripheral VALUE Study). J Magn Reson Imaging. 2013;38:926–37.CrossRefGoogle Scholar
  6. 6.
    Tang A, Cloutier G, Therasse E, Beaudoin G, Qanadli SD, Giroux MF, Boussion N, de Guise JA, Oliva VL, Soulez G. Optimization of spatial resolution for peripheral magnetic resonance angiography. Acad Radiol. 2007;14:54–61.CrossRefGoogle Scholar
  7. 7.
    Kinner S, Quick HH, Maderwald S, Hunold P, Barkhausen J, Vogt FM. Triple-TWIST MRA: high spatial and temporal resolution MR angiography of the entire peripheral vascular system using a time-resolved 4D MRA technique. Eur Radiol. 2013;23:298–306.CrossRefGoogle Scholar
  8. 8.
    Hansmann J, Morelli JN, Michaely HJ, Riester T, Budjan J, Schoenberg SO, Attenberger UI. Nonenhanced ECG-gated quiescent-interval single shot MRA: image quality and stenosis assessment at 3 tesla compared with contrast-enhanced MRA and digital subtraction angiography. J Magn Reson Imaging. 2014;39:1486–93.CrossRefGoogle Scholar
  9. 9.
    Hadizadeh DR, Gieseke J, Lohmaier SH, Wilhelm K, Boschewitz J, Verrel F, Schild HH, Willinek WA. Peripheral MR angiography with blood pool contrast agent: prospective intraindividual comparative study of high-spatial-resolution steady-state MR angiography versus standard-resolution first-pass MR angiography and DSA. Radiology. 2008;249:701–11.CrossRefGoogle Scholar
  10. 10.
    Corwin MT, Fananapazir G, Chaudhari AJ. MR angiography of renal transplant vasculature with ferumoxytol:: comparison of high-resolution steady-state and first-pass acquisitions. Acad Radiol. 2016;23:368–73.CrossRefGoogle Scholar
  11. 11.
    Ong MM, Hausotter K, Pilz LR, Schoenberg SO, Michaely HJ. Steady state vascular imaging with extracellular gadobutrol: evaluation of the additional diagnostic benefit in patients who have undergone a peripheral magnetic resonance angiography protocol. J Cardiovasc Magn Reson. 2013;15:97.CrossRefGoogle Scholar
  12. 12.
    Homsi R, Gieseke J, Kukuk GM, Traber F, Willinek WA, Schild HH, Hadizadeh DR. Dixon-based fat-free MR-angiography compared to first pass and steady-state high-resolution MR-angiography using a blood pool contrast agent. Magn Reson Imaging. 2015;33:1035–42.CrossRefGoogle Scholar
  13. 13.
    Nikolaou K, Kramer H, Grosse C, Clevert D, Dietrich O, Hartmann M, Chamberlin P, Assmann S, Reiser MF, Schoenberg SO. High-spatial-resolution multistation MR angiography with parallel imaging and blood pool contrast agent: initial experience. Radiology. 2006;241:861–72.CrossRefGoogle Scholar
  14. 14.
    Diop AD, Braidy C, Habouchi A, Niang K, Gageanu C, Boyer L, Chabrot P. Unenhanced 3D turbo spin-echo MR angiography of lower limbs in peripheral arterial disease: a comparative study with gadolinium-enhanced MR angiography. AJR Am J Roentgenol. 2013;200:1145–50.CrossRefGoogle Scholar
  15. 15.
    Ward EV, Galizia MS, Usman A, Popescu AR, Dunkle E, Edelman RR. Comparison of quiescent inflow single-shot and native space for nonenhanced peripheral MR angiography. J Magn Reson Imaging. 2013;38:1531–8.CrossRefGoogle Scholar
  16. 16.
    Abbas MA, Stone WM, Fowl RJ, Gloviczki P, Oldenburg WA, Pairolero PC, Hallett JW, Bower TC, Panneton JM, Cherry KJ. Splenic artery aneurysms: two decades experience at Mayo clinic. Ann Vasc Surg. 2002;16:442–9.CrossRefGoogle Scholar
  17. 17.
    Burg MC, Bunck AC, Seifarth H, Buerke B, Kugel H, Hesselmann V, Kohler M, Heindel W, Maintz D. MR angiography of peripheral arterial stents: in vitro evaluation of 22 different stent types. Radiol Res Pract. 2011;2011:478175.PubMedGoogle Scholar
  18. 18.
    Radonic V, Koplic S, Giunio L, Bozic I, Maskovic J, Buca A. Popliteal artery entrapment syndrome: diagnosis and management, with report of three cases. Tex Heart Inst J. 2000;27:3–13.PubMedPubMedCentralGoogle Scholar
  19. 19.
    Peterson JJ, Kransdorf MJ, Bancroft LW, Murphey MD. Imaging characteristics of cystic adventitial disease of the peripheral arteries: presentation as soft-tissue masses. AJR Am J Roentgenol. 2003;180:621–5.CrossRefGoogle Scholar
  20. 20.
    Madani H, Farrant J, Chhaya N, Anwar I, Marmery H, Platts A, Holloway B. Peripheral limb vascular malformations: an update of appropriate imaging and treatment options of a challenging condition. Br J Radiol. 2015;88:20140406.CrossRefGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  1. 1.St Francis Hospital, Catholic Health Systems of Long IslandDematteis Research CenterGreenvaleUSA
  2. 2.Department of CardiologyThe Ohio State University Wexner College of MedicineColumbusUSA

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