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Role of Magnetic Resonance Imaging in Aortic Disease

  • Chapter
The ESC Textbook of Cardiovascular Imaging

Abstract

MRI is a non-invasive imaging technique that permits the most complete study of aortic disease. It offers morphological, functional, and biochemical information. Technological advances, e.g. the implementation of faster gradients, newer sequences, and ultrafast MR angiography, have led to MRI being the modality of choice for imaging aortic diseases. Conventional ECG-gated spin-echo imaging and cine gradient-echo have earned MRI the reputation of being the ideal tool for evaluating the aorta. Contrast-enhanced 3D MR angiography permits rapid acquisition and multi-planar imaging with minimal dephasing artefacts. Phase-contrast imaging is another technique that enables flow in the great vessels to be evaluated with accurate quantification of peak velocity and forward and regurgitant flow.

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Acknowledgments

The authors thank Pr Hervé Rousseau (CHU Rangueil, Toulouse), Pr Jean-Nicolas Dacher (CHU Rouen), and Dr. Victor Pineda (IDI, Hospital Vall d´Hebron, Barcelona) for their contribution to the iconographic data.

Author information

Authors and Affiliations

  1. Servei de Cardiologio, Hospital Vall d’Hebron, Barcelona, Spain

    Arturo Evangelista MD

Authors
  1. Arturo Evangelista MD
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  2. Jérôme Garot MD
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Editor information

Editors and Affiliations

  1. Hospital Clinico San Carlos, Instituto Cardiovascular, C/Professor Martin Lagos, s/n, 28040, Madrid, Spain

    José Luis Zamorano

  2. Medical Center Dept. Cardiology, Leiden University, Albinusdreef 2, 2333, Leiden, ZA, Netherlands

    Jeroen J. Bax

  3. Dept. Cardiology, University Hospitals Leuven, Herestraat 49, 3000, Leuven, Belgium

    Frank E. Rademakers

  4. Turku PET Centre, Turku University Hospital, FI-20521, Turku, Finland

    Juhani Knuuti

Appendices

Video 33.4

SSFP cine MR sequence of the thoracic aorta in a patient with a huge aneurysm of the ascending aorta

Video 33.6

Corresponding SSFP cine MR in the same patient with Type A acute aortic dissection and an intimal flap

Video 33.7

SSFP cine MR in the 4-chamber view in a patient with Type A acute aortic dissection and pleural effusion

Video 33.13

3D reconstructed view of MRA of the thoracic aorta in the same patient as in Fig. 33.13

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Evangelista, A., Garot, J. (2010). Role of Magnetic Resonance Imaging in Aortic Disease. In: Zamorano, J.L., Bax, J.J., Rademakers, F.E., Knuuti, J. (eds) The ESC Textbook of Cardiovascular Imaging. Springer, London. https://doi.org/10.1007/978-1-84882-421-8_33

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  • DOI: https://doi.org/10.1007/978-1-84882-421-8_33

  • Publisher Name: Springer, London

  • Print ISBN: 978-1-84882-420-1

  • Online ISBN: 978-1-84882-421-8

  • eBook Packages: MedicineMedicine (R0)

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