Abstract
Although still not considered as the first line imaging test for the assessment of pulmonary vascular disease, recent technical improvements such as parallel imaging have made pulmonary ce-MRA ready for clinical use as a radiation free alternative to pulmonary CT angiography. An interesting advantage over CT is the possibility to acquire timeresolved MRA data which can be used for an additional functional assessment of pulmonary blood flow. Especially in patients with low or moderate clinical probability for pulmonary embolism, pulmonary MRA might be considered as a radiation free alternative to CTA.
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References
Abolmaali ND, Hietschold V, Appold S, Ebert W, Vogl TJ (2002) Gadomer-17-enhanced 3D navigator-echo MR angiography of the pulmonary arteries in pigs. Eur Radiol 12:692–697
Blum A, Bellou A, Guillemin F, Douek P, Laprevote-Heully MC, Wahl D (2005) Performance of magnetic resonance angiography in suspected acute pulmonary embolism. Thromb Haemost 93:503–511
Brenner DJ, Hall EJ (2007) Computed tomography – an increasing source of radiation exposure. N Engl J Med 357:2277–2284
Du J, Bydder M (2007) High-resolution time-resolved contrast-enhanced MR abdominal and pulmonary angiography using a spiral-TRICKS sequence. Magn Reson Med 58:631–635
Einstein AJ, Henzlova MJ, Rajagopalan S (2007) Estimating risk of cancer associated with radiation exposure from 64-slice computed tomography coronary angiography. Jama 298:317–323
Ersoy H, Goldhaber SZ, Cai T et?al. (2007) Time-resolved MR angiography: a primary screening examination of patients with suspected pulmonary embolism and contraindications to administration of iodinated contrast material. AJR Am J Roentgenol 188:1246–1254
Fink C (2007) Pulmonary MRA. In: Reiser MF, Semmler W, Hricak H (eds) Magnetic resonance tomography. Springer, Berlin Heidelberg New York, pp 804–809
Fink C, Bock M, Puderbach M, Schmahl A, Delorme S (2003) Partially parallel three-dimensional magnetic resonance imaging for the assessment of lung perfusion – initial results. Invest Radiol 38:482–488
Fink C, Ley S, Puderbach M, Plathow C, Bock M, Kauczor HU (2004a) 3D pulmonary perfusion MRI and MR angiography of pulmonary embolism in pigs after a single injection of a blood pool MR contrast agent. Eur Radiol 14:1291–1296
Fink C, Puderbach M, Bock M et?al. (2004b) Regional lung perfusion: assessment with partially parallel three-dimensional MR imaging. Radiology 231:175–184
Fink C, Puderbach M, Ley S et?al. (2005) Intraindividual comparison of 1.0 M gadobutrol and 0.5 M gadopentetate dimeglumine for time-resolved contrast-enhanced three-dimensional magnetic resonance angiography of the upper torso. J Magn Reson Imaging 22:286–290
Fink C, Ley S, Schoenberg SO, Reiser MF, Kauczor HU (2007) Magnetic resonance imaging of acute pulmonary embolism. Eur Radiol 17:2546–2553
Fishman AP (1963) Dynamics of the pulmonary circulation. In: Hamilton WF (ed) Handbook of physiology. American Physiological Society, Washington D.C., pp 1667–1743
Goyen M, Laub G, Ladd ME et?al. (2001) Dynamic 3D MR angiography of the pulmonary arteries in under four seconds. J Magn Reson Imaging 13:372–377
Griswold MA, Jakob PM, Heidemann RM et?al. (2002) Generalized autocalibrating partially parallel acquisitions (GRAPPA). Magn Reson Med 47:1202–1210
Gupta A, Frazer CK, Ferguson JM et?al. (1999) Acute pulmonary embolism: diagnosis with MR angiography. Radiology 210:353–359
Kluge A, Luboldt W, Bachmann G (2006) Acute pulmonary embolism to the subsegmental level: diagnostic accuracy of three MRI techniques compared with 16-MDCT. AJR Am J Roentgenol 187:W7–14
Korosec FR, Frayne R, Grist TM, Mistretta CA (1996) Time-resolved contrast-enhanced 3D MR angiography. Magn Reson Med 36:345–351
Meaney JF, Weg JG, Chenevert TL, Stafford-Johnson D, Hamilton BH, Prince MR (1997) Diagnosis of pulmonary embolism with magnetic resonance angiography. N Engl J Med 336:1422–1427
Nael K, Michaely HJ, Kramer U et?al. (2006a) Pulmonary circulation: contrast-enhanced 3.0-T MR angiography – initial results. Radiology 240:858–868
Nael K, Michaely HJ, Lee M, Goldin J, Laub G, Finn JP (2006b) Dynamic pulmonary perfusion and flow quantification with MR imaging, 3.0 T vs 1.5 T: initial results. J Magn Reson Imaging 24:333–339
Nael K, Fenchel M, Krishnam M, Finn JP, Laub G, Ruehm SG (2007) 3.0 Tesla high spatial resolution contrast-enhanced magnetic resonance angiography (CE-MRA) of the pulmonary circulation: initial experience with a 32-channel phased array coil using a high relaxivity contrast agent. Invest Radiol 42:392–398
Nikolaou K, Schoenberg SO, Attenberger U et?al. (2005) Pulmonary arterial hypertension: diagnosis with fast perfusion MR imaging and high-spatial-resolution MR angiography – preliminary experience. Radiology 236:694–703
Ohno Y, Kawamitsu H, Higashino T et?al. (2003) Time-resolved contrast-enhanced pulmonary MR angiography using sensitivity encoding (SENSE). J Magn Reson Imaging 17:330–336
Ohno Y, Higashino T, Takenaka D et?al. (2004) MR angiography with sensitivity encoding (SENSE) for suspected pulmonary embolism: comparison with MDCT and ventilation-perfusion scintigraphy. AJR Am J Roentgenol 183:91–98
Oudkerk M, van Beek EJ, Wielopolski P et?al. (2002) Comparison of contrast-enhanced magnetic resonance angiography and conventional pulmonary angiography for the diagnosis of pulmonary embolism: a prospective study. Lancet 359:1643–1647
Pleszewski B, Chartrand-Lefebvre C, Qanadli SD et?al. (2006) Gadolinium-enhanced pulmonary magnetic resonance angiography in the diagnosis of acute pulmonary embolism: a prospective study on 48 patients. Clin Imaging 30:166–172
Prince MR, Grist TM, Debatin JF (2003) 3D contrast MR angiography. Springer, Berlin Heidelberg New York
Remy-Jardin M, Pistolesi M, Goodman LR et?al. (2007) Management of suspected acute pulmonary embolism in the era of CT angiography: a statement from the Fleischner Society. Radiology 245:315–329
Schoenberg SO, Bock M, Floemer F et?al. (1999) High-resolution pulmonary arterio- and venography using multiple-bolus multiphase 3D-Gd-mRA. J Magn Reson Imaging 10:339–346
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Fink, C. (2009). MR Angiography of the Pulmonary Vasculature. In: Kauczor, HU. (eds) MRI of the Lung. Medical Radiology. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-34619-7_2
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DOI: https://doi.org/10.1007/978-3-540-34619-7_2
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