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Abstract

The morbidity and mortality statistics of developed countries still show vascular diseases in a leading position. Probably the most common manifestation of the systemic disease atherosclerosis is peripheral vascular occlusive disease (PAOD), while the most threatening manifestations are carotid, renal, and coronary artery stenoses [15]. All of these manifestations have in common that they need adequate imaging for early detection and optimized treatment planning. There are a number of diagnostic tools for each of these vascular territories, but none of them is regarded as the standard of reference for the entire arterial vascular bed. Until a few years ago, magnetic resonance angiography (MRA) was a preferred diagnostic tool for the assessment of single anatomical territories, but it was not possible to perform a whole-body MRA. Today this drawback has been overcome, and by combining parallel imaging strategies with whole-body MR systems, the complete vasculature of the body can be examined at once.

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References

  1. Adams MR, Celermajer DS (1999) Detection of presymptomatic atherosclerosis: a current perspective. Clin Sci (Lond) 97:615–624

    Article  CAS  Google Scholar 

  2. Cahan MA, et al (1999) The prevalence of carotid artery stenosis in patients undergoing aortic reconstruction. Am J Surg 178:194–196

    Article  PubMed  CAS  Google Scholar 

  3. Diehm C, Kareem S, Lawall H (2004) Epidemiology of peripheral arterial disease. Vasa 33:183–189

    Article  PubMed  CAS  Google Scholar 

  4. Fowkes FG, et al (1991) Edinburgh Artery Study: prevalence of asymptomatic and symptomatic peripheral arterial disease in the general population. Int J Epidemiol 20:384–392

    Article  PubMed  CAS  Google Scholar 

  5. Goyen M, et al (2003) Detection of atherosclerosis: systemic imaging for systemic disease with whole-body three-dimensional MR angiography—initial experience. Radiology 227:277–282

    Article  PubMed  Google Scholar 

  6. Green D, Parker D (2003) CTA and MRA: visualization without catheterization. Semin Ultrasound CT MR 24:185–191

    Article  PubMed  Google Scholar 

  7. Leiner T, et al (2005) Peripheral arterial disease: comparison of color duplex US and contrast-enhanced MR angiography for diagnosis. Radiology 235:699–708

    Article  PubMed  Google Scholar 

  8. Prokop M (2000) Multislice CT angiography. Eur J Radiol 36:86–96

    Article  PubMed  CAS  Google Scholar 

  9. Steffens JC, et al (2003) Bolus-chasing contrast-enhanced 3D MRA of the lower extremity. Comparison with intraarterial DSA. Acta Radiol 44:185–192

    Article  PubMed  CAS  Google Scholar 

  10. Koelemay MJ, et al (1996) Diagnosis of arterial disease of the lower extremities with duplex ultrasonography. Br J Surg 83:404–409

    Article  PubMed  CAS  Google Scholar 

  11. Hirsch AT, et al (2006) ACC/AHA Guidelines for the Management of Patients with Peripheral Arterial Disease (lower extremity, renal, mesenteric, and abdominal aortic): a collaborative report from the American Associations for Vascular Surgery/Society for Vascular Surgery, Society for Cardiovascular Angiography and Interventions, Society for Vascular Medicine and Biology, Society of Interventional Radiology, and the ACC/AHA Task Force on Practice Guidelines (writing committee to develop guidelines for the management of patients with peripheral arterial disease)—summary of recommendations. J Vasc Interv Radiol 17:1383–1397; quiz 1398

    Article  PubMed  Google Scholar 

  12. Norgren L, et al (2007) Inter-society consensus for the management of peripheral arterial disease (TASC II). J Vasc Surg 45 [1 Suppl]:S5–S67

    Article  PubMed  Google Scholar 

  13. Gregor M, et al (2002) Peripheral run-off CE-MRA with a 1.0 molar gadolinium chelate (Gadovist) with intraarterial DSA comparison. Acad Radiol 9 [Suppl 2]:S398–400

    Article  Google Scholar 

  14. Colquhoun I, et al (1992) The assessment of carotid and vertebral arteries: a comparison of CFM duplex ultrasound with intravenous digital subtraction angiography. Br J Radiol 65:1069–1074

    Article  PubMed  CAS  Google Scholar 

  15. Stanziale SF, et al (2005) Determining in-stent stenosis of carotid arteries by duplex ultrasound criteria. J Endovasc Ther 12:346–353

    Article  PubMed  Google Scholar 

  16. Rankin SC (1999) CT angiography. Eur Radiol 9:297–310

    Article  PubMed  CAS  Google Scholar 

  17. Vasbinder GBC, De Haan MW, van Engelshoven JMA (2002) Accuracy of CTA and 3D contrast-enhanced MRA as compared to intra-arterial digital subtraction angiography for assessment of the number of renal arteries in 356 subjects. Radiology 225 (Proceedings):400

    Article  Google Scholar 

  18. Michaely HJ, et al (2007) Nephrogenic systemic fibrosis (NSF)— implications for radiology [in German]. Radiologe 47:785–793

    Article  PubMed  CAS  Google Scholar 

  19. Fenchel M, et al (2005) Whole-body MR angiography using a novel 32-receiving-channel MR system with surface coil technology: first clinical experience. J Magn Reson Imaging 21:596–603

    Article  PubMed  Google Scholar 

  20. Kramer H, et al (2005) Cardiovascular screening with parallel imaging techniques and a whole-body MR imager. Radiology 236:300–310

    Article  PubMed  Google Scholar 

  21. Goyen M, et al (2002) Whole-body three-dimensional MR angiography with a rolling table platform: initial clinical experience. Radiology 224:270–277

    Article  PubMed  Google Scholar 

  22. Shetty AN, et al (2002) Lower extremity MR angiography: universal retrofitting of high-field-strength systems with stepping kinematic imaging platforms initial experience. Radiology 222:284–291

    Article  PubMed  Google Scholar 

  23. Nael K, et al (2007) High-spatial-resolution whole-body MR angiography with high-acceleration parallel acquisition and 32-channel 3.0-T unit: initial experience. Radiology 242:865–872

    Article  PubMed  Google Scholar 

  24. Ruehm SG, et al (2000) Whole-body MRA on a rolling table platform (AngioSURF) [in German]. Rofo 172:670–674

    PubMed  CAS  Google Scholar 

  25. Nael K, et al (2007) Multistation whole-body high-spatial-resolution MR angiography using a 32-channel MR system. AJR Am J Roentgenol 188:529–539

    Article  PubMed  Google Scholar 

  26. Vogt FM, et al (2004) Venous compression at high-spatial-resolution three-dimensional MR angiography of peripheral arteries. Radiology 233:913–920

    Article  PubMed  Google Scholar 

  27. Nikolaou K, et al (2006) High-spatial-resolution multistation MR angiography with parallel imaging and blood pool contrast agent: initial experience. Radiology 241:861–872

    Article  PubMed  Google Scholar 

  28. van Bemmel CM, et al (2003) Blood pool contrast-enhanced MRA: improved arterial visualization in the steady state. IEEE Trans Med Imaging 22:645–652

    Article  PubMed  Google Scholar 

  29. Klessen C, et al (2007) First pass whole-body magnetic resonance angiography (MRA) using the blood-pool contrast medium gadofosveset trisodium: comparison to gadopentetate dimeglumine. Invest Radiol 42:659–664

    Article  PubMed  Google Scholar 

  30. McGregor R, et al (2008) A multi-center, comparative, phase 3 study to determine the efficacy of gadofosveset-enhanced magnetic resonance angiography for evaluation of renal artery disease. Eur J Radiol 65(2):316–25. Epub 2007 May 17

    Article  PubMed  Google Scholar 

  31. Rapp JH, et al (2005) Aortoiliac occlusive disease in patients with known or suspected peripheral vascular disease: safety and efficacy of gadofosveset-enhanced MR angiography — multicenter comparative phase III study. Radiology 236:71–78

    Article  PubMed  Google Scholar 

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© 2008 Springer Medizin Verlag Heidelberg

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Kramer, H., Reiser, M.F., Nikolaou, K. (2008). Whole-body MRA. In: Leiner, T., Goyen, M., Rohrer, M., Schönberg, S. (eds) Clinical Blood Pool MR Imaging. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-77861-5_11

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  • DOI: https://doi.org/10.1007/978-3-540-77861-5_11

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-77860-8

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