• Title/Summary/Keyword: Time-resolved MRA

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Four Dimension(4D) Time Resolved Imaging of Contrast Kinetics(TRICKS) MR Angiography (4차원 영상기법 Time Resolved Imaging of Contrast Kinetics MRA의 유용성)

  • Lim, cheong-hwan;Bae, sung-jin
    • Proceedings of the Korea Contents Association Conference
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    • 2009.05a
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    • pp.1105-1110
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    • 2009
  • To assess the clinical value of time resolved imaging of contrast kinetics(TRICKS) MRA by comparison with conventional time of flight(TOF) MR angiography. Both TOF-MRA and TRICKS-MRA were performed in 17 patients with cerebrovascular disease and in 6 patients with brain tumor. Among 17 cerebraovascular patients, digital subtraction angiography(DSA) data were also obtained in 11 patients. TOF-MRA showed good spatial resolution but short in temporal resolution. Although TRICKS-MRA showed somewhat low spatial resolution, it showed superior temporal resolution by distinguishing vessel and tumor in all patients. Also, from the analysis of vessel-tumor relationship, TRICKS-MRA showed better performance than TOF-MRA. TRICKS-MRA makes it possible to image arterial, capillary and venous phase sequentially with very speedy manner and therefore, the clinical use of this method is highly suggestive for future use.

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The Value of Comparison with Four Dimension Time Resolved Imaging of Contrast Kinetics(TRICKS) MRA by Time of Flight(TOF) MRA (4차원 TRICKS 자기공명혈관조영술과 기존 TOF 자기공명혈관조영술의 비교 및 유용성)

  • Bae, Sung-Jin;Lim, Cheong-Hwan;Park, Byung-Rae;Shin, Woon-Jae;Kim, Jung-Sam
    • The Journal of the Korea Contents Association
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    • v.10 no.3
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    • pp.215-221
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    • 2010
  • To assess the clinical value of time resolved imaging of contrast kinetics(TRICKS) MRA by comparison with conventional time of flight(TOF) MR angiography. Both TOF-MRA and TRICKS-MRA were performed in 17 patients with cerebrovascular disease and in 6 patients with brain tumor. Among 17 cerebraovascular patients, digital subtraction angiography(DSA) data were also obtained in 11 patients. TOF-MRA showed good spatial resolution but short in temporal resolution. Although TRICKS-MRA showed somewhat low spatial resolution, it showed superior temporal resolution by distinguishing vessel and tumor in all patients. Also, from the analysis of vessel-tumor relationship, TRICKS-MRA showed better performance than TOF-MRA. TRICKS-MRA makes it possible to image arterial, capillary and venous phase sequentially with very speedy manner and therefore, the clinical use of this method is highly suggestive for future use.

Feasibility of Single-Shot Whole Thoracic Time-Resolved MR Angiography to Evaluate Patients with Multiple Pulmonary Arteriovenous Malformations

  • Jihoon Hong;Sang Yub Lee;Jae-Kwang Lim;Jongmin Lee;Jongmin Park;Jung Guen Cha;Hui Joong Lee;Donghyeon Kim
    • Korean Journal of Radiology
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    • v.23 no.8
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    • pp.794-802
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    • 2022
  • Objective: To evaluate the feasibility of single-shot whole thoracic time-resolved MR angiography (TR-MRA) to identify the feeding arteries of pulmonary arteriovenous malformations (PAVMs) and reperfusion of the lesion after embolization in patients with multiple PAVMs. Materials and Methods: Nine patients (8 females and 1 male; age range, 23-65 years) with a total of 62 PAVMs who underwent percutaneous embolization for multiple PAVMs and were subsequently followed up using TR-MRA and CT obtained within 6 months from each other were retrospectively reviewed. All imaging analyses were performed by two independent readers blinded to clinical information. The visibility of the feeding arteries on maximum intensity projection (MIP) reconstruction and multiplanar reconstruction (MPR) TR-MRA images was evaluated by comparing them to CT as a reference. The accuracy of TR-MRA for diagnosing reperfusion of the PAVM after embolization was assessed in a subgroup with angiographic confirmation. The reliability between the readers in interpreting the TR-MRA results was analyzed using kappa (κ) statistics. Results: Feeding arteries were visible on the original MIP images of TR-MRA in 82.3% (51/62) and 85.5% (53/62) of readers 1 and 2, respectively. Using the MPR, the rates increased to 93.5% (58/62) and 95.2% (59/62), respectively (κ = 0.760 and 0.792, respectively). Factors for invisibility were the course of feeding arteries in the anteroposterior plane, proximity to large enhancing vessels, adjacency to the chest wall, pulsation of the heart, and small feeding arteries. Thirty-seven PAVMs in five patients had angiographic confirmation of reperfusion status after embolization (32 occlusions and 5 reperfusions). TR-MRA showed 100% (5/5) sensitivity and 100% (32/32, including three cases in which the feeding arteries were not visible on TR-MRA) specificity for both readers. Conclusion: Single-shot whole thoracic TR-MRA with MPR showed good visibility of the feeding arteries of PAVMs and high accuracy in diagnosing reperfusion after embolization. Single-shot whole thoracic TR-MRA may be a feasible method for the follow-up of patients with multiple PAVMs.

CONTRAST-ENHANCED MR ANGIOGRAPHY : PRINCIPLES, IMPLEMENTATION, AND APPLICATIONS

  • Riederer, Stephen J.
    • Proceedings of the KSMRM Conference
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    • 2002.11a
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    • pp.117-122
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    • 2002
  • Contrast-enhanced MR angiography has become a widely used method useful for clinical diagnosis. Early studies identified a number of technical issues, and many of these have been addressed with various MRI physics innovations over the last several years. The quality of the results is high enough that CE MRA is replacing conventional x-ray angiography methods at many institutions. Ongoing research is expected to provide further improvements in performance, most notably in additional reductions in examination time, in time-resolved 3D imaging, and in improved imaging of the peripheral vasculature with extended fields of view.

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