Arterial first pass gadolinium-CM dynamics as a function of several intravenous saline flush and Gd volumes.

作者: Matthias Boos , Klaus Scheffler , R. Haselhorst , Eva Reese , J. Fröhlich

DOI: 10.1002/JMRI.1080

关键词: Saline flushInjection siteSalineFirst passContrast mediumVolunteerBolus (medicine)GadoliniumChemistryNuclear medicine

摘要: This study was performed to evaluate the dynamics of an arterial first pass gadolinium (Gd) contrast medium (CM) bolus at descending aorta (DAo), depending on various saline flush and Gd volumes. Using ultra-fast two- dimensional GE-sequence (Siemens Vision®, 1.5-T), 200 sequential cross-sectional images addressed vessel (1 slice/s) were obtained. Several volumes (15 mL, 30 60 mL) applied following administration 10 mL (single dose) a group 4 normal volunteers (body weight 50–55 kg) using mechanical MR injector (injection rate = 3.0 mL/s). Additionally, when performing second test series, volume remained constant, while varied from half doses triple (5, 10, 20, given every volunteer group). The signal intensity versus time (SI/T) curve measured region interest (ROI) within DAo calculated. arrival (BAT), maximal signal-to-noise ratio (SNRmax), length (BL; 75% 80% maximum duration), slope SI/T curve, areas below for both duration level (INT80% INT75%) increase caused significant lengthening approximately 50% (mean BL 9.5 s, 10.3 15.4 s 15 volumes, respectively, as SNRmax level). equal or higher than increased curve. A continuous INT75%/80% by found. Different did not affect BAT. Only low dose (0.05 mmol/kg Gd) showed 17%–21.6% significantly lower SNRmax. INT mainly enlarging single double (BL75% INT75% 9.6 1305, 12.3 2121, 38.5 6181, 37.8 6613 5, volume, respectively). benefits increasing due venous wash out effects injection site vein. Doses larger are needed SNR in contrast-enhanced magnetic resonance angiography thoracic aorta. J. Magn. Reson. Imaging 2001;13:568–576. © 2001 Wiley-Liss, Inc.

参考文章(16)
K Scheffler, M Boos, P Huber, J Seelig, G Bongartz, Contrast-enhanced MR angiography of the extremities using non-selective excitation and optimized gradient timing Blackwell Science. pp. 360- 364 ,(1997)
Jos J.M Westenberg, Martin N.J.M Wasser, Rob J van der Geest, Peter M.T Pattynama, Albert de Roos, Jan Vanderschoot, Johan H.C Reiber, Scan optimization of gadolinium contrast-enhanced three-dimensional MRA of peripheral arteries with multiple bolus injections and in vitro validation of stenosis quantification. Magnetic Resonance Imaging. ,vol. 17, pp. 47- 57 ,(1999) , 10.1016/S0730-725X(98)00152-0
M J Blomley, P Dawson, Bolus dynamics: theoretical and experimental aspects. British Journal of Radiology. ,vol. 70, pp. 351- 359 ,(1997) , 10.1259/BJR.70.832.9166070
Thomas F. Hany, Graeme C. McKinnon, Daniel A. Leung, Thomas Pfammatter, Jorg F. Debatin, Optimization of contrast timing for breath-hold three-dimensional MR angiography. Journal of Magnetic Resonance Imaging. ,vol. 7, pp. 551- 556 ,(1997) , 10.1002/JMRI.1880070316
G. Erb, T. Benner, S. Heiland, W. Reith, K. Sartor, M. Forsting, Untersuchungen zur Kontrastmitteldosierung bei der perfusionsgewichteten MRT Rofo-fortschritte Auf Dem Gebiet Der Rontgenstrahlen Und Der Bildgebenden Verfahren. ,vol. 167, pp. 599- 604 ,(1997) , 10.1055/S-2007-1015589
MATTHIAS BOOS, MARKUS LENTSCHIG, KLAUS SCHEFFLER, GEORG M. BONGARTZ, W. STEINBRICH, Contrast-Enhanced Magnetic Resonance Angiography of Peripheral Vessels: Different Contrast Agent Applications and Sequence Strategies Investigative Radiology. ,vol. 33, pp. 538- 546 ,(1998) , 10.1097/00004424-199809000-00009
Jeffrey H. Maki, Martin R. Prince, Frank J. Londy, Thomas L. Chenevert, The effects of time varying intravascular signal intensity and k-space acquisition order on three-dimensional MR angiography image quality Journal of Magnetic Resonance Imaging. ,vol. 6, pp. 642- 651 ,(1996) , 10.1002/JMRI.1880060413