Soft tissue enhancement on time-resolved peripheral magnetic resonance angiography.

作者: Hong Lei Zhang , K. Craig Kent , Harry L. Bush , Priscilla A. Winchester , Richard Watts

DOI: 10.1002/JMRI.20037

关键词: Magnetic resonance angiographyDiabetes mellitusSoft tissueSoft tissue injuryFoot (unit)GangreneCellulitisRadiologyMedicineSubclinical infection

摘要: PURPOSE To evaluate the incidence and locations of soft tissue enhancement on time-resolved two-dimensional projection magnetic resonance angiography (MRA) calf foot. MATERIALS AND METHODS Time-resolved MRA knee, calf, foot, performed at 1.5 Tesla using head coil, was retrospectively reviewed in 326 patients. Soft foot identified graded by blinded review. Subsequently, patient medical records were to determine presence or absence diabetes, cellulitis, gangrene, ulceration neuropathic joints. RESULTS Enhancing spots 228 For those feet without clinical abnormalities, diabetic patients had an average 1.2 enhancing per while nondiabetics only 0.6 (P < 0.001). Higher-grade lesions more prevalent diabetics heavier Of 64 with follow-up, 8 (13%) developed cellulitis (N = 4) location spot, including 5 3 nondiabetic CONCLUSION Pedal frequently occurs gadolinium (Gd):MRA feet. The etiology is uncertain, but high frequency observation progression cellulitis/ulceration suggest this may identify sites subclinical pedal injury.

参考文章(23)
Yousef Mazaheri, Timothy J. Carroll, Jiang Du, Walter F. Block, Sean B. Fain, Thomas F. Hany, Beverly D.L. Aagaard, Charles M. Strother, Charles A. Mistretta, Thomas M. Grist, Combined time‐resolved and high‐spatial‐resolution 3D MRA using an extended adaptive acquisition Journal of Magnetic Resonance Imaging. ,vol. 15, pp. 291- 301 ,(2002) , 10.1002/JMRI.10071
J. Du, T.J. Carroll, H.J. Wagner, K. Vigen, S.B. Fain, W.F. Block, F.R. Korosec, T.M. Grist, C.A. Mistretta, Time-resolved, undersampled projection reconstruction imaging for high-resolution CE-MRA of the distal runoff vessels. Magnetic Resonance in Medicine. ,vol. 48, pp. 516- 522 ,(2002) , 10.1002/MRM.10243
D.E. Strandness, J. F. Eidt, Peripheral Vascular Disease Circulation. ,vol. 102, ,(2000) , 10.1161/01.CIR.102.SUPPL_4.IV-46
R. Strecker, K. Scheffler, J. Klisch, S. Lehnhardt, J. Winterer, J. Laubenberger, H. Fischer, J. Hennig, Fast functional MRA using time-resolved projection MR angiography with correlation analysis. Magnetic Resonance in Medicine. ,vol. 43, pp. 303- 309 ,(2000) , 10.1002/(SICI)1522-2594(200002)43:2<303::AID-MRM19>3.0.CO;2-R
Karl K. Vigen, Dana C. Peters, Thomas M. Grist, Walter F. Block, Charles A. Mistretta, Undersampled projection-reconstruction imaging for time-resolved contrast-enhanced imaging† Magnetic Resonance in Medicine. ,vol. 43, pp. 170- 176 ,(2000) , 10.1002/(SICI)1522-2594(200002)43:2<170::AID-MRM2>3.0.CO;2-P
Jan Thorsten Winterer, Oliver Schaefer, Peter Uhrmeister, Gesine Zimmermann-Paul, Stefan Lehnhardt, C Altehoefer, J Laubenberger, Contrast enhanced MR angiography in the assessment of relevant stenoses in occlusive disease of the pelvic and lower limb arteries: diagnostic value of a two-step examination protocol in comparison to conventional DSA European Journal of Radiology. ,vol. 41, pp. 153- 160 ,(2002) , 10.1016/S0720-048X(01)00386-2
Jung Bin Shin, Yeon Jae Seong, Hong Jae Lee, Sang Hyun Kim, Jong Ryool Park, Foot screening technique in a diabetic population. Journal of Korean Medical Science. ,vol. 15, pp. 78- 82 ,(2000) , 10.3346/JKMS.2000.15.1.78
E. B. Jude, S. O. Oyibo, N. Chalmers, A. J.M. Boulton, Peripheral Arterial Disease in Diabetic and Nondiabetic Patients: A comparison of severity and outcome Diabetes Care. ,vol. 24, pp. 1433- 1437 ,(2001) , 10.2337/DIACARE.24.8.1433
H. Pham, D. G. Armstrong, C. Harvey, L. B. Harkless, J. M. Giurini, A. Veves, Screening techniques to identify people at high risk for diabetic foot ulceration: a prospective multicenter trial. Diabetes Care. ,vol. 23, pp. 606- 611 ,(2000) , 10.2337/DIACARE.23.5.606
Alessandro Carriero, Alberto Maggialetti, Dario Pinto, Matteo Salcuni, Mariam Mansour, Sergio Petronelli, Lorenzo Bonomo, Contrast-Enhanced Magnetic Resonance Angiography MoBI-trak in the Study of Peripheral Vascular Disease CardioVascular and Interventional Radiology. ,vol. 25, pp. 42- 47 ,(2002) , 10.1007/S00270-001-0064-0