MRI of the pulmonary veins: comparison between 3D MR angiography and T1-weighted spin echo.

作者: Frank Pilleul , Naeem Merchant

DOI: 10.1097/00004728-200009000-00003

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摘要: OBJECTIVE The purpose was to determine the ability of three-dimensional (3D) magnetic resonance (MR) angiography depict normal pulmonary veins in comparison with spin-echo MR imaging. MATERIALS AND METHODS imaging 40 patients cardiovascular disease were reviewed. Patients known venous abnormalities excluded. Using a standard GE 1.5-T magnet, axial T1-weighted 5-mm-thick contiguous slices and 3D (contiguous slice thickness 2.5-3.5 mm, 20-30 c.c. gadolinium bolus at 1-1.5 c.c./sec, 32-43-second breath-hold, coronal sagittal plane acquisition) evaluated retrospectively on separate occasions by two experienced radiologists. Multiplanar projection used for identification veins. Each lung considered have drainage veins: superior vein an inferior vein. Identification made visualizing connection left atrium. RESULTS 143 (87.5% +/-5.2) identified level atrium images, 157 (98.1% +/-1.9) (p<0.01). Overall we T -weighted 36 right upper, 38 lower, 27 lower By angiography, 39 All four detected 22 (55%) 37 (92.5%) (chi = 3.81, p<0.05). CONCLUSION A significant difference is demonstrated between identifying provides complete view anatomy could be valuable tool assessment abnormal drainage.

参考文章(9)
C S White, J M Baffa, P J Haney, A B Campbell, M NessAiver, Anomalies of pulmonary veins: usefulness of spin-echo and gradient-echo MR images. American Journal of Roentgenology. ,vol. 170, pp. 1365- 1368 ,(1998) , 10.2214/AJR.170.5.9574617
D J Sahn, H D Allen, L W Lange, S J Goldberg, Cross-sectional echocardiographic diagnosis of the sites of total anomalous pulmonary venous drainage. Circulation. ,vol. 60, pp. 1317- 1325 ,(1979) , 10.1161/01.CIR.60.6.1317
Mylan C. Cohen, George G. Hartnell, J.Paul Finn, Magnetic resonance angiography of congenital pulmonary vein anomalies American Heart Journal. ,vol. 127, pp. 954- 955 ,(1994) , 10.1016/0002-8703(94)90575-4
George G. Hartnell, Linda A. Hughes, J. Paul Finn, H. Esterbrook Longmaid III, Magnetic Resonance Angiography of the Central Chest Veins Chest. ,vol. 107, pp. 1053- 1057 ,(1995) , 10.1378/CHEST.107.4.1053
Alvin J Chin, Stephen P Sanders, Frederick Sherman, Peter Lang, William I Norwood, Aldo R Castaneda, Accuracy of subcostal two-dimensional echocardiography in prospective diagnosis of total anomalous pulmonary venous connection American Heart Journal. ,vol. 113, pp. 1153- 1159 ,(1987) , 10.1016/0002-8703(87)90928-8
R J Herfkens, C B Higgins, H Hricak, M J Lipton, L E Crooks, P Lanzer, E Botvinick, B Brundage, P E Sheldon, L Kaufman, Nuclear magnetic resonance imaging of the cardiovascular system: normal and pathologic findings. Radiology. ,vol. 147, pp. 749- 759 ,(1983) , 10.1148/RADIOLOGY.147.3.6601813
Katz J, Reagan K, Boxt Lm, Angiocardiography in the diagnosis of congenital heart disease. Radiologic Clinics of North America. ,vol. 32, pp. 435- 460 ,(1994)