1. Validation of injection parameters for catheter-directed intraarterial gadolinium-enhanced MR angiography
- Author
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J. Paul Finn, Debiao Li, Kevin P. Henseler, Thomas M. Grist, Reed A. Omary, Randall J. Smith, Orhan Unal, Robert K. Ryu, Howard B. Chrisman, Mark B. Saker, Scott A. Resnick, and Richard Frayne
- Subjects
Gadolinium DTPA ,medicine.medical_specialty ,Swine ,Gadolinium ,chemistry.chemical_element ,Contrast Media ,Imaging phantom ,Magnetic resonance angiography ,medicine.artery ,medicine ,Animals ,Radiology, Nuclear Medicine and imaging ,Renal artery ,Aorta ,medicine.diagnostic_test ,business.industry ,Phantoms, Imaging ,Magnetic resonance imaging ,Blood flow ,Image Enhancement ,Common iliac artery ,chemistry ,Injections, Intra-Arterial ,Models, Animal ,cardiovascular system ,Radiology ,business ,Nuclear medicine ,Blood Flow Velocity ,Magnetic Resonance Angiography - Abstract
Rationale and Objectives Catheter-directed intraarterial (IA) injections of gadolinium contrast agents may be used during endovascular interventions with magnetic resonance (MR) imaging guidance. Injection protocols require further validation. Using a flow phantom and swine, the authors aimed to ( a ) measure the optimal arterial gadolinium concentration ([Gd]) required for MR angiography and ( b ) validate a proposed IA injection protocol for gadolinium-enhanced MR angiography. Materials and Methods For in vitro experiments, the authors placed a catheter in the aorta of an aorto-renal-iliac flow phantom. Injected [Gd], injection rates, and aortic blood flow rates were varied independently for 36 separate IA gadolinium injections. The authors performed 2D and 3D MR angiography with a fast spoiled gradient-recalled echo sequence. For subsequent in vivo experiments, they selectively placed catheters within the aorta, renal artery, or common iliac artery of three pigs. Injection rate and injected [Gd] were varied. The authors performed 32 separate IA gadolinium injections for 2D MR angiography. Signal-to-noise ratios (SNRs) were compared for the various combinations of injection rate and injected [Gd]. Results In vitro, an arterial [Gd] of 2%–4% produced an optimal SNR for 2D MR angiography, and 3%–5% was best for 3D MR angiography. In swine, an arterial [Gd] of 1%–4% produced an optimal SNR. In the phantom and swine experiments, SNR was maintained at higher injection rates by inversely varying the injected [Gd]. Conclusion Dilute arterial [Gd] is required for optimal IA gadolinium-enhanced MR angiography. To maintain an optimal SNR, injection rates and injected [Gd] should be varied inversely. The postulated injection protocol was validated.
- Published
- 2002