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Updated: Aug 18, 2026

Cardiac Magnetic Resonance Imaging at 7 Tesla
Published on: January 6, 2019
Contrast agent-enhanced, free-breathing, three-dimensional coronary magnetic resonance angiography
M Stuber1, R M Botnar, P G Danias
1Cardiovascular Division, Beth Israel Deaconess Medical Center and Harvard Medical School, Boston, Massachusetts 02215, USA. mstuber@caregroup.harvard.edu
Insights
Intravascular contrast agents like MS-325/AngioMARK significantly improve coronary magnetic resonance angiography (MRA) image quality. This enhancement aids in visualizing coronary arteries with greater detail compared to traditional methods.
Area of Science:
- Cardiovascular Imaging
- Magnetic Resonance Imaging
- Medical Contrast Agents
Background:
- High-resolution, three-dimensional coronary magnetic resonance angiography (MRA) requires effective contrast enhancement.
- Distinguishing coronary blood from myocardium is crucial for accurate MRA interpretation.
- Existing techniques like T2 prepulse (T2Prep) have limitations in achieving optimal contrast.
Purpose of the Study:
- To evaluate the efficacy of the intravascular contrast agent MS-325/AngioMARK for coronary MRA.
- To compare contrast enhancement and image quality with and without exogenous contrast agents.
- To assess the potential of MS-325/AngioMARK in improving free-breathing, high-resolution coronary MRA.
Main Methods:
- Six patients underwent free-breathing, three-dimensional inversion-recovery coronary MRA with real-time navigator gating.
- Intravenous administration of 0.1 mmol/kg MS-325/AngioMARK.
- Comparison of contrast-enhanced MRA images with T2Prep-only images.
Main Results:
- MS-325/AngioMARK demonstrated a 69% improvement in contrast-to-noise ratio (11.1 +/- 2.5 vs. 6.6 +/- 1.1; P < 0.01).
- Extensive portions (> 80 mm) of the coronary system were consistently displayed with sub-millimeter in-plane resolution.
- Significant enhancement of blood/myocardium contrast was observed compared to T2Prep techniques.
Conclusions:
- The intravascular contrast agent MS-325/AngioMARK significantly enhances coronary MRA image quality.
- This agent enables detailed visualization of coronary arteries, surpassing T2Prep methods.
- Further studies with larger patient cohorts are needed to define the clinical utility of MS-325/AngioMARK.
Abstract:
For free-breathing, high-resolution, three-dimensional coronary magnetic resonance angiography (MRA), the use of intravascular contrast agents may be helpful for contrast enhancement between coronary blood and myocardium. In six patients, 0.1 mmol/kg of the intravascular contrast agent MS-325/AngioMARK was given intravenously followed by double-oblique, free-breathing, three-dimensional inversion-recovery coronary MRA with real-time navigator gating and motion correction. Contrast-enhanced, three-dimensional coronary MRA images were compared with images obtained with a T2 prepulse (T2Prep) without exogenous contrast. The contrast-enhanced images demonstrated a 69% improvement in the contrast-to-noise ratio (6.6 +/- 1.1 vs. 11.1 +/- 2.5; P < 0.01) compared with the T2Prep approach. By using the intravascular agent, extensive portions (> 80 mm) of the native left and right coronary system could be displayed consistently with sub-millimeter in-plane resolution. The intravascular contrast agent, MS-325/AngioMARK, leads to a considerable enhancement of the blood/muscle contrast for coronary MRA compared with T2Prep techniques. The clinical value of the agent remains to be defined in a larger patient series. J. Magn. Reson. Imaging 1999;10:790-799.
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