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From the RSNA refresher courses: MR imaging of aortic and peripheral vascular disease

Servet Tatli1, Martin J Lipton, Brian D Davison

  • 1Department of Radiology, Brigham and Women's Hospital, Harvard Medical School, 75 Francis St, Boston, MA 02115, USA. statli@partners.org

Radiographics : a Review Publication of the Radiological Society of North America, Inc
|October 15, 2003
PubMed

Insights

Magnetic resonance (MR) angiography is key for diagnosing aortic and peripheral arterial diseases. Understanding MR angiography techniques ensures accurate imaging for vascular disease assessment.

Area of Science:

  • Radiology
  • Medical Imaging
  • Cardiovascular Imaging

Background:

  • Acquired diseases affecting the aorta and peripheral arteries are prevalent.
  • Magnetic resonance (MR) angiography has become a leading imaging method for these conditions due to technological advancements.

Purpose of the Study:

  • To outline the primary MR angiography techniques used for evaluating aortic and peripheral arterial diseases.
  • To emphasize the importance of understanding these techniques for diagnostic image acquisition.

Main Methods:

  • Contrast-enhanced MR angiography as a principal technique for vascular disease evaluation.
  • Two-dimensional time-of-flight MR angiography for specific applications like distal peripheral disease.
  • Phase-contrast flow imaging for blood flow quantification.
  • Black-blood imaging for vessel wall assessment.

Main Results:

  • Contrast-enhanced MR angiography is rapid and robust for vascular disease.
  • Two-dimensional time-of-flight MR angiography remains valuable for distal peripheral disease.
  • Phase-contrast and black-blood imaging offer crucial quantitative and qualitative assessments.

Conclusions:

  • Mastery of MR angiography principles is essential for consistent, diagnostic image acquisition.
  • Tailoring imaging protocols to specific vessels and clinical questions is mandatory for optimal results.
  • Future advancements in speed and contrast agents will further enhance MR angiography for vascular disease evaluation.

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