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Cardiac Magnetic Resonance for the Evaluation of Suspected Cardiac Thrombus: Conventional and Emerging Techniques
Published on: June 11, 2019
Non-contrast-enhanced MR angiography of the abdomen
Mitsue Miyazaki1, Hiroyoshi Isoda
1Toshiba Medical Research Institute, USA, 706N. Deerpath Dr., Vernon Hills, IL 60061, USA. mmiyazaki@tmriusa.com
Abstract:
Non-contrast-enhanced magnetic resonance angiography (MRA) techniques have experienced a resurgence of interest in the MR community, in part because of safety concerns related to the possible link between gadolinium-based contrast agents and nephrogenic systemic fibrosis (NSF). In abdominal MRA, NSF is of particular concern, given that many of the patients may have renal disease. After introducing various non-contrast-enhanced MRA techniques, this article focuses on MRA applications in the abdomen, specifically the renal arteries and portal and hepatic veins. Developments on the horizon are discussed, including techniques that provide standardization of renal artery imaging, challenges in imaging of the hepatic arteries, and further advancement at 3T.
Insights
Non-contrast-enhanced magnetic resonance angiography (MRA) offers a safer alternative to contrast-enhanced MRA, especially for abdominal imaging. This review highlights MRA techniques for renal arteries and hepatic/portal veins, addressing safety concerns and future advancements.
Area of Science:
- Radiology
- Medical Imaging
Background:
- Gadolinium-based contrast agents are linked to nephrogenic systemic fibrosis (NSF).
- NSF is a significant concern in abdominal imaging, particularly for patients with renal disease.
- Non-contrast-enhanced magnetic resonance angiography (MRA) is gaining interest due to safety concerns.
Purpose of the Study:
- To review non-contrast-enhanced MRA techniques.
- To focus on abdominal MRA applications, including renal arteries and hepatic/portal veins.
- To discuss future developments in the field.
Main Methods:
- Review of various non-contrast-enhanced MRA techniques.
- Focus on applications in abdominal imaging (renal arteries, portal veins, hepatic veins).
- Discussion of emerging technologies and challenges.
Main Results:
- Non-contrast-enhanced MRA is a viable and safer alternative for abdominal imaging.
- Specific techniques are effective for visualizing renal arteries and hepatic/portal veins.
- Ongoing developments aim to standardize imaging and overcome challenges.
Conclusions:
- Non-contrast-enhanced MRA is increasingly important, especially for patients at risk of NSF.
- Further advancements are expected in standardization, hepatic artery imaging, and 3T applications.
- This technique provides crucial diagnostic information without the risks associated with contrast agents.
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