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Published on: August 24, 2019
MR Imaging of Thoracic Aortic Disease
John P Lichtenberger1, Derek F Franco1, Jason S Kim1
1Department of Radiology and Radiological Sciences, Uniformed Services University of the Health Sciences, Bethesda, MD.
Magnetic resonance (MR) imaging, with advanced techniques like ECG-triggered sequences and 3D MRA, is becoming a leading tool for thoracic aorta evaluation. It offers detailed imaging and flow analysis for comprehensive assessment of aortic diseases.
Area of Science:
- Cardiovascular Imaging
- Radiology
- Medical Imaging Technology
Background:
- Thoracic aorta pathologies, including congenital defects and acquired diseases, are traditionally assessed using computed tomography (CT).
- CT has been the primary imaging modality for evaluating the acute aorta.
Purpose of the Study:
- To review the evolving role of magnetic resonance (MR) imaging in assessing thoracic aorta pathology.
- To highlight recent advancements in MR imaging techniques for thoracic aorta evaluation.
Main Methods:
- Discussion of electrocardiographically (ECG) triggered breath-hold sequences in MR imaging.
- Explanation of ultrafast 3-dimensional MR angiography (MRA) for thoracic aorta assessment.
- Review of MR imaging's capability for high-resolution morphological imaging and vascular flow analysis.
Main Results:
- Advanced MR imaging techniques are positioning MR as a primary modality for thoracic aorta imaging.
- MR imaging provides comprehensive and reproducible evaluation of the thoracic aorta.
- MR offers both detailed structural visualization and functional vascular data.
Conclusions:
- MR imaging is increasingly crucial for evaluating thoracic aorta abnormalities.
- The combination of morphological and functional data from MR provides a complete assessment.
- MR imaging represents a significant advancement in the non-invasive evaluation of the thoracic aorta.
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