PMID- 14712408
OWN - NLM
STAT- MEDLINE
DCOM- 20040213
LR  - 20151119
IS  - 1438-9029 (Print)
IS  - 1438-9010 (Linking)
VI  - 176
IP  - 1
DP  - 2004 Jan
TI  - [Contrast-enhanced MR angiography (CEMRA) in peripheral arterial occlusive 
      disease (PAOD): conventional moving table technique versus hybrid technique].
PG  - 62-9
AB  - PURPOSE: In peripheral arterial occlusive disease (PAOD), angiographic evaluation 
      of the entire aortopedal arterial system is mandatory. In a randomized study, two 
      different protocols of CEMRA were evaluated prospectively to compare their 
      diagnostic quality and clinical usefulness. PATIENTS AND METHODS: 80 patients 
      (males n = 60, females n = 20, median age = 70 years, diabetics n = 27) with PAOD 
      were examined with a 1.5 T system (40 mT/m) using a dedicated phased array 
      peripheral vascular coil. Protocol A consisted of a single injection of Gd-BOPTA 
      with consecutive craniocaudal image acquisition and protocol B of two injections, 
      with the first injection of Gd-BOPTA followed by image acquisition of the 
      popliteocrural and pedal segments and the second injection followed by acquiring 
      the aortoiliac and femoral segments (hybrid technique). The evaluation of the 
      arterial system was directed to the iliac, femoral, popliteocrural and pedal 
      arteries. RESULTS: The visualization of the entire aortopedal vascular system was 
      of diagnostically good or satisfactory quality in 16 of 40 patients using 
      protocol A and in 29 of 40 patients using protocol B (iliac 40 vs. 37, femoral 40 
      vs. 40, popliteocrural 35 vs. 37, pedal 16 vs. 29); without the pedal station the 
      number increased to 35 of 40 patients for both protocols. The reason of 
      diagnostic limitations was an arteriovenous overlap in 24 of 80 cases, with 19 of 
      40 cases for protocol A and 5 of 40 for protocol B, located exclusively in the 
      cruropedal region. CONCLUSION: Moving table hybrid CEMRA is superior to 
      conventional technique in craniocaudal direction by producing less venous overlap 
      of arteries and is especially more suitable for the diagnostic evaluation of the 
      cruropedal region.
FAU - von Kalle, T
AU  - von Kalle T
AD  - Radiologisches Institut, Klinikum Stuttgart, Katharinenhospital. 
      t.vonkalle@olgahospital.de
FAU - Gerlach, A
AU  - Gerlach A
FAU - Hatopp, A
AU  - Hatopp A
FAU - Klinger, S
AU  - Klinger S
FAU - Prodehl, P
AU  - Prodehl P
FAU - Arlart, I P
AU  - Arlart IP
LA  - ger
PT  - Clinical Trial
PT  - Comparative Study
PT  - English Abstract
PT  - Journal Article
PT  - Randomized Controlled Trial
TT  - Kontrastverstarkte MR-Angiographie (CEMRA) bei peripherer AVK (pAVK): 
      konventionelle Tischverschiebetechnik versus Hybrid-Technik.
PL  - Germany
TA  - Rofo
JT  - RoFo : Fortschritte auf dem Gebiete der Rontgenstrahlen und der Nuklearmedizin
JID - 7507497
RN  - 0 (Contrast Media)
RN  - 0 (Organometallic Compounds)
RN  - 15G12L5X8K (gadobenic acid)
RN  - 6HG8UB2MUY (Meglumine)
RN  - AU0V1LM3JT (Gadolinium)
SB  - IM
MH  - Adult
MH  - Aged
MH  - Aged, 80 and over
MH  - Arterial Occlusive Diseases/*diagnosis
MH  - Contrast Media
MH  - Diabetes Mellitus, Type 2/complications
MH  - Female
MH  - Gadolinium
MH  - Humans
MH  - *Image Enhancement
MH  - Imaging, Three-Dimensional
MH  - Leg/*blood supply
MH  - Magnetic Resonance Angiography/*methods
MH  - Male
MH  - Meglumine/*analogs & derivatives
MH  - Middle Aged
MH  - Organometallic Compounds
MH  - Peripheral Vascular Diseases/*diagnosis
EDAT- 2004/01/09 05:00
MHDA- 2004/02/14 05:00
CRDT- 2004/01/09 05:00
PHST- 2004/01/09 05:00 [pubmed]
PHST- 2004/02/14 05:00 [medline]
PHST- 2004/01/09 05:00 [entrez]
AID - 10.1055/s-2004-814664 [doi]
PST - ppublish
SO  - Rofo. 2004 Jan;176(1):62-9. doi: 10.1055/s-2004-814664.