PMID- 17074459 OWN - NLM STAT- MEDLINE DCOM- 20070403 LR - 20191210 IS - 0720-048X (Print) IS - 0720-048X (Linking) VI - 61 IP - 2 DP - 2007 Feb TI - A multicenter, site-independent, blinded study to compare the diagnostic accuracy of contrast-enhanced magnetic resonance angiography using 1.0M gadobutrol (Gadovist) to intraarterial digital subtraction angiography in body arteries. PG - 315-23 AB - PURPOSE: Prospective evaluation of diagnostic accuracy of single field-of-view contrast-enhanced MR Angiography (ceMRA) with 1.0M gadobutrol compared to intraarterial DSA in body arteries. MATERIALS AND METHODS: In an European multicenter study 179 patients underwent ceMRA and DSA. For each indication five prospectively defined vessel segments were evaluated by local investigators onsite and by three site-independent blinded readers (BR) independently. RESULTS: The agreement between ceMRA and DSA diagnosis was statistically significant in the onsite (96.6%) and blinded reader (86.6-90.2%) evaluation. Sensitivity, specificity, accuracy, positive (PPV) and negative predictive values (NPV) for detection of relevant stenosis (>50%) were calculated for the right and left internal carotid arteries, and common and external iliac arteries: Sensitivity was 95-98% (onsite) and 76-96% (BR), specificity 94-96% (onsite) and 86-94% (BR), accuracy 96% (onsite) and 87-93% (BR), NPV 98-99% (onsite) and 84-98% (BR), and PPV 79-93% (onsite) and 44-91% (BR), respectively. CONCLUSION: CeMRA of body arteries using 1.0M gadobutrol provides diagnostic information comparable to intraarterial DSA. FAU - Schaefer, Fritz K W AU - Schaefer FK AD - Department of Diagnostic Radiology, University Hospital Schleswig-Holstein Campus Kiel, Arnold-Heller-Strasse 9, 24105 Kiel, Germany. fschaefer@email.uni-kiel.de FAU - Schaefer, Philipp J AU - Schaefer PJ FAU - Altjohann, Christian AU - Altjohann C FAU - Bourne, Michael AU - Bourne M FAU - Decobelli, Francesco AU - Decobelli F FAU - Goyen, Mathias AU - Goyen M FAU - Griffiths, Paul D AU - Griffiths PD FAU - Kopka, Lars AU - Kopka L FAU - Kreitner, Karl F AU - Kreitner KF FAU - Link, Johann AU - Link J FAU - Oberholzer, Katja AU - Oberholzer K FAU - Pering, Christiane AU - Pering C FAU - Poeckler-Schoeninger, Christiane AU - Poeckler-Schoeninger C FAU - Ruehm, Stefan G AU - Ruehm SG FAU - Sachoran, Mansur R AU - Sachoran MR FAU - Schulte-Altedorneburg, Gernot AU - Schulte-Altedorneburg G FAU - Springer, Oliver S AU - Springer OS FAU - Steiner, Paul AU - Steiner P FAU - Wall, Alexander AU - Wall A FAU - Winterer, Jan AU - Winterer J FAU - Tombach, Bernd AU - Tombach B LA - eng PT - Comparative Study PT - Evaluation Study PT - Journal Article PT - Multicenter Study PT - Research Support, Non-U.S. Gov't DEP - 20061030 PL - Ireland TA - Eur J Radiol JT - European journal of radiology JID - 8106411 RN - 0 (Contrast Media) RN - 0 (Organometallic Compounds) RN - 1BJ477IO2L (gadobutrol) RN - AU0V1LM3JT (Gadolinium) SB - IM MH - Adult MH - Aged MH - Aged, 80 and over MH - *Angiography, Digital Subtraction MH - Arteries/*pathology MH - Constriction, Pathologic/diagnosis MH - Contrast Media MH - Gadolinium MH - Humans MH - Magnetic Resonance Angiography/*methods MH - Male MH - Middle Aged MH - Organometallic Compounds MH - Prospective Studies MH - Sensitivity and Specificity MH - Single-Blind Method EDAT- 2006/11/01 09:00 MHDA- 2007/04/04 09:00 CRDT- 2006/11/01 09:00 PHST- 2006/06/14 00:00 [received] PHST- 2006/09/02 00:00 [revised] PHST- 2006/09/08 00:00 [accepted] PHST- 2006/11/01 09:00 [pubmed] PHST- 2007/04/04 09:00 [medline] PHST- 2006/11/01 09:00 [entrez] AID - S0720-048X(06)00390-1 [pii] AID - 10.1016/j.ejrad.2006.09.002 [doi] PST - ppublish SO - Eur J Radiol. 2007 Feb;61(2):315-23. doi: 10.1016/j.ejrad.2006.09.002. Epub 2006 Oct 30.