PMID- 33963454 OWN - NLM STAT- MEDLINE DCOM- 20211015 LR - 20211120 IS - 1352-8661 (Electronic) IS - 0968-5243 (Linking) VI - 34 IP - 5 DP - 2021 Oct TI - Comparison of 2D and 3D quiescent-interval slice-selective non-contrast MR angiography in patients with peripheral artery disease. PG - 649-658 LID - 10.1007/s10334-021-00927-y [doi] AB - OBJECTIVE: To evaluate the potential clinical benefit of the superior spatial resolution of 3D prototype thin-slab stack-of-stars (tsSOS) quiescent-interval slice-selective (QISS) MRA over standard 2D-QISS MRA for the detection peripheral artery disease (PAD), using computed tomography angiography (CTA) as reference. MATERIALS AND METHODS: Twenty-three patients (70 +/- 8 years, 18 men) with PAD who had previously undergone run-off CTA were prospectively enrolled. Patients underwent non-contrast MRA using 2D-QISS and tsSOS-QISS at 1.5 T. Eighteen arterial segments were evaluated for subjective and objective image quality (normalized signal-to-noise, nSNR), vessel sharpness, and area under the curve (AUC) for > 50% stenosis detection. RESULTS: Overall subjective image quality ratings for the entire run-off were not different between tsSOS-QISS and 2D-QISS (3 [3; 4] vs 4 [3; 4], respectively; P = 0.813). Sharpness of primary branch vessels demonstrated improved image quality using tsSOS-QISS compared with 2D-QISS (4 [3; 4] vs 3 [2; 3], P = 0.008). Objective image quality measures were not different between 2D-QISS and tsSOS-QISS (nSNR 5.0 +/- 1.9 vs 4.2 +/- 1.8; P = 0.132). AUCs for significant stenosis detection by tsSOS-QISS and 2D-QISS were 0.877 and 0.856, respectively (P = 0.336). DISCUSSION: The prototype 3D tsSOS-QISS technique provides similar accuracy in patients with PAD to a standard commercially available 2D-QISS technique, indicating that the use of relatively thick slices does not limit the diagnostic performance of 2D-QISS. However, subjective image quality for branch vessel depiction is improved using the 3D approach. CI - (c) 2021. European Society for Magnetic Resonance in Medicine and Biology (ESMRMB). FAU - Varga-Szemes, Akos AU - Varga-Szemes A AUID- ORCID: 0000-0002-2781-7462 AD - Division of Cardiovascular Imaging, Department of Radiology and Radiological Science, Medical University of South Carolina, 25 Courtenay Dr, MSC 226, Charleston, SC, 29425, USA. vargaasz@musc.edu. FAU - Aouad, Pascale AU - Aouad P AD - Department of Radiology, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA. FAU - Schoepf, U Joseph AU - Schoepf UJ AD - Division of Cardiovascular Imaging, Department of Radiology and Radiological Science, Medical University of South Carolina, 25 Courtenay Dr, MSC 226, Charleston, SC, 29425, USA. FAU - Emrich, Tilman AU - Emrich T AD - Division of Cardiovascular Imaging, Department of Radiology and Radiological Science, Medical University of South Carolina, 25 Courtenay Dr, MSC 226, Charleston, SC, 29425, USA. AD - Department of Diagnostic and Interventional Radiology, University Medical Center, Mainz, Germany. AD - German Center for Cardiovascular Research (DZHK), Partner Site Rhine-Main, Mainz, Germany. FAU - Yacoub, Basel AU - Yacoub B AD - Division of Cardiovascular Imaging, Department of Radiology and Radiological Science, Medical University of South Carolina, 25 Courtenay Dr, MSC 226, Charleston, SC, 29425, USA. FAU - Todoran, Thomas M AU - Todoran TM AD - Division of Cardiology, Department of Medicine, Medical University of South Carolina, Charleston, SC, USA. FAU - Koktzoglou, Ioannis AU - Koktzoglou I AD - Department of Radiology, Northshore University HealthSystem, Evanston, IL, USA. AD - University of Chicago Pritzker School of Medicine, Chicago, IL, USA. FAU - Edelman, Robert R AU - Edelman RR AD - Department of Radiology, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA. AD - Department of Radiology, Northshore University HealthSystem, Evanston, IL, USA. LA - eng GR - R01 HL130093/HL/NHLBI NIH HHS/United States GR - R21 HL126015/HL/NHLBI NIH HHS/United States PT - Journal Article DEP - 20210508 PL - Germany TA - MAGMA JT - Magma (New York, N.Y.) JID - 9310752 RN - 0 (Contrast Media) SB - IM MH - Constriction, Pathologic MH - Contrast Media MH - Humans MH - Magnetic Resonance Angiography MH - Male MH - *Peripheral Arterial Disease/diagnostic imaging MH - Reproducibility of Results OTO - NOTNLM OT - Computed tomography angiography OT - Magnetic resonance angiography OT - Peripheral arterial disease EDAT- 2021/05/09 06:00 MHDA- 2021/10/16 06:00 CRDT- 2021/05/08 07:06 PHST- 2020/12/18 00:00 [received] PHST- 2021/04/26 00:00 [accepted] PHST- 2021/04/23 00:00 [revised] PHST- 2021/05/09 06:00 [pubmed] PHST- 2021/10/16 06:00 [medline] PHST- 2021/05/08 07:06 [entrez] AID - 10.1007/s10334-021-00927-y [pii] AID - 10.1007/s10334-021-00927-y [doi] PST - ppublish SO - MAGMA. 2021 Oct;34(5):649-658. doi: 10.1007/s10334-021-00927-y. Epub 2021 May 8.