Application of Single-dose Contrast-enhanced Magnetic Resonance in Carotid Arteriography_West China Medical Journal

Authors：

HU Gang ¹ , XIA Chunchao ² ,  LI Zhenlin ² , CHEN Xian ²

1. Department of Radiology, General Hospital of Beijing Military Region, Beijing 100700, P. R. China; 2. Department of Radiology, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, R. R. China;

Corresponding author：

LI Zhenlin, Email: huyunke@sina.com

Keywords：

单倍剂量; 对比剂; 磁共振血管成像

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

目的　探讨常规注射速率下单倍剂量对比剂在颈部三维对比增强磁共振血管成像（3D-CEMRA）中的可行性及临床应用价值。方法　2011年8月－11月，连续纳入30例临床怀疑颈动脉或椎动脉狭窄并要求颈部磁共振血管成像检查的患者，随机分成A、B两组（每组各15例）。使用西门子Magnetom Avanto 1.5 T磁共振成像仪及其配备的颈部线圈和头部线圈进行CEMRA成像。A组使用双倍剂量对比剂（0.2 mmol/kg），B组使用单倍剂量对比剂（0.1 mmol/kg）。用三维快速小角度激发序列进行颈部血管成像。由2位有丰富经验的高年资医生对两组原始图像的信噪比以及最大密度投影（MIP）图像的质量进行评价，并对结果进行统计学分析和处理。结果　A、B两组的所颈动脉信噪比分别为189.95 ± 71.31、175.07 ± 68.61，差异无统计学意义（t=?0.566，P=0.576）；所得的MIP图像质量均达到优良，差异无统计意义（χ2=0.180，P=0.671）。结论　与双倍剂量相比，单倍剂量对比剂获得颈部血管的图像清晰，能够满足临床诊断要求。

Citation： HU Gang,XIA Chunchao,LI Zhenlin,CHEN Xian. Application of Single-dose Contrast-enhanced Magnetic Resonance in Carotid Arteriography. West China Medical Journal, 2012, 27(6): 910-912. doi: Copy

1.	Leiner T. Magnetic resonance angiography of abdominal and lower extremity vasculature[J]. Top Magn Reson Imaging, 2005, 16(1): 21-66.
2.	陆建平, 刘崎, 何新红, 等. 三维对比剂增强MR血管成像对颈部动脉病变的诊断价值[J]. 中华放射学杂志, 2004, 38(1): 76-81.
3.	Grobner T. Gadolinium--a specific trigger for the development of nephrogenic fibrosing dermopathy and nephrogenic systemic fibrosis?[J]. Nephrol Dial Transplant, 2006, 21(4): 1104-1108.
4.	Prince MR, Zhang H, Morris M, et al. Incidence of nephrogenic systemic fibrosis at two large medical centers[J]. Radiology, 2008, 248(3): 807-816.
5.	Heiserman JE, Dean BL, Hodak JA, et al. Neurologic complications of cerebral angiography[J]. Am J Neuroradiol, 1994, 15(8): 1401-1407.
6.	Grzyska U, Freitag J, Zeumer H. Selective cerebral intraarteral DSA: complication rate and control of risk factors[J]. Neuroradiol, 1990, 32(1): 296-299.
7.	Waugh JR, Sacharias N. Arteriographic complications in DSA era[J]. Radiology, 1992, 182(4): 243-246.
8.	赵文海. MRA与DSA在头颈部血管疾病中的诊断价值[J]. 中国医疗设备, 2010, 25(7): 100-102.
9.	Michael B, France BM, Cornelis TP, et al. Accuracy of normal-dose contrast-enhanced MR angiography in assessing renal artery stenosis and accessory renal arteries[J]. AJR, 2000, 174(3): 629-634.
10.	张云亭, 袁聿德. 医学影像检查技术[M]. 北京: 人民卫生出版社, 2005: 97-100.
11.	曹丽珍, 李坤成, 杜祥颖, 等. 低剂量对比剂联合生理盐水在64层螺旋CT头颈部血管成像中的应用[J]. 中华放射学杂志, 2007, 41(8): 821-824.
12.	Timothy JC, Thomas MG. Technical developments in MR angiography[J]. Radiol Clin North Am, 2002, 40(4): 921-951.

1. 　Leiner T. Magnetic resonance angiography of abdominal and lower extremity vasculature[J]. Top Magn Reson Imaging, 2005, 16(1): 21-66.
2. 　陆建平, 刘崎, 何新红, 等. 三维对比剂增强MR血管成像对颈部动脉病变的诊断价值[J]. 中华放射学杂志, 2004, 38(1): 76-81.
3. 　Grobner T. Gadolinium--a specific trigger for the development of nephrogenic fibrosing dermopathy and nephrogenic systemic fibrosis?[J]. Nephrol Dial Transplant, 2006, 21(4): 1104-1108.
4. 　Prince MR, Zhang H, Morris M, et al. Incidence of nephrogenic systemic fibrosis at two large medical centers[J]. Radiology, 2008, 248(3): 807-816.
5. 　Heiserman JE, Dean BL, Hodak JA, et al. Neurologic complications of cerebral angiography[J]. Am J Neuroradiol, 1994, 15(8): 1401-1407.
6. 　Grzyska U, Freitag J, Zeumer H. Selective cerebral intraarteral DSA: complication rate and control of risk factors[J]. Neuroradiol, 1990, 32(1): 296-299.
7. 　Waugh JR, Sacharias N. Arteriographic complications in DSA era[J]. Radiology, 1992, 182(4): 243-246.
8. 　赵文海. MRA与DSA在头颈部血管疾病中的诊断价值[J]. 中国医疗设备, 2010, 25(7): 100-102.
9. 　Michael B, France BM, Cornelis TP, et al. Accuracy of normal-dose contrast-enhanced MR angiography in assessing renal artery stenosis and accessory renal arteries[J]. AJR, 2000, 174(3): 629-634.
10. 　张云亭, 袁聿德. 医学影像检查技术[M]. 北京: 人民卫生出版社, 2005: 97-100.
11. 　曹丽珍, 李坤成, 杜祥颖, 等. 低剂量对比剂联合生理盐水在64层螺旋CT头颈部血管成像中的应用[J]. 中华放射学杂志, 2007, 41(8): 821-824.
12. 　Timothy JC, Thomas MG. Technical developments in MR angiography[J]. Radiol Clin North Am, 2002, 40(4): 921-951.

West China Medical Journal

Application of Single-dose Contrast-enhanced Magnetic Resonance in Carotid Arteriography

Abstract Full text Figures/Tables Video References Cited by

Format

Content