[The Significance of MR Angiography for the Diagnosis of Carotid Stenoses]

Overview

Journal Radiologe

Specialty Radiology

Date 2004 Nov 19

PMID 15549221

Citations 1

Authors

H J Michaely

K A Herrmann

H Kramer

G Laub

M F Reiser

S O Schoenberg

Affiliations

Soon will be listed here.

Abstract

Arteriosclerosis of the supra-aortic vessels is a known risk factor for cerebrovascular disease. Large multicenter studies like NASCET and ECST have proven the protective effects of the surgical treatment of severe (>70%) carotid artery stenoses. The exact detection and grading of stenoses of the carotid arteries is a prerequisite for a successful therapy. Besides the gold-standard examination, digital subtraction angiography (DSA), MR angiography (MRA) is being used increasingly. MRA allows a non-invasive, high-resolution depiction of the supra-aortic vessels without ionizing radiation in only 20 s. This article first illustrates the MRA-techniques, and the indications and limitations of MRA. Next, the diagnostic accuracy of MRA is compared to DSA and ultrasound. The clinical value of MRA for the detection of stenoses of the carotid arteries is discussed on the basis of clinical examples.

Citing Articles

[Significance of MR angiography for imaging diagnostics of carotid artery diseases].

Schuster L, Hauser T, Essig M Radiologe. 2010; 50(7):597-606.

PMID: 20549179 DOI: 10.1007/s00117-009-1932-x.

References

Back M, Wilson J, Rushing G, Stordahl N, Linden C, Johnson B . Magnetic resonance angiography is an accurate imaging adjunct to duplex ultrasound scan in patient selection for carotid endarterectomy. J Vasc Surg. 2000; 32(3):429-38; discussion 439-40. DOI: 10.1067/mva.2000.109330. View

Anderson C, Lee R, Levin D, de la Torre Alonso S, Saloner D . Measurement of internal carotid artery stenosis from source MR angiograms. Radiology. 1994; 193(1):219-26. DOI: 10.1148/radiology.193.1.8090894. View

Alvarez-Linera J, Benito-Leon J, Escribano J, Campollo J, Gesto R . Prospective evaluation of carotid artery stenosis: elliptic centric contrast-enhanced MR angiography and spiral CT angiography compared with digital subtraction angiography. AJNR Am J Neuroradiol. 2003; 24(5):1012-9. PMC: 7975781. View

Zuccoli G, Guidetti D, Nicoli F, Giovanardi F, Ferrozzi F . Carotid and vertebral artery dissection: Magnetic Resonance findings in 15 cases. Radiol Med. 2003; 104(5-6):466-71. View

Barer D . Endarterectomy for recently symptomatic carotid stenosis. Lancet. 1998; 352(9122):143-4. DOI: 10.1016/S0140-6736(98)85047-2. View

Vanninen R, Koivisto K, Tulla H, Manninen H, Partanen K . Hemodynamic effects of carotid endarterectomy by magnetic resonance flow quantification. Stroke. 1995; 26(1):84-9. DOI: 10.1161/01.str.26.1.84. View

Saloner D . Determinants of image appearance in contrast-enhanced magnetic resonance angiography. A review. Invest Radiol. 1998; 33(9):488-95. DOI: 10.1097/00004424-199809000-00003. View

Krinsky G, Kaminer E, Lee V, Rofsky N, Weinreb J . The effects of apnea on timing examinations for optimization of gadolinium-enhanced MRA of the thoracic aorta and arch vessels. J Comput Assist Tomogr. 1998; 22(5):677-81. DOI: 10.1097/00004728-199809000-00001. View

Griswold M, Jakob P, Heidemann R, Nittka M, Jellus V, Wang J . Generalized autocalibrating partially parallel acquisitions (GRAPPA). Magn Reson Med. 2002; 47(6):1202-10. DOI: 10.1002/mrm.10171. View

10.

van Everdingen K, Klijn C, Kappelle L, Mali W, van der Grond J . MRA flow quantification in patients with a symptomatic internal carotid artery occlusion. The Dutch EC-IC Bypass Study Group. Stroke. 1997; 28(8):1595-600. DOI: 10.1161/01.str.28.8.1595. View

11.

U-King-Im J, Hollingworth W, Trivedi R, Cross J, Higgins N, Graves M . Contrast-enhanced MR angiography vs intra-arterial digital subtraction angiography for carotid imaging: activity-based cost analysis. Eur Radiol. 2003; 14(4):730-5. DOI: 10.1007/s00330-003-2127-x. View

12.

Troyer A, Saloner D, Pan X, Velez P, Rapp J . Major carotid plaque surface irregularities correlate with neurologic symptoms. J Vasc Surg. 2002; 35(4):741-7. DOI: 10.1067/mva.2002.121210. View

13.

Patel M, Kuntz K, Klufas R, Kim D, Kramer J, Polak J . Preoperative assessment of the carotid bifurcation. Can magnetic resonance angiography and duplex ultrasonography replace contrast arteriography?. Stroke. 1995; 26(10):1753-8. DOI: 10.1161/01.str.26.10.1753. View

14.

U-King-Im J, Trivedi R, Cross J, Higgins N, Graves M, Kirkpatrick P . Conventional digital subtraction x-ray angiography versus magnetic resonance angiography in the evaluation of carotid disease: patient satisfaction and preferences. Clin Radiol. 2004; 59(4):358-63. DOI: 10.1016/j.crad.2003.08.015. View

15.

Slovut D, Olin J . Fibromuscular dysplasia. N Engl J Med. 2004; 350(18):1862-71. DOI: 10.1056/NEJMra032393. View

16.

Korosec F, Frayne R, Grist T, Mistretta C . Time-resolved contrast-enhanced 3D MR angiography. Magn Reson Med. 1996; 36(3):345-51. DOI: 10.1002/mrm.1910360304. View

17.

Waugh J, Sacharias N . Arteriographic complications in the DSA era. Radiology. 1992; 182(1):243-6. DOI: 10.1148/radiology.182.1.1727290. View

18.

Riederer S, Bernstein M, Breen J, Busse R, Ehman R, Fain S . Three-dimensional contrast-enhanced MR angiography with real-time fluoroscopic triggering: design specifications and technical reliability in 330 patient studies. Radiology. 2000; 215(2):584-93. DOI: 10.1148/radiology.215.2.r00ma21584. View

19.

Willinsky R, Taylor S, Terbrugge K, Farb R, Tomlinson G, Montanera W . Neurologic complications of cerebral angiography: prospective analysis of 2,899 procedures and review of the literature. Radiology. 2003; 227(2):522-8. DOI: 10.1148/radiol.2272012071. View

20.

Pruessmann K, Weiger M, Scheidegger M, Boesiger P . SENSE: sensitivity encoding for fast MRI. Magn Reson Med. 1999; 42(5):952-62. View