Magnetic Resonance Imaging of Acute Pulmonary Embolism

Overview

Journal Eur Radiol

Specialty Radiology

Date 2007 May 9

PMID 17486344

Citations 8

Authors

Christian Fink

Sebastian Ley

Stefan O Schoenberg

Maximilian F Reiser

H U Kauczor

Affiliations

Soon will be listed here.

Abstract

Pulmonary embolism (PE) is a very common and potentially life-threatening disease. In comparison with CT, the clinical relevance of magnetic resonance imaging (MRI) for the assessment of PE is low. Nevertheless, as there are some potential advantages of MRI over CT (e.g. radiation free method, better safety profile of MR contrast media, capability of functional imaging). In certain patient, groups MRI might therefore be considered as a valuable alternative in the assessment of suspected PE. This article reviews the relevant MRI techniques for the evaluation of PE and gives an overview of the current literature for contrast-enhanced MR angiography of PE.

Citing Articles

Feasibility of detecting pulmonary embolism using noncontrast MRI.

Mudge C, Healey T, Atalay M, Pezzullo J ISRN Radiol. 2014; 2013:729271.

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[Clinical indications for the use of cardiac MRI. By the SIRM Study Group on Cardiac Imaging].

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Pulmonary perfusion imaging using MRI: clinical application.

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Imaging lung perfusion.

Hopkins S, Wielputz M, Kauczor H J Appl Physiol (1985). 2012; 113(2):328-39.

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Magnetic resonance imaging findings in acute pulmonary embolism.

Hochhegger B, Ley-Zaporozhan J, Marchiori E, Irion K, Soares Souza Jr A, Moreira J Br J Radiol. 2011; 84(999):282-7.

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References

Fink C, Ley S, Puderbach M, Plathow C, Bock M, Kauczor H . 3D pulmonary perfusion MRI and MR angiography of pulmonary embolism in pigs after a single injection of a blood pool MR contrast agent. Eur Radiol. 2004; 14(7):1291-6. DOI: 10.1007/s00330-004-2282-8. View

Thomsen H . Nephrogenic systemic fibrosis: A serious late adverse reaction to gadodiamide. Eur Radiol. 2006; 16(12):2619-21. PMC: 1705479. DOI: 10.1007/s00330-006-0495-8. View

Levin D, Chen Q, Zhang M, Edelman R, Hatabu H . Evaluation of regional pulmonary perfusion using ultrafast magnetic resonance imaging. Magn Reson Med. 2001; 46(1):166-71. DOI: 10.1002/mrm.1172. View

van Beek E, Wild J, Fink C, Moody A, Kauczor H, Oudkerk M . MRI for the diagnosis of pulmonary embolism. J Magn Reson Imaging. 2003; 18(6):627-40. DOI: 10.1002/jmri.10421. View

. Value of the ventilation/perfusion scan in acute pulmonary embolism. Results of the prospective investigation of pulmonary embolism diagnosis (PIOPED). JAMA. 1990; 263(20):2753-9. DOI: 10.1001/jama.1990.03440200057023. View

Amundsen T, Torheim G, Kvistad K, Waage A, Bjermer L, Nordlid K . Perfusion abnormalities in pulmonary embolism studied with perfusion MRI and ventilation-perfusion scintigraphy: an intra-modality and inter-modality agreement study. J Magn Reson Imaging. 2002; 15(4):386-94. DOI: 10.1002/jmri.10092. View

Goldhaber S . Pulmonary embolism. Lancet. 2004; 363(9417):1295-305. DOI: 10.1016/S0140-6736(04)16004-2. View

Gupta A, Frazer C, Ferguson J, Kumar A, Davis S, Fallon M . Acute pulmonary embolism: diagnosis with MR angiography. Radiology. 1999; 210(2):353-9. DOI: 10.1148/radiology.210.2.r99fe53353. View

Parker M, Hui F, Camacho M, Chung J, Broga D, Sethi N . Female breast radiation exposure during CT pulmonary angiography. AJR Am J Roentgenol. 2005; 185(5):1228-33. DOI: 10.2214/AJR.04.0770. View

10.

Tombach B, Heindel W . Value of 1.0- M gadolinium chelates: review of preclinical and clinical data on gadobutrol. Eur Radiol. 2002; 12(6):1550-6. DOI: 10.1007/s00330-001-1242-9. View

11.

Kluge A, Gerriets T, Lange U, Bachman G . MRI for short-term follow-up of acute pulmonary embolism. Assessment of thrombus appearance and pulmonary perfusion: a feasibility study. Eur Radiol. 2005; 15(9):1969-77. DOI: 10.1007/s00330-005-2760-7. View

12.

Nikolaou K, Schoenberg S, Brix G, Goldman J, Attenberger U, Kuehn B . Quantification of pulmonary blood flow and volume in healthy volunteers by dynamic contrast-enhanced magnetic resonance imaging using a parallel imaging technique. Invest Radiol. 2004; 39(9):537-45. DOI: 10.1097/01.rli.0000133813.22873.47. View

13.

Remy-Jardin M, Louvegny S, Remy J, Artaud D, Deschildre F, Bauchart J . Acute central thromboembolic disease: posttherapeutic follow-up with spiral CT angiography. Radiology. 1997; 203(1):173-80. DOI: 10.1148/radiology.203.1.9122389. View

14.

Scarsbrook A, Evans A, Owen A, Gleeson F . Diagnosis of suspected venous thromboembolic disease in pregnancy. Clin Radiol. 2005; 61(1):1-12. DOI: 10.1016/j.crad.2005.08.015. View

15.

Kluge A, Gerriets T, Stolz E, Dill T, Mueller K, Mueller C . Pulmonary perfusion in acute pulmonary embolism: agreement of MRI and SPECT for lobar, segmental and subsegmental perfusion defects. Acta Radiol. 2006; 47(9):933-40. DOI: 10.1080/02841850600885377. View

16.

Fink C, Bock M, Puderbach M, Schmahl A, Delorme S . Partially parallel three-dimensional magnetic resonance imaging for the assessment of lung perfusion--initial results. Invest Radiol. 2003; 38(8):482-8. DOI: 10.1097/01.rli.0000067490.97837.82. View

17.

Nael K, Michaely H, Kramer U, Lee M, Goldin J, Laub G . Pulmonary circulation: contrast-enhanced 3.0-T MR angiography--initial results. Radiology. 2006; 240(3):858-68. DOI: 10.1148/radiol.2403051076. View

18.

Ohno Y, Higashino T, Takenaka D, Sugimoto K, Yoshikawa T, Kawai H . MR angiography with sensitivity encoding (SENSE) for suspected pulmonary embolism: comparison with MDCT and ventilation-perfusion scintigraphy. AJR Am J Roentgenol. 2004; 183(1):91-8. DOI: 10.2214/ajr.183.1.1830091. View

19.

Nikolaou K, Schoenberg S, Attenberger U, Scheidler J, Dietrich O, Kuehn B . Pulmonary arterial hypertension: diagnosis with fast perfusion MR imaging and high-spatial-resolution MR angiography--preliminary experience. Radiology. 2005; 236(2):694-703. DOI: 10.1148/radiol.2361040502. View

20.

Schoenberg S, Bock M, Floemer F, Grau A, Williams D, Laub G . High-resolution pulmonary arterio- and venography using multiple-bolus multiphase 3D-Gd-mRA. J Magn Reson Imaging. 1999; 10(3):339-46. DOI: 10.1002/(sici)1522-2586(199909)10:3<339::aid-jmri16>3.0.co;2-8. View