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Initial experience with imaging of the lower extremity arteries in an open 1.0 Tesla MRI system using the triggered angiography non-contrast-enhanced sequence (TRANCE) compared to digital subtraction angiography (DSA)

  • Britta Suttmeyer , Ulf Teichgräber , Hendrik Rathke , Liane Albrecht , Felix Güttler , Bernhard Schnackenburg , Bernd Hamm and Maximilian de Bucourt EMAIL logo
Published/Copyright: December 18, 2015

Abstract

Purpose:

The aim of this study was to evaluate the feasibility and validity of arterial lower limb imaging with triggered angiography non-contrast enhanced (TRANCE) in an open MRI at 1.0 Tesla (T) compared to digital subtraction angiography (DSA).

Material and methods:

ECG-gated, non-contrast-enhanced magnetic resonance angiography (MRA) was performed in a 1.0-T high-field open magnetic resonance imaging (MRI) system which generates a vertical magnetic field. Three acquisition levels were defined (abdominal and pelvic level, arterial segments above the knee and segments below the knee) and a total of 1782 vessel diameter measurements were taken on a total of 11 patients with suspected peripheral arterial occlusive disease (PAOD) (8 men, 3 women; average age 66 years). In each patient, 162 vessel segments (81 each with TRANCE and DSA) were defined and measured. Pearson correlation coefficients were calculated.

Results:

At the abdominal/pelvic level, all mean values measured with DSA exceeded the mean values obtained with TRANCE. Above the knee, mean vessel diameters were measured smaller in DSA in six, equal in three, and larger in two vessel segments. Below the knee, all measured averages, except for the tibiofibular tract (TFT) measurements, were larger in TRANCE. In total, two small (≤0.3), two moderate (>0.3), 11 good (>0.5), 10 high (>0.7) and 13 very high (>0.8) correlations were obtained.

Conclusions:

Non-contrast-enhanced imaging of the lower limb arteries using a TRANCE-sequence in a 1.0 T open MRI system is feasible with the protocol presented; however, TRANCE tends to underestimate larger vessels and overestimate smaller vessels compared to DSA.


Corresponding author: Maximilian de Bucourt, MD, Dipl. Vw., Department of Radiology, Charité – Universitätsmedizin Berlin, Charitéplatz 1, 10117 Berlin, Germany, Phone: +49 (30) 450 627 085, E-mail:

Acknowledgments:

This study was supported by the TSB Technologiestiftung-Zukunftsfonds, Berlin, Germany, and the European Union-European Fund for Regional Development, Berlin, Germany.

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Received: 2014-12-4
Accepted: 2015-11-9
Published Online: 2015-12-18
Published in Print: 2016-8-1

©2016 Walter de Gruyter GmbH, Berlin/Boston

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