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• Clinical Article •
The clinical value of 3D contrast-enhanced MR angiography in diagnosis and treatment of aortic aneurysms
LIU Qi  LU Jian-ping  WANG Fei  WANG Li 

DOI:10.3969/j.issn.1674-8034.2013.04.002.


[Abstract] Objective: To assess the clinical value of three-dimensional dynamic contrast-enhanced MR angiography (3D CE-MRA) in the diagnosis and treatment of aortic aneurysms.Materials and Methods: Nine hundred and twenty five patients underwent 3D CE-MRA with three-dimensional reconstruction on workstation. The clinical role was evaluated for treatment planning.Results: In 925 patients with aortic aneurysms, aortic real aneurysms were 479 cases (thoracic 138, thoracoabdominal 29, and abdominal 312), aortic dissection 407 cases (Stanford type A 84, type B 232, and intramural hematoma 91), and aortic pseudoaneurysms 39 cases (thoracic 21, and abdominal 18). 3D CE-MRA clearly demonstrated the type, morphology, location, detail of aortic aneurysm, and 3D relationship with adjacent arteries. The parameters at 3D CE-MRA coincided well with those at DSA in all cases with endovascular graft exclusion (P>0.05). 3D CE-MRA was very helpful for surgery and endovascular treatment. Among them, 352 cases were perfumed with endovascular graft exclusion (aortic real aneurysms 195, aortic dissection 126, and aortic pseudoaneurysms 31), 115 cases with surgery (aortic real aneurysms 47, aortic dissection 63, and aortic pseudoaneurysms 5).Conclusions: 3D CE-MRA is a fast, noninvasive and efficient technique in diagnosis and treatment of aortic aneurysms. It can provide reliable information for surgery and endovascular treatment, and could be used as the first choice of patients with renal insufficiency.
[Keywords] Aortic aneurysm；Magnetic resonance angiography

LIU Qi* Department of Radiology, Changhai Hospital, the Second Military Medical University, Shanghai 200433, China

LU Jian-ping Department of Radiology, Changhai Hospital, the Second Military Medical University, Shanghai 200433, China

WANG Fei Department of Radiology, Changhai Hospital, the Second Military Medical University, Shanghai 200433, China

WANG Li Department of Radiology, Changhai Hospital, the Second Military Medical University, Shanghai 200433, China

*Correspondence to: Liu Q, E-mail: liuqiatg@gmail.com

Conflicts of interest   None.

Received  2012-10-15
Accepted  2012-11-25
DOI: 10.3969/j.issn.1674-8034.2013.04.002
DOI:10.3969/j.issn.1674-8034.2013.04.002.

[1]
Olin JW, Fuster V. Acute aortic dissection: the need for rapid, accurate, and readily available diagnostic strategies. Arterioscler Thromb Vasc Biol, 2003, 23(10): 1721-1723.
[2]
Buckley O, Rybicki FJ, Gerson DS, et al. Imaging features of intramural hematoma of the aorta. Int J Cardiovasc imaging, 2010, 26(1): 65-76.
[3]
Liu Q, Lu JP, Wang F, et al. Endovascular graft exclusion for abdominal aortic aneurysms: 3D contrast-enhanced MR angiography. Abdominal Imaging, 2006, 31(3): 347-360.
[4]
Kaufman JA, Geller SC, Brewster DC, et al. Endovascular repair of abdominal aortic aneurysms: current status and future directions. AJR Am J Roentgenol, 2000, 175(2): 289-302.
[5]
Rousseau H, Chabbert V, Maracher MA, et al. The importance of imaging assessment before endovascular repair of thoracic aorta. Eur J Vasc Endovasc Surg, 2009, 38(4): 408-421.
[6]
Liu Q, Lu JP, Wang F, et al. Three-dimensional contrast-enhanced MR angiography of aortic dissection: a pictorial essay. RadioGraghic, 2007, 27(5): 1311-1321.
[7]
Brenner DJ, Hall EJ. Computed tomography-an increasing source of radiation exposure. N Engl J Med, 2007, 357(22): 2277-2284.
[8]
Hartung MP, Grist TM, Francois CJ. Magnetic resonance angiography: current status and future directions. J Cardiovasc Magn Reson, 2011, 13(1): 19.
[9]
曾蒙苏，金航.聚焦前沿睿智分享：解读美国《心血管磁共振专家共识》.磁共振成像，2010，1(5): 330-333.
[10]
Maintz D, kugel H, Schellhammer F, et al. In vitro evaluation of intravascular stent artifacts in three-dimensional MR angiography. Invest Radiol, 2001, 36(4): 218-224.

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