MR医学影像文献Zhang-2016-Noncontrast MR Angiography （MRA） of.pdfVIP

ORIGINAL RESEARCH Noncontrast MR Angiography (MRA) of Infragenual Arteries Using Flow-Sensitive Dephasing (FSD)-Prepared Steady-State Free Precession (SSFP) at 3.0 Tesla: Comparison with Contrast-Enhanced MRA Nan Zhang, MD,1 Zhaoyang Fan, PHD,2 Nan Luo, MD,1 Xiaoming Bi, PHD,3 1 4 1 5 Yike Zhao, MD, Jing An, PHD, Jiayi Liu, MD, * Zhong Chen, PHD, Zhanming Fan, PHD,1 and Debiao Li, PHD2 Background: To evaluate the feasibility and diagnostic performance of flow-sensitive dephasing (FSD)-prepared steady- state free precession (SSFP) MR angiography (MRA) for imaging infragenual arteries at 3.0T, with contrast enhanced MR angiography (CE MRA) as reference. Methods: Twenty consecutive patients with suspicion of lower extremity arterial disease undergoing routine CE MRA were recruited. FSD MRA was performed at calf before CE MRA. Image quality and stenosis degree of infragenual arteries from both techniques were independently evaluated and compared. Six patients in this study underwent DSA examination. Results: Three undiagnostic segments were excluded with severe venous contamination in CE MRA. A total of 197 calf arterial segments images were analyzed. No significant difference existed in the relative signal intensity (rSI) of arterial segments between FSD MRA and CE MRA techniques (0.92 6 0.09 versus 0.93 60.05; P 50.207). However, the subjec- tive image quality score was slightly higher in FSD MRA (3.66 60.81 versus 3.49 60.87; P 50.050). With CE MRA images as reference standard, slight overestimation existed in FSD MRA (2.19 6 1.24 versus 2.09 6 1.18; P