Key result
T1w-SPACE dark blood MRA enables highly reproducible whole body arterial wall visualization in ~89% of subjects.
Why the study?
The feasibility of the dark blood fast spin echo T1w-SPACE sequence for whole body arterial wall imaging from extracranial carotids to popliteal artery was not established.
Does noncontrast DB-WBMRA using a T1w-SPACE sequence provide feasible and reproducible whole body arterial vessel wall visualization in human subjects?
Observational (n=28)
Does noncontrast DB-WBMRA using a T1w-SPACE sequence provide feasible and reproducible whole body arterial vessel wall visualization in human subjects?
Effect estimate: r > 0.95
p-value: p=<0.01
Noncontrast DB-WBMRA using T1w-SPACE is a feasible and highly reproducible technique for whole-body arterial vessel wall visualization.
Feasibility of arterial wall visualization by T1w-SPACE MRA shown; leaves open diagnostic utility pending larger validation studies.
PURPOSE: To evaluate the feasibility of the dark blood fast spin echo (FSE) T1-weighted-Sampling Perfection with Application of optimized Contrasts using different flip angle Evolution (T1w-SPACE) sequence in assessing whole body arterial wall information from the extracranial carotids to the popliteal artery. MATERIALS AND METHODS: Twenty-eight subjects were subjected to noncontrast, dark blood whole body magnetic resonance angiography (DB-WBMRA) using a T1w-SPACE sequence optimized for each of the individual stations: carotid artery, thoracic aorta, abdominal aorta, and thigh/superficial femoral artery (SFA). Image quality/vessel wall visualization and the time required to image the four stations were evaluated. Two observers checked the reproducibility of vessel wall depiction by performing quantitative measurements in registered initial and repeat studies (six subjects) of vessel wall and lumen area at 17 locations along the arterial tree. RESULTS: In 25 of the 28 scanned subjects, dark blood arterial images acquired in approximately 1 hour total imaging time allowed whole body arterial vessel wall visualization. Quantitative measurements showed high correlation between the initial and repeat studies for each of the observers as well as high interobserver reproducibility (r > 0.95; P < 0.01). CONCLUSION: DB-WBMRA using T1w-SPACE is feasible and can be performed with a high degree of reliability.
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Mihai et al. (2010) reported an observational. T1-weighted-SPACE dark blood whole body magnetic resonance angiography (DB-WBMRA) was evaluated on Whole body arterial vessel wall visualization and reproducibility (r > 0.95, p=<0.01). Dark blood whole body magnetic resonance angiography using T1w-SPACE allowed arterial vessel wall visualization in 25 of 28 subjects with high reproducibility (r > 0.95; P < 0.01).
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