Title
MR angiography of carotid artery aneurysms in a porcine model at 3 tesla: Comparison of two different macrocyclic gadolinium chelates and of dynamic and conventional techniques
Date Issued
01 November 2012
Access level
open access
Resource Type
journal article
Author(s)
Wuesten O.
Morelli J.N.
Miller M.W.
Tuzun E.
Lenox M.W.
Fossum T.W.
Cotes C.
Krombach G.A.
Runge V.M.
University of Texas Medical Branch
Abstract
Purpose: To evaluate the differences in image quality of two macrocyclic gadolinium-based contrast agents, gadobutrol and gadoterate meglumine, using time-resolved, contrast-enhanced MR angiography (CE-MRA) in a porcine carotid artery aneurysm model and to compare image quality between dynamic and conventional, single acquisition CE-MRA. Materials and Methods: Bilateral carotid aneurysms were created surgically in this Institutional Animal Care and Use Committee approved study. Dynamic CE-MRA studies optimized for high temporal resolution were performed at 3 Tesla. Scans using equivalently dosed (on a per mmol basis) gadobutrol and gadoterate meglumine were compared qualitatively and quantitatively in terms of contrast-to-noise ratio (CNR). Higher spatial resolution dynamic and conventional CE-MRA were also compared. Results: N = 16 aneurysms were assessed. Qualitative evaluation of dynamic CE-MRA scans demonstrated a preference for gadobutrol over gadoterate meglumine. Significantly higher aneurysm CNR was found with gadobutrol (133 ± 44) versus gadoterate meglumine, the latter at both equivalent and double injection rates (94 ± 35 and 102 ± 38). In a blinded assessment, conventional CE-MRA was preferred qualitatively when compared with dynamic CE-MRA. However, dynamic CE-MRA was generally capable of providing diagnostic image quality. Conclusion: Gadobutrol is preferred to gadoterate meglumine for high temporal resolution dynamic CE-MRA, a fact with important clinical implications for low dose CE-MRA protocols in patients at risk for nephrogenic systemic fibrosis. Conventional high resolution CE-MRA provides superior image quality when compared with dynamic CE-MRA. © 2012 Wiley Periodicals, Inc.
Start page
1203
End page
1212
Volume
36
Issue
5
Language
English
OCDE Knowledge area
Otras ingenierĂ­as y tecnologĂ­as RadiologĂ­a, Medicina nuclear, ImĂ¡genes mĂ©dicas
Scopus EID
2-s2.0-84867821439
PubMed ID
Source
Journal of Magnetic Resonance Imaging
ISSN of the container
15222586
Sources of information: Directorio de ProducciĂ³n CientĂ­fica Scopus