The Usefulness of Stress Perfusion MR using Steady State Free Precession Sequence for Depiction of Significant Coronary Artery Stenosis
Journal of the Korean Radiological Society
;
: 25-31, 2007.
Article
in English
| WPRIM
| ID: wpr-131447
ABSTRACT
PURPOSE:
To evaluate the technical performance of stress myocardial perfusion magnetic resonance (MR) imaging using saturation-recovery steady-state free precession (SR- SSFP) and to assess the diagnostic accuracy of this examination for depiction of significant coronary artery stenosis. MATERIALS ANDMETHODS:
167 patients underwent stress myocardial perfusion MR imaging at rest and adenosine-induced stress by using a 1.5-T cardiac MR imaging unit. The first-pass MR perfusion was performed using SR-SSFP sequence. Coronary angiography was performed in 113 patients. Image analysis was performed to compare the diagnostic accuracy of MR imaging with that of coronary angiography.RESULTS:
During the MR examination, minor side effects of adenosine-induced stress occurred, most commonly chest discomfort (29%), followed by dyspnea (4%), and facial flushing (0.8%). The overall sensitivity of MR imaging for depicting at least one coronary artery with significant stenosis was 91%. The sensitivities of MR imaging for depiction of stenoses were as follows 80% for single-vessel stenosis, 81% for double-vessel stenosis, and 100% for triple-vessel stenosis.. The specificity of MR imaging for identification of patients with significant coronary artery stenosis was 78%.CONCLUSION:
Stress myocardial magnetic resonance (MR) perfusion imaging using SR-SSFP sequence is safe and useful for the detection of significant coronary artery disease.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Perfusion
/
Thorax
/
Coronary Artery Disease
/
Magnetic Resonance Imaging
/
Sensitivity and Specificity
/
Coronary Angiography
/
Constriction, Pathologic
/
Coronary Vessels
/
Coronary Stenosis
/
Dyspnea
Type of study:
Diagnostic study
Limits:
Humans
Language:
English
Journal:
Journal of the Korean Radiological Society
Year:
2007
Type:
Article
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