ABSTRACT
PURPOSE: To understand the behavior of stents during contrast-enhanced magnetic resonance angiography (MRA). MATERIALS AND METHODS: Seven different types of stents are explored in vitro with spin echo (SE) T2 sequence and MRA sequences using classification of the intra-prothesis signal. Six patients with 11 different proximal stents are studied by Gadolinium enhanced MRA with the same classification. RESULTS: Stent material is not the only determinant of behavior. In this way, one stainless steel stent produced less intra-luminal hyposignal than a nitinol device. Nevertheless, only a nitinol stent did not alter the intra-prothesis signal and allowed an appreciation of patency, despite a decrease of diameter and presence of edge artifacts. CONCLUSION: Even if stent compatibility is well known with MRI, even with Gadolinium, cannot be used alone to depict stenosis or diameter reduction. Even patency based on the presence of a constant signal, cannot be confirmed routinely with confidence: indeed, only a single stent does not modify intra-arterial signal.
Subject(s)
Magnetic Resonance Angiography , Stents , Aged , Alloys , Artifacts , Blood Vessel Prosthesis , Contrast Media , Equipment Design , Gadolinium , Humans , Image Enhancement , Image Processing, Computer-Assisted , Magnetic Resonance Angiography/classification , Magnetic Resonance Angiography/methods , Magnetic Resonance Imaging , Middle Aged , Stainless Steel , Vascular PatencyABSTRACT
PURPOSE: To evaluate Doppler ultrasound (US), Helical CT, Magnetic Resonance (MR) angiography in the detection of carotid bifurcation atherosclerotic disease and comparison with angiography. MATERIALS AND METHODS: After a Doppler US procedure, 56 carotid bifurcations were included (symptomatic stenosis greater than 60% or asymptomatic stenosis greater than 30%). Helical CT, MR angiography and selective arteriography were performed. Stenosis were measured with NASCET criteria. Sensitivity and specificity were calculated and compared to arteriographics findings for each procedure and each grade of stenosis. RESULTS: Helical CT and MR angiography had their best sensitivity in grade 3 (70-99%), 92%, 100% respectively, their specificity was identical (91%). All the occlusions were depicted by the three procedures. CONCLUSION: Association of Doppler US and MR angiography may replace in the future selective angiography in the evaluation of extracranial atherosclerotic disease. Arteriography would be performed only in case of discordance between these two procedures.
