Magnetic resonance imaging of thoracic aortic aneurysm and dissection

doi:10.1053/sroe.2001.26938

Seminars in Roentgenology

Volume 36, Issue 4, October 2001, Pages 295-308

https://doi.org/10.1053/sroe.2001.26938 Get rights and content

Summary

MRI is an extremely useful technique for the evaluation of the thoracic aorta. It provides a comprehensive evaluation of all the important structures within the chest and allows for high-resolution imaging of both the aortic lumen and the wall itself. As such, it is a sensitive method for delineating the extent of disease branchvessel involvement, and superimposed complications. Technical advances, such as steppedtable MRA and bolus-timing strategies, continue to improve overall image quality. In addition, the recent development of blood-pool contrast agents may further impact the diagnostic yield.^44,45 Given these facts, MRI is likely to remain a mainstay in this patient population for years to come.

References (46)

KumarS et al.
Three-dimensional time-of-flight MR angiography of the arch of aorta and its major branches: A comparative study with contrast angiography
Clin Radiol
(1996)
LaissyJP et al.
Time-of-flight magnetic resonance angiography of aorta and renal arteries: State-of-the-art
Eur J Radiol
(1996)
KelekisNL et al.
Magnetic resonance imaging of the abdominal aorta and iliac vessels using combined 3-D gadolinium-enhanced MRA and gadolinium-enhanced fat-suppressed spoiled gradient echo sequences
Magn Reson Imaging
(1999)
MooreW et al.
Transfemoral endovascular repair of abdominal aortic aneurysm: Results of the North American EVT phase I trial
J Vasc Surg
(1996)
MirvisSE et al.
MR imaging of thoracic trauma
Magn Reson Imaging Clin North Am
(2000)
HataA et al.
Magnetic resonance imaging of vascular changes in Takayasu arteritis
Int J Cardiol
(1995)
AmparoEG et al.
Aortic dissection: Magnetic resonance imaging
Radiology
(1985)
YamaguchiT et al.
Intercostal artery aneurysm associated with coarctation of the aorta: Specific finding on MR imaging
Int J Cardiac Imaging
(1997)
GristTM et al.
Steady-state and dynamic MR angiography with MS-325: Initial experience in humans
Radiology
(1998)
HartnellGG et al.
MR imaging of the thoracic aorta: Comparison of spin-echo, angiographic, and breath-hold techniques
Radiology
(1994)

KrinskyGA et al.

Thoracic aorta: Comparison of gadolinium-enhanced three-dimensional MR angiography with conventional MR imaging

Radiology

(1997)

PrinceMR et al.

Three-dimensional gadolinium-enhanced MR angiography of the thoracic aorta

AJR Am J Roentgenol

(1996)

QuinnSF et al.

Aortic and lower-extremity arterial disease: Evaluation with MR angiography versus conventional angiography

Radiology

(1998)

YucelEK et al.

AHA scientific statement. Magnetic resonance angiography: Update on applications for extracranial arteries

Circulation

(1999)

PrinceMR et al.

Dynamic gadolinium-enhanced three-dimensional abdominal MR arteriography

J Magn Reson Imaging

(1993)

NitatoriT et al.

Clinical application of single shot GRE-EPI as non-enhanced MRA (EPI-MRA) for aortic aneurysm and dissection

Radiat Med

(1999)

InoueT et al.

Evaluation of flow volume and flow patterns in the patent false lumen of chronic aortic dissections using velocity-encoded cine magnetic resonance imaging

Jap Circ J

(2000)

ArpasiPJ et al.

MR angiography of the thoracic aorta with an electrocardiographically triggered breath-hold contrast-enhanced sequence

Radiographics

(2000)

SiegelmanES et al.

Suppression of intravascular signal on fat-saturated contrast-enhanced thoracic MR arteriograms

Radiology

(2000)

DavisCP et al.

Postprocessing techniques for gadolinium-enhanced three-dimensional MR angiography

Radiographics

(1997)

KelekisNL et al.

Immediate postgadolinium spoiled gradient-echo MRI for evaluating the abdominal aorta in the, setting of abdominal MR examination

J Magn Reson Imaging

(1997)

LentschigMG et al.

Breath-hold gadolinium-enhanced MR angiography of the major vessels at 1.0T: Dose-response findings and angiographic correlation

Radiology

(1998)

EarlsJP et al.

Breath-hold single-dose gadolinium-enhanced three-dimensional MR aortography: Usefulness of a timing examination and MR power injector

Radiology

(1996)

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Citation Excerpt :
Less common causes include trauma, congenital abnormalities, connective tissue disorders such as Erhlers-Danlos and Marfan's syndrome, and rare infections such as syphilis. MRI is ideally suited to evaluate aneurysms because of its ability for multiplanar imaging [7,46]. All of the previously mentioned techniques are accurate in detecting aneurysms; however CE-MRA is most useful for depicting location, extent, and exact diameter.
Diseases of the thoracic aorta cause significant morbidity and mortality and can result in potentially catastrophic consequences. Conventional digital subtraction angiography (DSA) has been the gold standard for imaging for many years; however, this is associated with adverse effects and provides only limited information about vessel morphology. DSA is used primarily as a first-line investigation in the setting of trauma. Several other techniques also have been used in recent years, including CT and MRI. This article focuses primarily on the latter.
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Diseases of the thoracic aorta cause significant morbidity and mortality and can result in potentially catastrophic consequences. Conventional digital subtraction angiography (DSA) has been the gold standard for imaging for many years; however, this is associated with adverse effects and provides only limited information about vessel morphology. DSA is used primarily as a first-line investigation in the setting of trauma. Several other techniques also have been used in recent years, including CT and MRI. This article focuses primarily on the latter.
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Diagnostic imaging for aortic dissection has dramatically changed in recent years. Previously, imaging consisted of conventional X-ray radiography, followed by invasive catheter angiography. Now imaging of dissection is performed primarily with multidetector CT, and to a lesser extent, with ultrasound and MRI. Catheter angiography is used primarily as a means of treating complications. Which modality to choose depends on patient factors, physician preference, and differences in availability of state-of-the-art equipment. All three modalities are highly accurate in experienced hands and have revolutionized the detection and evaluation of this condition.

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Magnetic resonance imaging of thoracic aortic aneurysm and dissection

Summary

Clin Radiol

Eur J Radiol

Magn Reson Imaging

J Vasc Surg

Magn Reson Imaging Clin North Am

Int J Cardiol

Radiology

Int J Cardiac Imaging

Radiology

MR imaging of the thoracic aorta: Comparison of spin-echo, angiographic, and breath-hold techniques

Radiology

Thoracic aorta: Comparison of gadolinium-enhanced three-dimensional MR angiography with conventional MR imaging

Radiology

Three-dimensional gadolinium-enhanced MR angiography of the thoracic aorta

AJR Am J Roentgenol

Aortic and lower-extremity arterial disease: Evaluation with MR angiography versus conventional angiography

Radiology

AHA scientific statement. Magnetic resonance angiography: Update on applications for extracranial arteries

Circulation

Dynamic gadolinium-enhanced three-dimensional abdominal MR arteriography

J Magn Reson Imaging

Clinical application of single shot GRE-EPI as non-enhanced MRA (EPI-MRA) for aortic aneurysm and dissection

Radiat Med

Evaluation of flow volume and flow patterns in the patent false lumen of chronic aortic dissections using velocity-encoded cine magnetic resonance imaging

Jap Circ J

MR angiography of the thoracic aorta with an electrocardiographically triggered breath-hold contrast-enhanced sequence

Radiographics

Suppression of intravascular signal on fat-saturated contrast-enhanced thoracic MR arteriograms

Radiology

Postprocessing techniques for gadolinium-enhanced three-dimensional MR angiography

Radiographics

Immediate postgadolinium spoiled gradient-echo MRI for evaluating the abdominal aorta in the, setting of abdominal MR examination

J Magn Reson Imaging

Breath-hold gadolinium-enhanced MR angiography of the major vessels at 1.0T: Dose-response findings and angiographic correlation

Radiology

Breath-hold single-dose gadolinium-enhanced three-dimensional MR aortography: Usefulness of a timing examination and MR power injector

Radiology