Peripheral Vascular Disease
Harald Kramer1
1Harald Kramer, University Hospital Munich, München, Germany
Synopsis
Upon completion of this
course, the attendee will be able to: Identify the appropriate technique for
peripheral MRA depending on the available hardware and the clinical question
and condition of the patient. Differentiate between different contrast
agents and their specific characteristics. Chose between different contrast agent
application schemes depending on the technique used and the clinical question. Compare
the pros and cons of contrast-enhanced and non contrast-enhanced techniques for
peripheral MRA.
The prevalence of
symptomatic peripheral artery disease (PAD) ranges around 3% in patients aged
40 and 6% at an age of 60 years. Additionally, the prevalence of asymptomatic
PAD lies between 3% and 10% in the general population increasing to 15% to 20%
in persons older than 70 years of age. However, these data still might
underestimate the total prevalence of PAD since screening studies showed that
between 10% and 50% of all patients with intermittent claudication (IC) never
consult a doctor about their symptoms.
These data prove the
need for an accurate and reliable method for assessment of the peripheral
vasculature. Digital subtraction angiography (DSA) still serves as the
reference standard for all vascular imaging techniques. However, because of the
absence of ionizing radiation, the use of non-nephrotoxic contrast agents or
even non contrast-enhanced sequences and the large toolbox of available
techniques for high-resolution static and dynamic imaging Magnetic Resonance
Angiography (MRA) constitute an excellent non-invasive alternative.
Different acquisition
schemes and contrast agent application protocols as well as different types of
data sampling for static, dynamic, contrast- and non contrast-enhanced imaging
enable to tailor each exam to a specific question and patient respectively. Acknowledgements
No acknowledgement found.References
No reference found.
Proc. Intl. Soc. Mag. Reson. Med. 25 (2017)