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Collateral flow in coarctation of the aorta with magnetic resonance velocity mapping: correlation to morphological imaging of collateral vessels.

Author:
  • Catarina Holmqvist
  • Freddy Ståhlberg
  • Katarina Hanséus
  • Peter Hochbergs
  • Staffan Sandström
  • Elna-Marie Larsson
  • Sven Laurin
Publishing year: 2002
Language: English
Pages: 39-46
Publication/Series: Journal of Magnetic Resonance Imaging
Volume: 15
Issue: 1
Document type: Journal article
Publisher: John Wiley & Sons

Abstract english

PURPOSE: To correlate quantification of collateral flow in aortic coarctation with the morphological visualization of the collateral vessels and to compare different approaches to measurement of collateral flow. MATERIALS AND METHODS: Thirteen children with coarctation were examined with T1-weighted spin-echo (T1-W SE) imaging and 3D contrast-enhanced magnetic resonance angiography (MRA). MR velocity mapping was performed at four levels in the descending aorta. RESULTS: The flow immediately above and below the coarctation did not differ significantly. Measuring within the coarctation resulted in flow overestimation. The increase of flow from proximal to distal aorta was 12 +/- 21% in patients with no or uncertain collaterals and 69 +/- 55% in patients with pronounced collaterals. Spin-echo images and MRA were comparable in visualizing collateral vessels. The visual estimation of collaterals correlated reasonably well with flow quantification MR velocity mapping. CONCLUSION: Collateral flow assessment with MR velocity mapping is an accurate technique for evaluating the hemodynamic importance of a coarctation and is recommended if abundant collaterals are not visualized with spin echo or MRA.

Keywords

  • Radiology, Nuclear Medicine and Medical Imaging
  • Infant
  • Three-Dimensional
  • Imaging
  • Computer-Assisted
  • Image Processing
  • Human
  • Female
  • Contrast Media
  • Collateral Circulation/*physiology
  • Preschool
  • Child
  • Blood Flow Velocity
  • Nonparametric
  • Aortic Coarctation/*physiopathology
  • Newborn
  • Linear Models
  • Magnetic Resonance Angiography/*methods
  • Male
  • Statistics

Other

Published
  • ISSN: 1522-2586
Freddy Ståhlberg
E-mail: freddy.stahlberg [at] med.lu.se

Professor

Medical Radiation Physics, Lund

+46 46 17 31 19

+46 70 688 31 19

32

Professor

Diagnostic Radiology, (Lund)

+46 46 17 70 30

32