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TRADITIONAL POSTER - ismrm

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Poster Sessions<br />

1400. Measuring Pulmonary Transit Time by 2D Magnetic Resonance Dynamic Imaging in Heart Failure<br />

Patients<br />

Jie Jane Cao 1,2 , Yi Wang, Jeannette McLaughlin, Michael Passick, Nathaniel Reichek<br />

1 St Francis Hospital, Roslyn, NY, United States; 2 State University of New York at Stony Brook, Stony Brook, NY, United States<br />

We developed a 2D dynamic acquisition to measure pulmonary transit time in normals and heart failure patients and investigated the impact of temporal<br />

resolution on pulmonary transit time measurement.<br />

1401. Non-Contrast MR Angiography of the Toes: Correlations with Age and Gender<br />

Jun Isogai 1 , Mitsue Miyazaki 2 , Hideo Hatakeyama 1 , Takeshi Shimada 1 , Takashi Yamada 1 , Tomoko Miyata 3 ,<br />

Kenji Yodo 3 , Ken Kudou 3<br />

1 Radiology, Hasuda Hospital, Hasuda, Saitama, Japan; 2 Toshiba Medical Research Institute USA, United States; 3 Toshiba Medical<br />

Systems Corp., Japan<br />

Visualization of toe arteries is quite difficult using conventional nonenhanced MR angiography, such as time-of-flight due to the tortuous arterial trees and<br />

slow-velocity, especially in older female toes. Gadolinium-enhanced MRA also has several problems with injection rates, the amount of contrast material,<br />

and the separation of arteries from veins. Due to the recent concerns of Gadolinium-related Nephrogenic Systemic Fibrosis (NSF), nonenhanced MRA<br />

solutions have gained interest. Depiction of small arteries of the toes was investigated using time-spatial labeling inversion pulse (time-SLIP) in combination<br />

with a swap phase encode extended data (SPEED) acquisition.<br />

1402. Fat Saturation Techniques in Non-Contrast Enhanced B-SSFP MRA of the Renal Arteries.<br />

Anne Dorte Blankholm 1 , Won Yong Kim 2,3 , Brian Stausbøl-Grøn 1 , Michael Pedersen 4 , Steffen Ringgaard 4<br />

1 MR-Centre, Dept. of Diagnostic Imaging, Århus University Hospital, Skejby, Århus N, Denmark; 2 MR-Centre, , Århus University<br />

Hospital, Skejby, Århus N, Denmark; 3 Department of Cardiology, Århus University Hospital, Skejby, Århus N, Denmark; 4 MR-<br />

Centre, Århus University Hospital, Skejby, Århus N, Denmark<br />

Due to the risk for inducing nephrogenic systemic fibrosis (NSF) there is a need for developing angiography without the use of contrast agents, in particular<br />

for patients with renal disease. MRA of the renal arteries was obtained using a balanced steady-state-free-precession (B-SSFP) method with a slab selective<br />

inversion prepulse in combination with ProSet, SPAIR and SPIR fat saturation and the images were compared with respect to fat suppression and CNR. The<br />

ProSet technique (water selective excitation with binomial pulses) were most effective for fat saturation and produced highest vessel/muscle CNR using this<br />

sequence.<br />

1403. Non-Contrast MR Angiography of the Subclavian Arterial Branch Using 3D Half-Fourier FSE with<br />

Time-SLIP<br />

Jun Isogai 1 , Mitsue Miyazaki 2 , Takeshi Shimada 1 , Hideo Hatakeyama 1 , Takashi Yamada 1 , Tomoko Miyata 3 ,<br />

Kenji Yodo 3 , Ken Kudou 3<br />

1 Radiology, Hasuda Hospital, Hasuda, Saitama, Japan; 2 Toshiba Medical Research Institute USA, United States; 3 Toshiba Medical<br />

Systems Corp., Japan<br />

Visualization of the subclavian arterial branches is quite difficult using conventional nonenhanced time-of-flight MR angiography due to the tortuous arterial<br />

trees and small vessels. Gadolinium-enhanced MRA also has several problems with injection rates, the amount of contrast material, and venous<br />

superimposition. Due to the recent concerns of Gadolinium-related Nephrogenic Systemic Fibrosis (NSF), nonenhanced MRA solutions have gained interest.<br />

Visualization of small arteries of the subclavian arterial branches was investigated using 3D half-Fourier FSE images combined with time-spatial labeling<br />

inversion pulse (time-SLIP).<br />

1404. Non-Contrast Enhanced MRA in the Preoperative Planning of Abdominal Perforator Surgery for<br />

Postmastectomy Breast Reconstruction<br />

J A. Clavero 1 , Mitsue Miyazaki 2 , Faiza Admiraa-Behloul 3 , X Alomar 1 , J Masia 4 , G Pons 4<br />

1 Diagnostic Imaging, Clinica Creu Blanca, Barcelona, Spain; 2 Toshiba Medical Research Institute, Vernon Hills, United States;<br />

3 Toshiba Medical Systems Europe, Zoetermeer, Netherlands; 4 Plastic Surgery, Free University of Barcelona, Barcelona, Spain<br />

Post-mastectomy autologous breast reconstruction using abdominal perforator flaps gained popularity because it offers a natural soft breast mound, and<br />

preserves the donor site muscle and function. Because the vascular anatomy of the abdominal wall is highly variable between individuals, a detailed accurate<br />

preoperative vascular map of the abdomen can significantly reduce the operating time, with a better surgical outcome. MDCTA proved to be very useful for<br />

this purpose [1], however it requires ionizing contrast agents and radiation. the purpose of this work was to investigate the role of non-contrast enhanced MR<br />

angiography (NC-MRA), as compared to MDCTA, in the preoperative evaluation of the vascular anatomy of the abdominal wall for abdominal perforator<br />

flap surgery in post-mastectomy breast reconstruction.<br />

1405. Intraindividual Comparison of Static, High Resolution and Dynamic 4D Contrast Enhanced Magnetic<br />

Resonance Angiography of the Lower Legs<br />

Johannes T. Heverhagen 1 , Sabrina El Tobgui, Mykhylo Burbelko, Klaus J. Klose<br />

1 Department of Diagnostic Radiology, Philipps University, Marburg, Germany<br />

The purpose of this study was to intraindividually compare static, high resolution and dynamic CE MRA of the lower legs in patients with severe peripheral<br />

arterial occlusive disease (PAOD). State of the art 4D MRA of the lower legs for suspected PAOD provides excellent image quality without venous overlay,<br />

an artefact that severely influences diagnostic quality in static MRAs. It is user independent proven by a Cohen´s kappa of 0.92. 4D MRA of the lower legs<br />

should be employed in all patients undergoing CE MRA for suspected PAOD.

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