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Optimize Your Body MR Imaging Protocols - Johns Hopkins Radiology

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Coronary <strong>MR</strong>A <strong>Protocols</strong><br />

VCATS: volume coronary angiography<br />

using targeted scans<br />

1. Targeted <strong>MR</strong>A (VCATS)<br />

- breath-hold 3d SSFP technique<br />

- double oblique images, oriented<br />

along the course of each coronary<br />

artery<br />

2. Whole heart coronary <strong>MR</strong>A<br />

Dirksen et al JC<strong>MR</strong> 2003 5: 365<br />

Breath-hold 3D SSFP of RCA<br />

• Advantages: quick, 20 sec, repeatable<br />

• Disadvantages: breath-hold time limits<br />

resolution, difficult at high heart rates,<br />

complex for technologist<br />

Multicenter Coronary <strong>MR</strong>A Study 1.5T:<br />

targeted <strong>MR</strong>A with navigator<br />

Aarhus Berlin Boston Leiden<br />

Köln<br />

Kim WY et al.: N Engl J Med;345(26):1863-1869 (2001).<br />

Texas Leeds Zürich<br />

Whole Heart 3d axial <strong>MR</strong>A:<br />

diaphragm tracking<br />

Whole Heart 3d <strong>MR</strong>A

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