- 자기공명 혈관조영술 : 선별검사로서의 유용성 및 한계성
- ㆍ 저자명
- 배상훈
- ㆍ 간행물명
- 대한방사선의학회지
- ㆍ 권/호정보
- 1992년|28권 4호|pp.565-574 (10 pages)
- ㆍ 발행정보
- 대한영상의학회
- ㆍ 파일정보
- 정기간행물| PDF텍스트
- ㆍ 주제분야
- 기타
This article reviewed the initial experiences of 73 cases of the magnetic resonance angiography (MRA) to evaluated its usefulness and limitaions as a screening examination. Among them 31 patients underwent correlative contrast angography (CA). MRA examinations were performed with 3-dimensional time of flight (TOF) acquisitionhs (carotid, intracranial vessels, abdomen & pelvis), 2-dimensional TOF (abdomen & pelvis), and 3-dimensional phase contrast (PC) method(intracranial vessels, lower extremity). In head and neck area, the success rates of MRA in visualization of normal vessels were 91% in the carotid artery and 89% in intracranial vessels. In comparison with correlative CA of 45 lesions in 23 patients, MRA show successful detection of abnormalities in 43 lesions. There was only one false positive case and one false negative case in differentitation of normal and abnormal cases. Among 43 lesions detected on MRA, 25 lesions were well correlated with CA but 18 lesions showed m ld differences in degree of disease. In other areas, even though for a limited number of cases, the abdominal aorta and proximal parts of its major branches were well visualized on MRA. In three cases of renal artery stenosis, MRA showed no visible renal artery in disease side. So the abnormality in renal artery could be suspected, but accurate stenotic site could not be suspected, but accurate stenotic site could not be detected. In three cases of arterial occlusion in pelvis and lowed extremity, MRA were well correlated with CA. In conclusion, MRA can be used as an ideal safe screening examination method with high success rate and abnormality detection rate, especially in carotid artery, circle of Willis, main intracranial vessels, abdominal aorta and proximal portions of its major branches.