Distal lower extremity arteries: evaluation with two-dimensional MR digital subtraction angiography.

TitleDistal lower extremity arteries: evaluation with two-dimensional MR digital subtraction angiography.
Publication TypeJournal Article
Year of Publication1998
AuthorsLee HM, Wang Y, Sostman HD, Schwartz LH, Khilnani NM, Trost DW, E de Arellano R, Teeger S, Bush HL
JournalRadiology
Volume207
Issue2
Pagination505-12
Date Published1998 May
ISSN0033-8419
KeywordsAdult, Aged, Aged, 80 and over, Angiography, Digital Subtraction, Ankle, Arterial Occlusive Diseases, Arteries, Collateral Circulation, Diabetic Foot, Female, Fibula, Foot, Foot Bones, Humans, Image Enhancement, Image Processing, Computer-Assisted, Magnetic Resonance Angiography, Male, Middle Aged, Osteomyelitis, Peripheral Vascular Diseases, Prospective Studies, Single-Blind Method, Tibial Arteries, Toes
Abstract

PURPOSE: To test the hypothesis that magnetic resonance (MR) digital subtraction angiography is superior to two-dimensional time-of-flight (TOF) MR angiography for demonstration of patent arteries in the distal lower extremity.

MATERIALS AND METHODS: Thirty-seven lower extremities in 23 consecutive patients were imaged with two-dimensional TOF MR angiography and two-dimensional MR digital subtraction angiography. Images were interpreted in a randomized and blinded manner. Each lower extremity was subdivided into seven potential arterial segments. The number of digital arteries visualized was also determined. Overall image quality of MR digital subtraction and TOF angiograms was compared. The relative ability of MR digital subtraction angiography and TOF MR angiography to demonstrate patent arterial segments was assessed.

RESULTS: MR digital subtraction angiography was significantly superior to TOF MR angiography for demonstration of patent arterial segments and digital arteries (P < .001). MR digital subtraction angiographic images were qualitatively superior to TOF images (P < .001).

CONCLUSION: Two-dimensional MR digital subtraction angiography is superior to two-dimensional TOF MR angiography for help in identifying patent segments in the distal lower extremity.

DOI10.1148/radiology.207.2.9577502
Alternate JournalRadiology
PubMed ID9577502
Related Institute: 
MRI Research Institute (MRIRI)

Weill Cornell Medicine
Department of Radiology
525 East 68th Street New York, NY 10065