First-pass whole-body magnetic resonance angiography (MRA) using the blood-pool contrast medium gadofosveset trisodium: comparison to gadopentetate dimeglumine

Invest Radiol. 2007 Sep;42(9):659-64. doi: 10.1097/RLI.0b013e318063c635.

Abstract

Objectives: To evaluate gadofosveset trisodium for first-pass magnetic resonance angiography (MRA) in the setting of whole-body MRA (WB-MRA).

Materials and methods: Forty patients were examined using either 10 mL gadofosveset trisodium (n = 20) or 30 mL gadopentetate dimeglumine (n = 20), followed by arterial-phase imaging of 4 consecutive anatomic regions. Signal intensity was measured in 2 vessels per region. Relative contrast values (RC) were calculated. Arterial contrast, venous overlay, and image quality were rated by 2 radiologists. The Mann-Whitney U test was used to test for significance.

Results: Compared with gadopentetate dimeglumine, gadofosveset trisodium enhanced imaging revealed higher RC values in 2 vessel regions, with the differences being significant in 3 of 4 vessel segments. Gadofosveset trisodium revealed lower RC values in 2 regions with significant differences in 2 segments. Qualitative evaluation revealed higher ratings for gadofosveset trisodium regarding all 3 criteria with significant differences in 2 regions.

Conclusions: Gadofosveset trisodium serves well for first-pass imaging in WB-MRA.

Publication types

  • Comparative Study
  • Evaluation Study

MeSH terms

  • Arterial Occlusive Diseases / diagnosis*
  • Contrast Media
  • Female
  • Gadolinium DTPA*
  • Gadolinium*
  • Humans
  • Image Enhancement / methods
  • Information Storage and Retrieval / methods*
  • Magnetic Resonance Angiography / methods*
  • Male
  • Middle Aged
  • Organometallic Compounds*
  • Reproducibility of Results
  • Sensitivity and Specificity
  • Whole Body Imaging / methods*

Substances

  • Contrast Media
  • Organometallic Compounds
  • Gadolinium
  • Gadolinium DTPA
  • gadofosveset trisodium