Non-enhanced ECG-gated respiratory-triggered 3-D steady-state free-precession MR angiography with slab-selective inversion: initial experience in visualisation of renal arteries in free-breathing children without renal artery abnormality

Pediatr Radiol. 2012 Jul;42(7):785-90. doi: 10.1007/s00247-011-2343-5. Epub 2012 Mar 31.

Abstract

Background: ECG-gated non-enhanced balanced steady-state free precession (bSSFP) MR angiography requires neither breath-holding nor administration of contrast material.

Objective: To investigate the image quality of free-breathing ECG-gated non-enhanced bSSFP MR angiography of renal arteries in children.

Materials and methods: Fourteen boys and seven girls (mean age, 9.7 years; range, 7 weeks-17 years) with no history of renovascular disease were included. MRI was performed at 1.5 T. Subjective image quality of axial and coronal maximum-intensity-projection reconstructions of four segments (I, aorta and renal artery ostium; II, main renal artery; III, segmental branches; IV, intrarenal vessels) was evaluated using a 4-point scale (4 = excellent, 3 = good, 2 = acceptable, 1 = non-diagnostic).

Results: Image quality was excellent for segments I (mean ± SD, 3.9 ± 0.3) and II (4.0 ± 0.1), good for segment III (3.4 ± 0.9) and acceptable for segment IV (2.3 ± 1.1 ). Mean image quality did not differ between sedated and non-sedated children.

Conclusion: bSSFP MR angiography enables visualisation of renal arteries in children.

MeSH terms

  • Adolescent
  • Cardiac-Gated Imaging Techniques / methods*
  • Child
  • Child, Preschool
  • Contrast Media
  • Female
  • Humans
  • Infant
  • Magnetic Resonance Angiography / methods*
  • Male
  • Pilot Projects
  • Renal Artery / anatomy & histology*
  • Renal Artery Obstruction / pathology
  • Reproducibility of Results
  • Respiratory Mechanics
  • Respiratory-Gated Imaging Techniques / methods*
  • Sensitivity and Specificity

Substances

  • Contrast Media