Is half-dose contrast-enhanced three-dimensional MR angiography sufficient for the abdominal aorta and pelvis?

J Magn Reson Imaging. 2004 Feb;19(2):194-201. doi: 10.1002/jmri.10443.

Abstract

Purpose: To evaluate the usefulness of half-dose contrast-enhanced magnetic resonance (MR) angiography for depicting the abdominal aorta and its major branches.

Materials and methods: A total of 72 consecutive patients were randomly assigned to one of four groups that underwent MR angiography after receiving different concentrations (original or diluted to 50%) and total amounts (single or half-dose) of gadolinium chelate injected at different rates (1 or 0.5 mL/second). The signal-to-noise ratio (SNR) and contrast-to-noise ratio (CNR) of the abdominal aorta and of the common and external iliac arteries were calculated, and two blinded readers rated the respective image qualities.

Results: The SNR and CNR of the abdominal aorta and the common iliac artery in the 0.5 mL/second groups were statistically significantly lower than those in the 1 mL/second groups. The differences in overall image quality across the four groups were not statistically significant.

Conclusion: Half-dose MR angiography using diluted contrast medium injected at a rate of 1 mL/second depicted the abdominal aorta and its branches as clearly as using a full single dose.

Publication types

  • Clinical Trial
  • Randomized Controlled Trial

MeSH terms

  • Analysis of Variance
  • Aorta, Abdominal / anatomy & histology*
  • Contrast Media / administration & dosage
  • Dose-Response Relationship, Drug
  • Female
  • Gadolinium DTPA* / administration & dosage
  • Humans
  • Imaging, Three-Dimensional / methods*
  • Injections, Intravenous
  • Magnetic Resonance Angiography / methods*
  • Middle Aged
  • Pelvis / anatomy & histology*
  • Pelvis / blood supply
  • Phantoms, Imaging
  • Statistics, Nonparametric

Substances

  • Contrast Media
  • Gadolinium DTPA