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The usefulness of the contrast agent high in gadolinium for the contrast-enhanced magnetic resonance hip arthrography

고관절의 자기공명관절조영검사 시 가돌리늄 함유량이 높은 조영제의 유용성

  • Choi, Kwan-Woo (Department of Health Science, Graduate School Hanyang University) ;
  • Kim, Yoon-Shin (Department of Health Science, Graduate School Hanyang University) ;
  • Son, Soon-Yong (Department of Radiology, Asan Medical Center) ;
  • Lee, Ho-Beom (Department of Radiology, Asan Medical Center) ;
  • Na, Sa-Ra (Department of Radiology, Asan Medical Center) ;
  • Min, Jung-Whan (Department of Radiology, Shin-Gu University) ;
  • Yoo, Beong-Gyu (Department of Radiotechnology, Wonkwang Health Science University) ;
  • Lee, Jong-Seok (Department of Radiotechnology, Wonkwang Health Science University)
  • 최관우 (한양대학교 대학원 보건학과) ;
  • 김윤신 (한양대학교 대학원 보건학과) ;
  • 손순룡 (서울아산병원 영상의학과) ;
  • 이호범 (서울아산병원 영상의학과) ;
  • 나사라 (서울아산병원 영상의학과) ;
  • 민정환 (신구대학교 방사선과) ;
  • 유병규 (원광보건대학교 방사선과) ;
  • 이종석 (원광보건대학교 방사선과)
  • Received : 2013.07.30
  • Accepted : 2013.11.07
  • Published : 2013.11.30

Abstract

The purpose of this study is to maximize diagnositc usefulness with increasing signal to noise ratio(SNR) and contrast to noise ratio(CNR) by using a 1mmol/mL gadolinium contrast agent. From January 2012 to June 2013 fourty-seven patients were underwent the MRI scanning to investigate the contrast difference in gadolinium content. Twenty of the patients were injencted the commercial contrast agent containing 0.5mmol/mL gadolinium and the rest of them were injected the new contrast agent containing 1mmol/mL gadolinium called gadobutrol. We measured and evaluated each SNR and CNR of the hip joint space, iliopsoas muscle and femoral head. As a result, using the 1mmol/mL gadolinium contrast agent had the higher SNR results than using the 0.5mmol/mL agent(27% in the hip joint, 30.01% in the femoral head). Also CNR using the 1mmol/mL gadolinium agent was proved to be higher than that of using 0.5mmol/mL agent(28.31% in the ilopsoas muscle and 26.74% in the femoral head). Therefore, the contrast agent containing more gadolinium like 1mmol/mL used in this study is more effective to shorten T1 relaxation time, so it increases the signal intensity and CNR and furthermore maximizes diagnostic value. This study reports the usefulness of the 1mmol/mL contrast agent in the contrast-enhanced magnetic resonance hip arthrography for the first. Therefore, it can be considered to have an meaningful academic value as showing the method for increasing the diagnostic usefulness by using the 1mmol/mL contrast agent.

Keywords

Gadolium content;1mmol/mL MR contrast agents;MR arthrography;Direct MR arthrography;Hip arthrography

Acknowledgement

Supported by : 원광보건대학교

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