• Investigative Magnetic Resonance Imaging
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• v.25 no.4
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• pp.209-217
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• 2021

Magnetic resonance angiography (MRA) plays an important role in accurate diagnosis and appropriate treatment planning for patients with arterial disease. Contrast-enhanced (CE) MRA is fast and robust, offering hemodynamic information of arterial flow, but involves the risk of a side effect called nephrogenic systemic fibrosis. Various non-contrast-enhanced (NCE) MRA techniques have been developed by utilizing the fact that arterial blood is moving fast compared to background tissues. NCE MRA is completely free of any safety issues, but has different drawbacks for various approaches. This review article describes basic principles of CE and NCE MRA techniques with a focus on how to generate angiographic image contrast from a pulse sequence perspective. Advantages, pitfalls, and key applications are also discussed for each MRA method.

• Journal of Magnetics
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• v.22 no.2
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• pp.234-237
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• 2017

This study is aimed to optimize a location of region of interest (ROI) in test bolus carotid contrast enhanced magnetic resonance angiography (CE-MRA) at 3.0T. A total of consecutive 270 patients with no cardiovascular and vessel diseases were selected. Patients underwent elliptical centric 3D CE-MRA with the test bolus technique to identify the individual arterial arrival time. Quantitative measurements were performed by drawing ROIs of $25mm^2$ and signal intensities (SI) were measured in the center of common carotid artery (CCA), internal carotid artery (ICA) and aortic arch (AA). As a result, ROIs located within AA showed a significantly clarified arterial peak and over three times increased SI, while no significant arterial peak time differences were observed compared to ROIs located within CCA. In conclusion, it was demonstrated that the aortic arch is the optimal position to locate ROI in test bolus images of the carotid CE-MRA.

• Journal of the Institute of Electronics Engineers of Korea SC
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• v.40 no.4
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• pp.291-298
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• 2003

It is important to visualize a lesion accurately in diagnosis of disease. Many diseases result in a change of lesion. Magnetic resonance angiography can visualize the morphological characteristics of blood vessel. The magnetic resonance angiography (MRA) can be categorized to time-of-flight, phase contrast, and contrast enhanced MRA. In this paper, we introduce a principle, sequence, and feature of angiography For better image quality we describe data processing methods and show several applications to human bodies

• Proceedings of the KSMRM Conference
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• 2001.11a
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• pp.134-134
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• 2001

Purpose： To evaluate the physiologic background of poorly visualized aneurysms during DSA a contrast-enhanced MRA(CEMRA) due to hemodynamical isolation on clinical and experiment data. Method： Two cases of intracranial aneurysm which were poorly visualized on DSA a CEMRA and one case of intracranial aneurysm which had poor turnover of contrast mediu during DSA were selected for this clinical study. We evaluated the turnover of blood in t terminal aneurysm of handmade elastic silicon phantoms for comparative experiment. Flo experiments with DSA and contrast enhanced MRA were performed in elastic phantoms aneurysm with 3 different diameters (2, 5 and 10 mm) of neck mimicking basilar ti aneurysm, attached to pulsatile pump similar to that of human physiologic parameters. W compared the results with those of computational flow dynamics(CFD).

• Proceedings of the KSMRM Conference
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• 1999.11a
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• pp.43-43
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• 1999

• Proceedings of the KSMRM Conference
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• 1999.11a
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• pp.47-47
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• 1999

• Proceedings of the KSMRM Conference
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• 1999.11a
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• pp.54-54
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• 1999

• Investigative Magnetic Resonance Imaging
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• v.13 no.2
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• pp.152-160
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• 2009

Purpose : To intra-individually compare diagnostic accuracy of high-resolution contrast-enhanced magnetic resonance angiography (CE-MRA) with computed tomography angiography (CTA) and digital subtraction angiography (DSA) for the assessment of supraaortic steno-occlusive disease. Materials and Methods : Twenty-eight patients (20 men, 8 women, 53-79 years of age) underwent supraaortic CE-MRA, CTA and DSA. CE-MRA was performed on two 1.5T MR scanners (voxel dimension: $0.66{\times}0.66{\times}1.1$ or $1.2\;mm^3$), and CTA on 64-slice CT scanners (voxel dimension: $0.42{\times}0.42{\times}0.63\;mm^3$). All the three examinations were completed within 40 days (median 19 days; range 1-40 days). Retrospective evaluation and measurement of diameter of 6 extracranial and 9 intracranial arterial segments was done by 2 experienced radiologists. Results: A total of 420 arterial segments were examined by CE-MRA, CTA and DSA. On DSA, 34 stenoocclusive lesions were noted at extracranial (n= 19) and intracranial (n = 15) vessels. For extracranial stenosis greater than 70%, sensitivity, specificity, positive predictive value (PPV) and negative predictive values (NPV) were 94.7%, 98.7%, 90.0% and 99.3% on CE-MRA, and 94.7%, 99.3%, 94.7% and 99.3% on CTA. For intracranial stenosis greater than 50%, sensitivity; specificity, PPV and NPV were 93.3%, 98.3%, 77.8%and 99.6% on CE-MRA, and 86.7%, 97.9%, 72.2% and 99.1 % on CTA, with DSA as the standard of reference. Conclusion : Supraaortic CE-MRA is as reliable as CTA in depicting the arterial stenosis, and is effective in screening of significant stenosis of both extracranial and intracranial arterial stenosis.

• Proceedings of the KSMRM Conference
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• 2001.11a
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• pp.139-139
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• 2001

목적： 경동맥 분지부에서 내경동맥 협착에 대한 평가에 있어서 삼차원 조영증강 자기공명혈관조영술의 정확도를 알아보고자 하였다. 대상 및 방법： 삼차원 조영증강 자기공명혈관조영술(3D Contrast-enhanced MRA)과 디지털감산혈관 조영술(Digital Subtraction Angiography, DSA)을 모두 시행한 35명의 환자, 68예의 내경동맥을 분석하였다. 내경동맥 협착의 측정은 North American Symptomatic Carotid Endarterectom Trial (NASCET) 기준을 이용하였다. 두 가지 검사에서 협착 정도를 경도(mild：0-29％), 중등도(moderate：30-69％), 심한 협착(severe：70-99％), 완전 폐색(occlusion：100％)등 네 그룹으로 나누었다. 두 명의 관찰자(A,B)가 DSA에서 측정한 협착 정도를 기준으로 3D Contrast-enhanced MRA에서 측정한 협착 정도를 비교하여 두 검사 방법간에 판정 일치율과 차이점을 분석하였다.

• Proceedings of the KSMRM Conference
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• 1999.11a
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• pp.49-49
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• 1999