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Magnetic Resonance Evaluation of Renal Artery Stenosis in a Swine Model Performance of Low-Dose Gadobutrol Versus Gadoterate Meglumine in Comparison With Digital Subtraction Intra-Arterial Catheter Angiography

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单位: [1]Huazhong Univ Sci & Technol, Tongji Hosp, Dept Radiol, Wuhan 430030, Hubei, Peoples R China [2]Scott & White Mem Hosp & Clin, Dept Radiol, Temple, TX 76508 USA [3]Univ Texas Med Branch, Dept Radiol, Galveston, TX USA [4]Siemens Healthcare Erlangen, Bavaria, Germany [5]Siemens Med Solut USA, Dallas, TX USA [6]Texas A&M Univ, Inst Preclin Studies TIPS, College Stn, TX USA [7]Univ Hosp Giessen, Giessen, Hessen, Germany [8]Univ Med Ctr Mannheim, Inst Clin Radiol & Nucl Med, Mannheim, Baden Wurttembe, Germany
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关键词: gadolinium chelates swine model MRA renal artery stenosis

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Purpose: The aim of this study was to compare low-dose imaging with gadobutrol and gadoterate meglumine (Gd-DOTA) for evaluation of renal artery stenosis with 3-T magnetic resonance angiography (MRA) in a swine model. Method and Materials: A total of 12 experimental animals were evaluated using equivalently dosed gadobutrol and Gd-DOTA for time-resolved and static imaging. For time-resolved imaging, the time-resolved imaging with stochastic trajectories (TWIST) technique (temporal footprint, 4.4 seconds) was used; a dose of 1 mL of gadobutrol was injected at 2 mL/s and a dose of 2 mL of Gd-DOTA was injected at both 2 and 4 mL/s. For a separate static acquisition, doses were doubled. The static scans were used for stenosis gradation and the time-resolved scans for comparison of enhancement dynamics, signal-to-noise ratio (SNR), and qualitative assessments. Results: The average magnitude of difference in the stenosis measurements with static gadobutrol scans relative to digital subtraction intra-arterial catheter angiography (mean [SD], 7.4% [5.6%]) was less than with both the 2 mL/s (10.6% [6.2%]) and 4 mL/s (11.5% [7.8%]) Gd-DOTA MRA protocols. On time-resolved scans, peak signal-to-noise ratio was greatest with the gadobutrol protocol (P < 0.05), and the gadobutrol TWIST scan was preferred to the TWIST Gd-DOTA scan in terms of image quality and stenosis visualization in every case for every reader. Conclusion: Low-dose gadobutrol (similar to 0.05 mmoL/kg) contrast-enhanced MRA results in improved accuracy of renal artery stenosis assessments relative to equivalently dosed Gd-DOTA at 3 T.

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出版当年[2011]版:
大类 | 2 区 医学
小类 | 1 区 核医学
最新[2025]版:
大类 | 1 区 医学
小类 | 1 区 核医学
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出版当年[2010]版:
Q1 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING
最新[2023]版:
Q1 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING

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第一作者单位: [2]Scott & White Mem Hosp & Clin, Dept Radiol, Temple, TX 76508 USA
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