1. Comparison of gradient echo with spin echo magnetic resonance imaging and echocardiography in the evaluation of major aortopulmonary collateral arteries.
- Author
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Vick GW 3rd, Wendt RE 3rd, and Rokey R
- Subjects
- Adolescent, Adult, Analysis of Variance, Aorta diagnostic imaging, Aorta pathology, Aortography statistics & numerical data, Chi-Square Distribution, Child, Child, Preschool, Cineangiography statistics & numerical data, Echocardiography statistics & numerical data, Evaluation Studies as Topic, Female, Humans, Infant, Magnetic Resonance Imaging instrumentation, Magnetic Resonance Imaging statistics & numerical data, Male, Pulmonary Artery diagnostic imaging, Pulmonary Artery pathology, Aorta abnormalities, Collateral Circulation, Echocardiography methods, Magnetic Resonance Imaging methods, Pulmonary Artery abnormalities
- Abstract
This study compared gradient echo magnetic resonance imaging, spin echo magnetic resonance imaging, echocardiography, and echocardiography with x-ray cineangiography in the evaluation of major aortopulmonary collateral arteries. Twelve patients (ages 9 months to 35 years, mean 11 +/- 11 years) with known or suspected major aortopulmonary collateral arteries were studied. The aortic insertion and proximal course of 29 major aortopulmonary collateral arteries demonstrated by x-ray contrast angiography were shown in all 29 cases by gradient echo magnetic resonance imaging but in only 23 of the 29 cases by spin echo magnetic resonance imaging. Color Doppler-echocardiography detected aortopulmonary collateral arteries in four patients but did not define the proximal course or distal anatomy. Gradient echo images of distal aortopulmonary collateral anatomy were qualitatively superior to spin echo images. The contrast-to-noise ratio between the vessel lumen and adjacent lung was greater for gradient echo (6.06 +/- 2.91) than for spin echo (1.45 +/- 1.13)(p < 0.05). Gradient echo magnetic resonance imaging is a useful method for identification and characterization of aortopulmonary collateral arteries in patients of all ages and is superior to spin echo magnetic resonance imaging and echocardiography.
- Published
- 1994
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