Medizinische Universität Graz - Research portal
Selected Publication:
Sandstede, JJW; Pabst, T; Beer, M; Geis, N; Kenn, W; Neubauer, S; Hahn, D.
Three-dimensional MR coronary angiography using the navigator technique compared with conventional coronary angiography
AJR Am J Roentgenol. 1999; 172(1):135-139
Doi: 10.2214/ajr.172.1.9888755
[OPEN ACCESS]
Web of Science
PubMed
FullText
FullText_MUG
Google Scholar
- Co-authors Med Uni Graz
- Beer Meinrad
- Altmetrics:
- Dimensions Citations:
- Plum Analytics:
- Scite (citation analytics):
- Abstract:
- OBJECTIVE. We evaluated the diagnostic accuracy of three-dimensional (3D) MR coronary angiography with the navigator technique for the detection of coronary artery stenoses in comparison with that of conventional radiographic angiography. SUBJECTS AND METHODS. Thirty patients with coronary artery disease were examined with an EGG-triggered 3D fast low-angle shot sequence using retrospective respiratory gating and the navigator technique on a 1.5-T MR scanner. The data set was evaluated as a 3D view with a surface rendering technique. RESULTS. Imaging of the proximal coronary arteries was possible in all patients. The average visualized lengths of the left main, left anterior descending, left circumflex, and right coronary arteries were 1.9 +/- 0.5 cm (mean +/- SD), 5.2 +/- 2.3 cm, 4.2 +/- 1.9 cm, and 5.2 +/- 2.5 cm, respectively. Irregular breathing reduced image quality in seven of the 30 patients, making diagnosis of stenoses impossible. In the 77% of patients whose examinations resulted in high-quality images, the sensitivity and specificity for detection of significant stenoses and occlusions in all four main coronary arteries were 81% and 89%, respectively. CONCLUSION. The navigator technique allows reproducible imaging of the proximal course of coronary arteries. This technique obviates breath-hold studies, thus allowing more patients to be examined. In patients whose examinations resulted in high-quality images, significant coronary artery lesions could be seen. However, for widespread clinical use, further technical improvement is necessary to increase sensitivity and specificity.
- Find related publications in this database (using NLM MeSH Indexing)
- Adult -
- Aged -
- Coronary Angiography -
- Coronary Disease - diagnosis Coronary Disease - radiography
- Female -
- Humans -
- Image Processing, Computer-Assisted -
- Magnetic Resonance Angiography - methods
- Male -
- Middle Aged -
- Sensitivity and Specificity -