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Obernosterer, A; Aschauer, M; Portugaller, H; Köppel, H; Lipp, RW.
Three-dimensional gadolinium-enhanced magnetic resonance angiography used as a one-stop shop'' imaging procedure for venous thromboembolism: a pilot study.
Angiology. 2005; 56(4): 423-430.
Doi: 10.1177/000331970505600410
Web of Science
PubMed
FullText
FullText_MUG
- Co-authors Med Uni Graz
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Aschauer Manuela
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Lipp Rainer
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Portugaller Rupert
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- Abstract:
- Pulmonary embolism and deep venous thrombosis are individual manifestations of a single entity, venous thromboembolic disease. This study aimed to assess the feasibility of 3-dimensional gadolinium-enhanced magnetic resonance angiography used as an "one-stop shop'' imaging procedure visualizing both the pulmonary arteries and the deep lower venous system within a single investigation. The inclusion criterion was a proven or excluded venous thromboembolism. Diagnosis was based on an imaging work-up for pulmonary embolism including either perfusion lung scan or contrast-enhanced spiral computed tomography, or both, and an imaging work-up for deep venous thrombosis including either venous color-coded duplex sonography or ascending phlebography, or both. A gadolinium-enhanced "one-stop shop'' magnetic resonance angiography was performed within 24 hours of completed diagnostic imaging work-up for pulmonary embolism and deep venous thrombosis in 20 patients. Results of pulmonary magnetic resonance angiography were concordant with perfusion lung scan and/or computed tomography in 90% of patients. Magnetic resonance angiography results of the deep lower venous system were concordant with venous duplex sonography and/or phlebography in 75% of patients and seemed to be more precise in 25% of patients. The "one-stop shop'' imaging procedure using gadolinium-enhanced magnetic resonance angiography was feasible and proved to offer a reliable and rapid diagnostic approach in thromboembolic disease, sparing patients' exposure to ionizing radiation and iodinated contrast media.
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Adult -
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Aged -
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Aged, 80 and over -
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Female -
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Gadolinium - diagnostic use
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Humans - diagnostic use
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Image Enhancement - diagnostic use
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Imaging, Three-Dimensional - diagnostic use
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Magnetic Resonance Angiography - diagnostic use
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Male - diagnostic use
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Middle Aged - diagnostic use
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Pilot Projects - diagnostic use
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Thromboembolism - diagnosis
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Venous Thrombosis - diagnosis