Cardiovascular CT and MR Imaging: From Technique to Clinical by Carlo Catalano, Michele Anzidei, Alessandro Napoli

By Carlo Catalano, Michele Anzidei, Alessandro Napoli

This booklet examines the equipment and strategies for acting top of the range CT angiography and MR angiography reviews in a number of medical settings. It bargains a comparability of the benefits and obstacles of every in a number of illnesses and vascular areas.

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Anzidei et al. Relative Contraindications • • Limiting Contraindications • • • • Pregnancy (there is no clinical evidence of any potential teratogenic effect of the magnetic fields in the early embryogenetic phase): the assessment of the potential benefit derived from an examination must be made on a case by case basis and compared with the hypothetical induced risk. Subcutaneous ferromagnetic clips or foreign bodies (possible heating injuries or mobilization under the effect of the magnetic field).

13). The only blood-pool molecule that is currently marketed is gadofosveset trisodium. The possibility of extending the time window acquisition that can be obtained with blood-pool contrast agents and, as recently demonstrated, even with Gd-BOPTA, makes it possible to obtain very high definition images during the CM equilibrium phase (CM arterial concentration = CM venous concentration), using sequences with a greater spatial resolution compared to that used in conventional CE-MRA. Despite venous contamination, these sequences are extremely useful for vascular stenosis measurements and for the morphological evaluation of atherosclerotic plaques.

Anzidei et al. Fig. 15 The greater the number of scanner detectors, the lower the acquisition time and the entity and temporal duration of the enhancement peak available for imaging (red line for slower scanners and yellow dashed line for faster scanners) a b Fig. 16 a Too early image acquisition in a patient with aneurysm of the abdominal aorta; incomplete and inhomogeneous enhancement of the aortic lumen is shown. b Proper synchronization between contrast medium administration and the scan acquisition start with homogeneous aortic enhancement • • • tCMT and the Additive Model it helps the progression of the contrast agent, avoiding stasis at the venous access site; it consolidates (makes compact) the bolus; it can reduce the total amount of contrast medium to be administered.

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