Inflammatory abdominal aortic aneurysms: diagnosis with gadolinium enhanced T1-weighted imaging.

Abstract:

AIM:Inflammatory abdominal aortic aneurysms (IAAA) are a variant of abdominal aortic aneurysms, which are associated with an increased morbidity. The diagnosis of IAAA has traditionally been established with a combination of clinical and laboratory findings together with contrast enhanced CT. There is a high incidence of renal impairment in this group, and therefore contrast enhanced CT may be harmful. PATIENTS AND METHODS:Five patients with IAAA underwent T1-weighted spin echo and gradient echo gadolinium enhanced abdominal MRI. A total of eight examinations were performed, including three patients who underwent repeat MRI following steroid therapy. RESULTS:The inflammatory cuff was clearly identified following gadolinium administration in all eight examinations. The cuff enhanced homogeneously in all patients with no alteration in appearance following steroid therapy. The intravenous administration of gadolinium DTPA enabled clearer definition of locally involved structures. CONCLUSION:Gadolinium enhanced MRI readily demonstrates features of IAAA. In view of potential renal impairment in this patient group, we recommend this technique in preference to contrast enhanced CT in the initial investigation of inflammatory abdominal aortic aneurysms.

journal_name

Clin Radiol

journal_title

Clinical radiology

authors

Wallis F,Roditi GH,Redpath TW,Weir J,Cross KS,Smith FW

doi

10.1053/crad.1999.0442

subject

Has Abstract

pub_date

2000-02-01 00:00:00

pages

136-9

issue

2

eissn

0009-9260

issn

1365-229X

pii

S0009-9260(99)90442-7

journal_volume

55

pub_type

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