Noninvasive coronary vessel wall and plaque imaging with magnetic resonance imaging.

Abstract:

BACKGROUND:Conventional x-ray angiography frequently underestimates the true burden of atherosclerosis. Although intravascular ultrasound allows for imaging of coronary plaque, this invasive technique is inappropriate for screening or serial examinations. We therefore sought to develop a noninvasive free-breathing MR technique for coronary vessel wall imaging. We hypothesized that such an approach would allow for in vivo imaging of coronary atherosclerosis. METHODS AND RESULTS:Ten subjects, including 5 healthy adult volunteers (aged 35+/-17 years, range 19 to 56 years) and 5 patients (aged 60+/-4 years, range 56 to 66 years) with x-ray-confirmed coronary artery disease (CAD), were studied with a T2-weighted, dual-inversion, fast spin-echo MR sequence. Multiple adjacent 5-mm cross-sectional images of the proximal right coronary artery were obtained with an in-plane resolution of 0.5x1.0 mm. A right hemidiaphragmatic navigator was used to facilitate free-breathing MR acquisition. Coronary vessel wall images were readily acquired in all subjects. Both coronary vessel wall thickness (1.5+/-0.2 versus 1.0+/-0.2 mm) and wall area (21.2+/-3.1 versus 13.7+/-4.2 mm(2)) were greater in patients with CAD (both P:<0.02 versus healthy adults). CONCLUSIONS:In vivo free-breathing coronary vessel wall and plaque imaging with MR has been successfully implemented in humans. Coronary wall thickness and wall area were significantly greater in patients with angiographic CAD. The presented technique may have potential applications in patients with known or suspected atherosclerotic CAD or for serial evaluation after pharmacological intervention.

journal_name

Circulation

journal_title

Circulation

authors

Botnar RM,Stuber M,Kissinger KV,Kim WY,Spuentrup E,Manning WJ

doi

10.1161/01.cir.102.21.2582

subject

Has Abstract

pub_date

2000-11-21 00:00:00

pages

2582-7

issue

21

eissn

0009-7322

issn

1524-4539

journal_volume

102

pub_type

临床试验,杂志文章
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    更新日期:1987-03-01 00:00:00

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    更新日期:1991-05-01 00:00:00

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    doi:10.1161/hc0302.102592

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    pub_type: 杂志文章,随机对照试验

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    pub_type: 临床试验,杂志文章,多中心研究,随机对照试验

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  • Distribution, morphology, and neurochemistry of endocardial and epicardial nerve terminal arborizations in the human heart.

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  • Influenza Vaccine in Heart Failure.

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    pub_type: 杂志文章

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  • Evidence Supporting the Existence of a Distinct Obese Phenotype of Heart Failure With Preserved Ejection Fraction.

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    pub_type: 杂志文章

    doi:10.1161/01.cir.82.6.2170

    authors: Fischell TA,Grant G,Johnson DE

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    authors: Giugliano RP,Cannon CP,Blazing MA,Nicolau JC,Corbalán R,Špinar J,Park JG,White JA,Bohula EA,Braunwald E,IMPROVE-IT (Improved Reduction of Outcomes: Vytorin Efficacy International Trial) Investigators.

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    pub_type: 杂志文章

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    authors: Thukkani AK,McHowat J,Hsu FF,Brennan ML,Hazen SL,Ford DA

    更新日期:2003-12-23 00:00:00

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    doi:10.1161/01.cir.59.1.173

    authors: Thiene G,Gallucci V,Macartney FJ,Del Torso S,Pellegrino PA,Anderson RH

    更新日期:1979-01-01 00:00:00