Cited by 29Cardiac Imaging and DiagnosticsAdvanced MRI Techniques and ApplicationsCoronary Artery Anomalies

Improvement of image quality of non-invasive coronary artery imaging with magnetic resonance by the use of the intravascular contrast agent Clariscan™ (NC100150 injection) in patients with coronary artery disease

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Klein, Christoph, Schalla, Simon, Schnackenburg, Bernhard, Bornstedt, Axel, Hoffmann, Volker, Fleck, Eckart, Nagel, Eike·2003·Journal of Magnetic Resonance Imaging

Abstract

PURPOSE: To assess the feasibility of Clariscan, an intravascular contrast agent, for free breathing, navigator assisted, high resolution, three-dimensional-magnetic resonance coronary angiography (MRCA) in patients, as extracellular contrast agents are unfavorable for the improvement of image quality. MATERIALS AND METHODS: MRCA was performed in 10 patients with known coronary artery disease (CAD) with (1-5 mg Fe/kg body weight) and without contrast agent. RESULTS: Compared to unenhanced images, Clariscan did not improve signal-to-noise (SNR) or contrast-to-noise ratios (CNR) compared to fat or myocardium in the proximal parts of the coronary arteries. However, when analyzing the peripheral parts (>4 cm from origin), CNR(fat) and CNR(myo) improved up to a factor of 1.81 and 5.85, respectively, at a dose of 3 mg Fe/kg body weight, while SNR did not reach statistical significance. The visible length of the coronary arteries was improved from 49 +/- 18 mm to 73 +/- 33 mm. The proximal diameter was reduced from 3.6 +/- 0.8mm to 3.2 +/- 0.8 mm, representing more closely the diameter of 3.1 +/- 0.7 mm measured by quantitative coronary angiography. Of 11 significant stenoses (>50%), eight were identified in the enhanced compared to six in the unenhanced images. CONCLUSION: The use of Clariscan at a dose of 2-3 mg Fe/kg body weight improves image quality of three-dimensional-MRCA, especially in the peripheral segments, and, thus, the diagnostic accuracy for the detection of CAD.

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Research works printed but not linked: 4

  1. Nagel E, Bornstedt A, Schnackenburg B, Hug J, Oswald H, Fleck E. Optimization of realtime adaptive navigator correction for 3D-mag- netic resonance coronary angiography. Magn Reson Med 1999;42: 408 -411.
  2. Wagenseil JE, Johansson LOM, Lorenz CH. Characterisation of T1 relaxation and blood-myocardial contrast enhancement of NC100150 injection in cardiac MRI. J Magn Reson Imag 1999;10: 784 -789.
  3. Hofman MB, Henson RE, Kova ´cs SJ, et al. Blood pool agent strongly improves 3D magnetic resonance coronary angiography using an inversion pre-pulse. Magn Reson Med 1999;41:360 -367.
  4. Stuber M, Botnar RM, Danias PG, et al. Contrast agent-enhanced, free breathing, three-dimensional coronary magnetic resonance angiography. J Magn Reson Imag 1999;10:790 -799.

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Authors
Klein, C., Schalla, S., Schnackenburg, B., Bornstedt, A., Hoffmann, V., Fleck, E., & Nagel, E.
Affiliations
  • Deutsches Herzzentrum der Charité (DE)
  • Philips (Germany) (DE)
Corresponding author
Klein, Christoph
Venue
Journal of Magnetic Resonance Imaging
Publisher
Wiley
Published
2003-05-19
Volume
17
Issue
6
Pages
656-662
ISSN
  • 1053-1807 (ISSN-L)
  • 1522-2586
OpenAlex
W1999903528
Cited by
29
References
26
Citations by year
2023: 2 · 2022: 1 · 2019: 2 · 2017: 1 · 2015: 1 · 2014: 1 · 2013: 1 · 2012: 1
FWCI
2.95
Type
journal article
Language
en
Open access
Locations
  • Journal of Magnetic Resonance Imaging (publishedVersion)
  • PubMed (publishedVersion)
  • Research Portal (King's College London) (submittedVersion)
Topics
  • Health Sciences › Medicine › Radiology, Nuclear Medicine and Imaging › Cardiac Imaging and Diagnostics
  • Health Sciences › Medicine › Radiology, Nuclear Medicine and Imaging › Advanced MRI Techniques and Applications
  • Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Coronary Artery Anomalies
Keywords
intravascular contrast agents, coronary magnetic resonance angiography, coronary artery disease, image quality, contrast-to-noise ratio, signal-to-noise ratio, free breathing, coronary stenosis detection, iron-based contrast agents
MeSH terms
Analysis of Variance, Contrast Media, Coronary Artery Disease, Coronary Vessels, Dextrans, Feasibility Studies, Female, Humans, Image Enhancement, Iron, Magnetic Resonance Imaging, Male, Middle Aged, Oxides, Coronary Angiography, Magnetic Resonance Angiography, Imaging, Three-Dimensional, Ferrosoferric Oxide, Magnetite Nanoparticles

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