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
Open accessAbstract
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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- 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
- bronze
- doi.org
- 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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