Abstract
Single breath hold 3D contrast-enhanced pulmonary MRA should be considered an important part of the imaging toolbox for the assessment of diseases affecting the pulmonary arteries. Some clinical sites are already using this method for the primary assessment of pulmonary embolism in younger patients. The advantages of CE-MRA over Computed Tomographic Angiography (CTA), in the assessment of the pulmonary vasculature, are: (1) lack of ionizing radiation, (2) time-resolved imaging for perfusion, and (3) lack of iodinated contrast material. Although artifacts can be a source of interpretive error, CE-MRA is a good alternative to CTA for patients with borderline renal function or iodinated contrast allergies. Free breathing CE-MRA methods using ultrashort time to echo pulse sequences, which can also show the lung parenchyma, will improve MRA even further.
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Schiebler, M.L., Benson, D., Schubert, T., Francois, C.J. (2017). Noncontrast and Contrast-Enhanced Pulmonary Magnetic Resonance Angiography. In: Kauczor, HU., Wielpütz, M.O. (eds) MRI of the Lung. Medical Radiology(). Springer, Cham. https://doi.org/10.1007/174_2017_57
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