PURPOSE: To determine if a three-dimensional (3D) gadolinium-enhanced
technique is useful for improving the accuracy of magnetic resonance (
MR) angiography.MATERIALS AND METHODS: Prospectively, two-dimensional
(2D) time-of-flight (TOF) and 3D gadolinium-enhanced MR angiography wa
s performed in 23 patients. Conventional arteriography, the reference
standard, was performed in all but five patients. Images from each exa
mination were interpreted blindly by two observers. RESULTS: For commo
n and external iliac arteries, interpretations of dynamic 3D gadoliniu
m-enhanced MR angiograms matched those of conventional arteriograms in
12 of 18 patients (67%) for both observers. Interpretations of 2D TOF
images matched those of conventional arteriograms in six (33%) and se
ven (39%) patients for the two observers respectively. CONCLUSION: Pre
liminary results suggest that iliac artery MR angiography can be impro
ved by complementing standard 2D TOF acquisitions with 3D gadolinium-e
nhanced acquisitions.