EFFECT OF MAGNETIC-SUSCEPTIBILITY CONTRAST-MEDIUM ON MYOCARDIAL SIGNAL INTENSITY WITH FAST GRADIENT-RECALLED ECHO AND SPIN-ECHO MR-IMAGING - INITIAL EXPERIENCE IN HUMANS
H. Sakuma et al., EFFECT OF MAGNETIC-SUSCEPTIBILITY CONTRAST-MEDIUM ON MYOCARDIAL SIGNAL INTENSITY WITH FAST GRADIENT-RECALLED ECHO AND SPIN-ECHO MR-IMAGING - INITIAL EXPERIENCE IN HUMANS, Radiology, 190(1), 1994, pp. 161-166
PURPOSE: To show the effect of dysprosium diethylenetriaminepentaaceti
c acid bis-methylamine injection on the images of normal human myocard
ium. MATERIALS AND METHODS: T2-sensitive fast gradient-recalled echo (
GRE) (repetition lime [TR], 10.8 msec; echo time [TE], 4.2 msec) and s
pin-echo (SE) (TR, three RR intervals; TE, 60 msec) magnetic resonance
(MR) imaging with driven equilibrium-preparation pulse was used to pr
oduce T2 contrast material enhancement. The contrast agent was injecte
d into 12 healthy subjects at doses of 0.05, 0.1, 0.2, 0.4, and 0.6 mm
ol/kg. RESULTS: Driven equilibrium-prepared GRE images showed a transi
ent decrease of myocardial signal intensity at doses of 0.2-0.6 mmol/k
g. Postcontrast T2-weighted SE images showed a myocardial signal atten
uation (30%-45% decrease) at a dose of 0.4 mmol/kg or higher. CONCLUSI
ON: Dynamic MR imaging with a magnetic susceptibility contrast medium
can be used to monitor the first pass of contrast media through human
myocardium with a conventional MR imager and a fast GRE sequence.