ABDOMINAL MR-ANGIOGRAPHY PERFORMED USING BLOOD-POOL CONTRAST AGENTS -COMPARISON OF A NEW SUPERPARAMAGNETIC IRON-OXIDE NANOPARTICLE AND A LINEAR GADOLINIUM POLYMER
C. Nolteernsting et al., ABDOMINAL MR-ANGIOGRAPHY PERFORMED USING BLOOD-POOL CONTRAST AGENTS -COMPARISON OF A NEW SUPERPARAMAGNETIC IRON-OXIDE NANOPARTICLE AND A LINEAR GADOLINIUM POLYMER, American journal of roentgenology, 171(1), 1998, pp. 107-113
OBJECTIVE.We evaluated and compared two different experimental blood p
ool contrast agents for abdominal MR angiography in an animal model. M
ATERIALS AND METHODS.In seven pigs, coronal T1-weighted three-dimensio
nal fast field-echo images were obtained on a conventional 1.5-T MR im
aging system before and after IV injection of the ultrasmall superpara
magnetic iron oxide agent FeO-BPA. In another seven pigs, MR angiogram
s were acquired using the gadolinium polymer WIN 22181. Enhanced image
s were obtained 5-210 min after injection of FeO-BPA and 1-120 min aft
er injection of WIN 22181. RESULTS. Both blood pool agents yielded det
ailed angiograms of the abdominal vascular tree when imaging lasted 2
min. In-plane running vessels were imaged without saturation effects a
nd with equivalent maximum signal-to-noise ratios. Half the maximum si
gnal-to-noise ratio was reached 150 min after injection of FeO-BPA, wh
ereas this interval was approximately 70 min for the gadolinium polyme
r. Because of these different imaging half-life periods, the effective
diagnostic window provided by FeO-BPA was six to eight times longer t
han that of WIN 22181. In the liver, the vascular T1 shortening and th
e parenchymal T2 effect of FeO-BPA complemented each other, resulting
in an optimal contrast-to-noise ratio significantly higher than that
achieved with WIN 22181. This ''double-contrast effect'' in the liver
was especially helpful when obtaining detailed MR portograms. CONCLUSI
ON. The blood pool agents FeO-BPA and WIN 22181 can be used to produce
high-quality abdominal MR angiograms on standard MR imaging equipment
. The contrast-to-noise ratio of hepatic vessels is best on iron oxide
-enhanced images because of a T1-T2 synergistic effect in the liver.
The longer diagnostic window provided by FeO-BPA coupled with the opti
on of in-plane imaging suggests the usefulness of FeO-BPA in future MR
imaging-guided Vascular interventions.