High-resolution, non-contrast-enhanced magnetic resonance angiography of the wrist, hand and digital arteries using optimized implementation of Cartesian quiescent interval slice selective (QISS) at 1.5 T

Ravesh, Mona Salehi; Lebenatus, Annett; Bonietzki, Alexandra; Hensler, Johannes; Koktzoglou, Ioannis; Edelman, Robert R.; Graessner, Joachim; Jansen, Olav; Both, Marcus

doi:10.1016/j.mri.2021.02.008

Cited by 5 publications

(2 citation statements)

References 41 publications

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“…[25] Currently, QISS frequently served as an alternative to lower extremity CTA in some centers, especially for patients with renal insufficiency. [26][27][28] However, due to the 2D acquisition, QISS is still limited in its application in the places where arteries are tortuous. Inversion recovery was used in QISS acquisition to decrease signal intensity of background tissues.…”

Section: Discussionmentioning

confidence: 99%

The effect of non-contrast enhanced MRA on patients with renal insufficiency and foot pain

Wu,

Yang,

Liu

2023

Medicine

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To investigate the feasibility of non-contrast magnetic resonance angiography of arteries and veins (NATIVE) sampling perfection with application optimized contrasts by using different flip angle evolution (SPACE) and quiescent interval single shot (QISS) in assessing foot arteries of patients with renal insufficiency and foot pain. Fifty-three patients (mean age = 44.2 ± 11.4 years, male: female = 27:26) underwent QISS and NATIVE-SPACE. The source images were reconstructed to maximum intensity projection and volume render. The image quality of QISS and NATIVE-SPACE was rated (0–3, poor to excellent), and was compared using Wilcoxon test. True or false positive was determined by comparing the findings of QISS and NATIVE-SPACE. The relative signal intensity of artery was obtained for each case, and was compared between QISS and NATIVE-SPACE using Mann Whitney test. The acquisition time of NATIVE-SPACE was significantly longer than that of QISS (178.4 ± 35.7 seconds vs 45.4 ± 8.9 seconds, P < .001). QISS had significantly lower image quality score versus NATIVE-SPACE (1.4 ± 0.5 vs 2.4 ± 0.6, P = .02). Fifteen percentage (8/53) NATIVE-SPACE cases had poor image quality due to the similarity of peak flow and minimum flow. The relative signal intensity was significantly lower in QISS versus NATIVE-SPACE (9.7 ± 1.3 vs 68.2 ± 12.4, P < .001). NATIVE-SPACE is valuable in evaluating foot arteries of patients with renal insufficiency. QISS can serve as an alternative test to NATIVE-SPACE.

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Section: Discussionmentioning

confidence: 99%

The effect of non-contrast enhanced MRA on patients with renal insufficiency and foot pain

Wu,

Yang,

Liu

2023

Medicine

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“…Its use in complex lower extremity PAD—especially with severe atherosclerotic changes in the crural segments—is therefore not widespread. Quiescent-interval single-shot (QISS) MRA is a non-contrast protocol suitable for lower extremity arterial imaging [ 18 , 19 , 20 , 21 , 22 , 23 , 24 , 25 , 26 , 27 ].…”

Section: Introductionmentioning

confidence: 99%

Quiescent-Interval Single-Shot Magnetic Resonance Angiography May Outperform Carbon-Dioxide Digital Subtraction Angiography in Chronic Lower Extremity Peripheral Arterial Disease

Csőre

Suhai

Gyánó

et al. 2022

JCM

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Nephroprotective imaging in peripheral arterial disease (PAD) is often crucial. We compared the diagnostic performance of non-contrast Quiescent-interval single-shot magnetic resonance angiography (QISS MRA) and carbon-dioxide digital subtraction angiography (CO2 DSA) in chronic lower extremity PAD patients. A 19-segment lower extremity arterial model was used to assess the degree of stenosis (none, <50%, 50–70%, >70%) and the image quality (5-point Likert scale: 1-non-diagnostic, 5-excellent image quality). Intra-class correlation coefficient (ICC) was calculated for inter-rater reliability. Diagnostic accuracy and interpretability were evaluated using CO2 DSA as a reference standard. 523 segments were evaluated in 28 patients (11 male, mean age: 71 ± 9 years). Median and interquartile range of subjective image quality parameters for QISS MRA were significantly better compared to CO2 DSA for all regions: (aortoiliac: 4 [4–5] vs. 3 [3–4]; femoropopliteal: 4 [4–5] vs. 4 [3–4]; tibioperoneal: 4 [3–5] vs. 3 [2–3]; all regions: 4 [4–5] vs. 3 [3–4], all p < 0.001). QISS MRA out-performed CO2 DSA regarding interpretability (98.3% vs. 86.0%, p < 0.001). Diagnostic accuracy parameters of QISS MRA for the detection of obstructive luminal stenosis (70%<) as compared to CO2 DSA were as follows: sensitivity 82.6%, specificity 96.9%, positive predictive value 89.1%, negative predictive value 94.8%. Regarding the degree of stenosis, interobserver variability for all regions was 0.97 for QISS MRA and 0.82 for CO2 DSA. QISS MRA proved to be superior to CO2 DSA regarding subjective image quality and interpretability for the imaging of chronic lower extremity PAD.

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Conventional versus fibrin-glue-augmented arterial microanastomosis: An experimental study

Hanneur

Chaves²,

Lauthe³

et al. 2022

Hand Surgery and Rehabilitation

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High-resolution, non-contrast-enhanced magnetic resonance angiography of the wrist, hand and digital arteries using optimized implementation of Cartesian quiescent interval slice selective (QISS) at 1.5 T

Cited by 5 publications

References 41 publications

The effect of non-contrast enhanced MRA on patients with renal insufficiency and foot pain

The effect of non-contrast enhanced MRA on patients with renal insufficiency and foot pain

Quiescent-Interval Single-Shot Magnetic Resonance Angiography May Outperform Carbon-Dioxide Digital Subtraction Angiography in Chronic Lower Extremity Peripheral Arterial Disease

Conventional versus fibrin-glue-augmented arterial microanastomosis: An experimental study

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