We describe a novel physical basis and methodology for gadolinium (Gd)-enhanced MRA, which we call "off-resonance contrast angiography" (ORCA). Unlike standard contrast-enhanced (CE) MR angiography (MRA), ORCA contrast depends not on T 1 but on Gd-induced shifts in intravascular resonance frequency due to the bulk magnetic susceptibility (BMS) effects of Gd. The method was tested at 3 Tesla in phantoms with a range of dilutions of Gd-DTPA and ultrasmall iron oxide contrast agent (CA). With the use of ORCA, complete background suppression was obtained without image subtraction. As a result, catheters filled with various Gd dilutions proved to be highly conspicuous in ORCA projection images. This feature may make ORCA particularly attractive for passive catheter tracking during MRguided endovascular procedures. Gd-induced intravascular frequency shifts were measured in human subjects and found to be in the expected range. ORCA was used to create angiograms of forearm veins that were comparable in quality to standard CE-MRA. In addition, ORCA images of the extracranial carotid bifurcation were successfully acquired during intravenous contrast administration. However, significant technical restrictions also exist, including a dependence on vessel orientation with respect to B 0 , and sensitivity to static field inhomogeneities. Key words: magnetic resonance angiography; contrast agents; bulk magnetic susceptibility; off-resonance; chemical shift First-pass contrast-enhanced (CE) MR angiography (MRA) is a widely used, robust method for depicting vascular anatomy (1-8). The method is predicated on the strong T 1 -dependent contrast between gadolinium (Gd)-enhanced blood vessels and background tissues.We describe a novel physical basis and methodology for Gd-enhanced MRA, which we call "off-resonance contrast angiography" (ORCA). Unlike standard CE-MRA, ORCA contrast depends not on T 1 but on Gd-induced shifts in intravascular resonance frequency due to the bulk magnetic susceptibility (BMS) of Gd. If the excitation frequency and bandwidth are properly chosen, one can excite selected concentrations of contrast agent (CA) without exciting fat or water spins. Moreover, complete background suppression can be obtained without image subtraction. We studied the feasibility and limitations of the ORCA methodology in studies of phantoms and human subjects.
MATERIALS AND METHODSThis clinical study was approved by the hospital institutional review board. A total of 11 subjects (three males and eight females, 19 -38 years old) were imaged. Five subjects were studied for measurement of intravascular frequency shifts, and six were measured as a proof of concept for vascular imaging with ORCA.