Cine-MR in dissection of the thoracic aorta.
Magnetic resonance imaging (MRI) of the thoracic aorta, including cine-MRI, was performed in 25 patients suspected of having dissection of the thoracic aorta. MRI was correlated with echocardiography, CT and angiography. The sensitivity of MRI (100%) was most closely followed by CT and angiography (83% and 77% respectively). The specificity of MRI and angiography was equally good, at 100% each. MRI was able to demonstrate the intimal flap in all 9 cases of aortic dissection, and there were no false-positive results. Differentiation of thrombosis and slow flow was possible on proton density images, gradient echo images permitted detection of the entry and re-entry sites. The nature of the dissection was determinated correctly in 8 out of 9 cases. MRI is capable of providing all the relevant parameters necessary to decide appropriate treatment of dissecting aneurysms of the thoracic aorta.
Fruehwald
F X
FX
II. Medizinische Universitätsklinik, Abt. f. diagn. Radiologie, Universität Wien.
Neuhold
A
A
Fezoulidis
J
J
Globits
S
S
Mayr
H
H
Wicke
K
K
Glogar
D
D
D000293:Adolescent; D000328:Adult; D000368:Aged; D000784:Aortic Dissection / Q000175:diagnosis*; D001013:Aorta, Thoracic / Q000473:pathology; D001014:Aortic Aneurysm / Q000175:diagnosis*; D002648:Child; D002933:Cineradiography; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D012680:Sensitivity and Specificity