title: Non-contrast-enhanced MR angiography in the diagnosis of Budd-Chiari syndrome (BCS) compared with digital subtraction angiography (DSA): Preliminary results.
abstract: Non-CE MRA techniques (true steady-state free-precession, SSFP) have been used effectively for the selective visualization of the portal venous system and inferior vena cava. Budd-Chiari Syndrome (BCS) encompasses a number of conditions that cause the obstruction of the hepatic outflow tract from the small hepatic veins to the junction of the inferior vena cava (IVC) and right atrium. The purpose of this study was to diagnose BCS with IVC obstruction using respiratory triggered three-dimensional (3D) true SSFP with T-SLIP and compare to digital subtraction angiography (DSA). The image acquisition of 3D true SSFP scans was successfully performed in 108 patients (≧2 score). The mean and SDs of the relative SNR and CNR were 55.96±2.32 and 30.72±1.56, respectively. Intergroup agreement for the detection of the 4 types (membranous obstruction, segmental occlusion, and membranous obstruction with a hole and segmental stenosis) of BCS with IVC obstruction was excellent between the Time-SLIP and the DSA. In conclusion, Time-SLIP for the detection of IVC obstruction BCS does not require the use of contrast. This procedure can achieve a high success rate, high accuracy rate and fine image quality for the diagnosis of IVC obstruction BCS.
authors.affiliation: Department of Radiology, Zhongshan Hospital, Fudan University, Shanghai, 200032, P.R. China; Department of Radiology, Affiliated Hospital of Xuzhou Medical College, Xuzhou, P.R. China.
authors.forename: Chun
authors.initials: C
authors.lastname: Yang
authors.affiliation: Department of Radiology, The Third Hospital of Xuzhou City, Xuzhou, P.R. China; Department of Radiology, Affiliated Hospital of Xuzhou Medical College, Xuzhou, P.R. China.
authors.forename: Ceng
authors.initials: C
authors.lastname: Li
authors.affiliation: Department of Radiology, Zhongshan Hospital, Fudan University, Shanghai, 200032, P.R. China.
authors.forename: Mengsu
authors.initials: M
authors.lastname: Zeng
authors.affiliation: Department of Radiology, Affiliated Hospital of Xuzhou Medical College, Xuzhou, P.R. China.
authors.forename: Xin
authors.initials: X
authors.lastname: Lu
authors.affiliation: Department of Radiology, Affiliated Hospital of Xuzhou Medical College, Xuzhou, P.R. China.
authors.forename: Jingjing
authors.initials: J
authors.lastname: Li
authors.affiliation: Department of Radiology, Affiliated Hospital of Xuzhou Medical College, Xuzhou, P.R. China.
authors.forename: Jiali
authors.initials: J
authors.lastname: Wang
authors.affiliation: Department of Radiology, Affiliated Hospital of Xuzhou Medical College, Xuzhou, P.R. China.
authors.forename: Muhammad Umair
authors.initials: MU
authors.lastname: Sami
authors.affiliation: Department of Radiology, Affiliated Hospital of Xuzhou Medical College, Xuzhou, P.R. China. Electronic address: xkpaper@163.com.
authors.forename: Kai
authors.initials: K
authors.lastname: Xu
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D015901:Angiography, Digital Subtraction / Q000379:methods*; D006502:Budd-Chiari Syndrome / Q000000981:diagnostic imaging*; D005260:Female; D006503:Hepatic Veins / Q000000981:diagnostic imaging* / Q000473:pathology; D006801:Humans; D018810:Magnetic Resonance Angiography / Q000379:methods*; D008297:Male; D008875:Middle Aged; D015203:Reproducibility of Results; D014682:Vena Cava, Inferior / Q000000981:diagnostic imaging* / Q000473:pathology; D055815:Young Adult
keywords: Budd-Chiari syndrome; Inferior vena cava; Magnetic resonance angiography; Non-contrast-enhanced; T-Slip; True SSFP