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Circle of Willis: Morphologic Variation in Normal Chinese Population and Its Relationship to Ischemic Cerebrovascular Disease on MR Angiography Experimental and Clinical Evaluation
Views: | Article Submitted On: 06-26-2010 | Share This: |
The vessles can be displayed by MR angiography without contrast medium, after contrast administration with higher dose than routine the vascular contrast especially in the small vessles would be improved. But what about the lower dose ? Trshortening agents always were used in three-dimensional time-of-flight (3DTOF) technique, What about three-dimensional phase-contrast (3DPC) technique? Both 3DTOF and 3DPC can show the circle of Willis with maximum intensity projection (MIP). To 3DTOF one major drawback is its progressive signal loss due to the saturation effect. Furthermore its background suppression of MIP images is poorer than that of 3DPC. But the source images of the 3DTOF have reasonable spatial resolution and can show more small vessels than MIP images. It can also show intracranial nonvascular diseases because of its TiWI characteristics. What about combination of 3DTOF and 3DPC techniques to show the circle of Willis? Whether the sensitivity and specificity in detection of vessels can be improved after that? What about the morphology of the circle of Willis on MRA. As one of the most important collateral pathways, what about its relationship to ischemic cerebrovascular diseases? These questions are the aimof this study.Part I: Experimental study: effects of low concentration contrast medium, flow velocity and tube diameter on 3DTOF and 3DPC MR angiographyPurpose: To evaluate the effects of low concentration contrast medium, flow velocity and tube diameter on 3DTOF and 3DPC MR angiography respectively.Materials and methods: Pump was used to control flow velocity (15cm/s, 30cm/s,-6-50cm/s respectively). Medical plastic tubes with different diameters (0.8mm. 1.6mm, 3mm respectively) were used to mimic vessels. Distilled water was used as fluid and the Gd-DTPA was diluted to three different concentrations (O.OOlmmol/l, 0.005mmol/l, O.Olmmol/1). Tap water in plastic bottle was used as control fluid. The flow fluid with different concentration contrast medium, flow velocity and tube diameter was scanned by 1.5T MR machine with 3DPC and 3DTOF MR angiography respectively. Then the contrast noise ratio (CNR) was calculated at five partitions(10mm, 20m, 30mm, 40mm. 50mm distance from the entry point).Results: Progressive signal loss could be seen in 3DTOF MRA due to saturation of inflowing spins. But it was not obvious in 3DPC MRA. Lou concentration of Gd-DTPA can improve the CNR of flow fluid, but it must reach a certain level about O.Olmmol/1 to gain dramatic statistics significance compared with that of no contrast medium (P