Gadolinium-enhanced off-resonance contrast angiography

Robert R. Edelman*, Pippa Storey, Eugene Dunkle, Wei Li, Andres Carrillo, Anthony Vu, Timothy J. Carroll

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

21 Scopus citations

Abstract

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 T1 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 MR-guided 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 B0, and sensitivity to static field inhomogeneities. Further study is needed to determine the practicality and potential clinical utility of this method.

Original languageEnglish (US)
Pages (from-to)475-484
Number of pages10
JournalMagnetic resonance in medicine
Volume57
Issue number3
DOIs
StatePublished - Mar 2007

Keywords

  • Bulk magnetic susceptibility
  • Chemical shift
  • Contrast agents
  • Magnetic resonance angiography
  • Off-resonance

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

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