skip to main content
OSTI.GOV title logo U.S. Department of Energy
Office of Scientific and Technical Information

Title: Vena Cava 3D Contrast-Enhanced MR Venography: A Pictorial Review

Abstract

Three-dimensional contrast-enhanced magnetic resonance venography (CE MRV) is a sensitive and accurate method for diagnosing vena cava pathologies. The commonly used indirect approach involves a nondiluted gadolinium contrast agent injected into an upper limb vein or, occasionally, a pedal vein for assessment of the superior or inferior vena cava. In our studies, a coronal 3D fast multi-planar spoiled gradient-echo acquisition was used. A pre-contrast scan was obtained to ensure correct coverage of the region of interest. We initiated contrast-enhanced acquisition 15 sec after the start of contrast agent injection and performed the procedure twice. The image sets were obtained during two 20-30-sec breath hold, with a breathing rest of 5-6 sec, to obtain the first-pass and delayed arteriovenous phases. For patients with Budd-Chiari syndrome, a third acquisition coinciding with late venous phase was collected to visualize the hepatic veins, which was carried out by one additional acquisition after a 5-6-sec breathing time. This review describes the clinical application of 3D CE MRV in vena cava congenital anomalies, superior and inferior vena cava syndrome, Budd-Chiari syndrome, peripheral vein thrombosis extending to the vena cava, pre-operational evaluation in portosystemic shunting and post-surgical follow-up, and road-mapping for the placement and evaluation of complicationsmore » of central venous devices.« less

Authors:
; ; ; ;  [1];  [2]
  1. Zhongshan Hospital, Fudan University, Department of Radiology (China)
  2. Current with Astrazeneca Pharmaceuticals (United Kingdom), E-mail: yi-xiang.wang@astrazeneca.com
Publication Date:
OSTI Identifier:
21091311
Resource Type:
Journal Article
Resource Relation:
Journal Name: Cardiovascular and Interventional Radiology; Journal Volume: 28; Journal Issue: 6; Other Information: DOI: 10.1007/s00270-004-0054-0; Copyright (c) 2005 Springer Science+Business Media, Inc.; www.springer-ny.com; Country of input: International Atomic Energy Agency (IAEA)
Country of Publication:
United States
Language:
English
Subject:
62 RADIOLOGY AND NUCLEAR MEDICINE; CONTRAST MEDIA; EVALUATION; GADOLINIUM; INJECTION; LIMBS; LIVER; MAGNETIC RESONANCE; PATHOLOGY; RESPIRATION; REVIEWS; SURGERY; THROMBOSIS; VEINS

Citation Formats

Lin Jiang, Zhou Kangrong, Chen Zuwang, Wang Jianhua, Yan Ziping, and Wang, Yi-Xiang J. Vena Cava 3D Contrast-Enhanced MR Venography: A Pictorial Review. United States: N. p., 2005. Web. doi:10.1007/S00270-004-0054-0.
Lin Jiang, Zhou Kangrong, Chen Zuwang, Wang Jianhua, Yan Ziping, & Wang, Yi-Xiang J. Vena Cava 3D Contrast-Enhanced MR Venography: A Pictorial Review. United States. doi:10.1007/S00270-004-0054-0.
Lin Jiang, Zhou Kangrong, Chen Zuwang, Wang Jianhua, Yan Ziping, and Wang, Yi-Xiang J. Thu . "Vena Cava 3D Contrast-Enhanced MR Venography: A Pictorial Review". United States. doi:10.1007/S00270-004-0054-0.
@article{osti_21091311,
title = {Vena Cava 3D Contrast-Enhanced MR Venography: A Pictorial Review},
author = {Lin Jiang and Zhou Kangrong and Chen Zuwang and Wang Jianhua and Yan Ziping and Wang, Yi-Xiang J.},
abstractNote = {Three-dimensional contrast-enhanced magnetic resonance venography (CE MRV) is a sensitive and accurate method for diagnosing vena cava pathologies. The commonly used indirect approach involves a nondiluted gadolinium contrast agent injected into an upper limb vein or, occasionally, a pedal vein for assessment of the superior or inferior vena cava. In our studies, a coronal 3D fast multi-planar spoiled gradient-echo acquisition was used. A pre-contrast scan was obtained to ensure correct coverage of the region of interest. We initiated contrast-enhanced acquisition 15 sec after the start of contrast agent injection and performed the procedure twice. The image sets were obtained during two 20-30-sec breath hold, with a breathing rest of 5-6 sec, to obtain the first-pass and delayed arteriovenous phases. For patients with Budd-Chiari syndrome, a third acquisition coinciding with late venous phase was collected to visualize the hepatic veins, which was carried out by one additional acquisition after a 5-6-sec breathing time. This review describes the clinical application of 3D CE MRV in vena cava congenital anomalies, superior and inferior vena cava syndrome, Budd-Chiari syndrome, peripheral vein thrombosis extending to the vena cava, pre-operational evaluation in portosystemic shunting and post-surgical follow-up, and road-mapping for the placement and evaluation of complications of central venous devices.},
doi = {10.1007/S00270-004-0054-0},
journal = {Cardiovascular and Interventional Radiology},
number = 6,
volume = 28,
place = {United States},
year = {Thu Dec 15 00:00:00 EST 2005},
month = {Thu Dec 15 00:00:00 EST 2005}
}