Evaluation of renal artery stenosis with dynamic gadolinium-enhanced MR angiography

Mark J. Rieumont, John A. Kaufman, Stuart C. Geller, E. Kent Yucel, Richard P. Cambria, Leslie S.T. Fang, Hasan Bazari, Arthur C. Waltman

Research output: Contribution to journalArticle

98 Scopus citations

Abstract

OBJECTIVE. The purpose of this study was to compare dynamic gadolinium- enhanced three-dimensional spoiled gradient-recalled MR angiography with conventional arteriography in the evaluation of proximal renal artery stenosis (RAS). MATERIALS AND METHODS. MR angiography and conventional arteriographic examinations of 30 patients evaluated for RAS were analyzed retrospectively. Three-dimensional MR angiography was performed with an RF spoiled gradient-recalled imaging sequence acquired during the dynamic IV injection of gadolinium (0.2-0.3 mmol/kg). MR data and conventional arteriograms were independently evaluated for the number and location of renal arteries and the degree and location of stenoses. The patients had a mean age of 70 years old and a mean serum creatinine level of 2.9 mg/dl, reflecting a population in whom atherosclerotic RAS was the primary concern. RESULTS. Gadolinium-enhanced MR angiography revealed 100% of main renal arteries. For RAS of 50% or greater occlusion, the technique was 100% sensitive and 71% specific; the negative predictive value was 100%. The technique was 100% sensitive and 71% specific for RAS of 75% or greater occlusion. CONCLUSIONS. Dynamic gadolinium-enhanced three-dimensional spoiled gradient-recalled MR angiography has a high sensitivity for revealing proximal RAS and is a quick and reliable technique for obtaining helpful anatomic information.

Original languageEnglish (US)
Pages (from-to)39-44
Number of pages6
JournalAmerican Journal of Roentgenology
Volume169
Issue number1
DOIs
StatePublished - Jul 1997

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

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    Rieumont, M. J., Kaufman, J. A., Geller, S. C., Yucel, E. K., Cambria, R. P., Fang, L. S. T., Bazari, H., & Waltman, A. C. (1997). Evaluation of renal artery stenosis with dynamic gadolinium-enhanced MR angiography. American Journal of Roentgenology, 169(1), 39-44. https://doi.org/10.2214/ajr.169.1.9207498