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Abstract #3367

A clinical strategy of 3.0-T non-contrast coronary MRA: a combination of diastole and systole imaging

Hongfei Lu1, Hang Jin1, Mengsu Zeng1, Xiuzheng Yue2, and Weibo Chen3
1Department of Radiology, Zhongshan Hospital, Fudan University, Shanghai, China, 2Philips Healthcare, Beijing, China, 3Philips Healthcare, Shanghai, China

Synopsis

Keywords: Vascular, Cardiovascular, coronary

Motivation: Coronary magnetic resonance angiography (MRA) has not been widely used due to lower diagnostic accuracy. The combination of diastole and systole imaging may enhance its clinical applications.

Goal(s): Designing a coronary MRA protocol combining diastole and systole imaging and evaluating its diagnostic performance for detecting significant coronary artery disease (CAD).

Approach: 3.0-T non-contrast coronary MRA was carried out twice at diastole and systole. Significant CAD was evaluated by coronary MRA as follows:1) by diastole mode, 2) by systole mode, and 3) by combined mode.

Results: Combined coronary MRA showed equally high sensitivity but improved specificity than single diastolic mode.

Impact: This study demonstrated that 1) 3.0-T non-contrast coronary MRA using combinational diastole and systole imaging can noninvasively detect CAD with high sensitivity and moderate specificity; 2) Combining diastole and systole imaging improved the diagnostic accuracy of coronary MRA, especially specificity.

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