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Visualization of external carotid artery and its branches: Non–contrast‐enhanced MR angiography using balanced steady‐state free‐precession sequence and a time‐spatial labeling inversion pulse
Authors:Naoe Satogami MD  Tomohisa Okada MD  PhD  Takashi Koyama MD  PhD  Kimio Gotoh MD  Toshikazu Kamae MS  RT  Kaori Togashi MD  PhD
Affiliation:Department of Diagnostic Imaging and Nuclear Medicine, Kyoto University Graduate School of Medicine, Kyoto, Japan
Abstract:

Purpose

To evaluate visibility of the external carotid artery (ECA) and its branches using three‐dimensional (3D) balanced steady‐state free‐precession (SSFP) MR angiography with a time‐spatial labeling inversion pulse (Time‐SLIP), and to provide an optimal value of the inversion time (TI).

Materials and Methods

Peripheral‐pulse‐wave‐gated 3D balanced SSFP images were obtained in 20 healthy volunteers. Images with a Time‐SLIP using four different TIs (600, 900, 1200, and 1500 ms) and without a Time‐SLIP, referred to as sequence A to E, were acquired for each subject and compared for visibility scores of ECA system and relative signal intensity (SI) of ECA.

Results

Average Friedman rank for overall visibility was 1.63, 3.01, 3.59, 3.58, and 3.20 for sequence A to E, respectively. Sequence C and D yielded significantly higher visibility than sequence A, B, and E. The mean relative SI value was 0.97, 0.87, 0.81, 0.76, and 0.67 for sequence A to E, respectively.

Conclusion

Balanced SSFP MR angiography with a Time‐SLIP is superior to that without a Time‐SLIP, showing excellent visualization of ECA system in approximately 3 min in average with sufficient background suppression including veins and salivary ducts. A TI of 1200 ms was considered to be optimal for this purpose. J. Magn. Reson. Imaging 2009;30:678–683. © 2009 Wiley‐Liss, Inc.
Keywords:MR angiography  non–  contrast‐enhanced  external carotid artery  time‐spatial labeling inversion pulse  balanced steady‐state free‐precession
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