
Health Dictionary
Reliable, easy-to-read patient information on common medical conditions β written in plain language, free of jargon, and grounded in current evidence. Browse the most frequent diagnoses, understand what they mean for everyday life, and learn which steps and questions help you have a focused conversation with your doctor.
Abdominal aortic aneurysm MRI
Introduction
Overview
Overview
MRI might be a better soft tissue visualizer than ultrasonography and CT, but its limitations limit its usage as a screening tool and as a diagnostic tool during emergencies like ruptured AAA. However its advantages makes it a good alternative in AAA patients with poor renal function and in elective preoperative evaluation of unruptured AAA[1].
MRI
MRI
Advantages
- MRI may be helpful in stable patients with a severe dye allergy, where CT scanning is contraindicated.
- MRI provides imaging of the aorta comparable to that with CT scanning and ultrasonogram without subjecting the patient to dye load or ionizing radiation.
- MRI also provides superior imaging of branch vessels compared with CT scan or ultrasonogram[2].
- MRI is a more precise preoperative evaluator and affords immediate post operative evaluation of surgical repair of AAA[3].
Limitations
- Lack of widespread availability
- Need for a stable patient
- More sensitive to motion than CT, thus requiring the patient to remain motionless for a longer period of time
- Incompatible with monitoring equipment
- High cost
- Less valuable in assessing suprarenal extension of aneurysm
- Less accurate than thin-slice CT[2]
References
References
- β Thurnher, SA.; Dorffner, R.; Thurnher, MM.; Winkelbauer, FW.; Kretschmer, G.; Polterauer, P.; Lammer, J. (1997). “Evaluation of abdominal aortic aneurysm for stent-graft placement: comparison of gadolinium-enhanced MR angiography versus helical CT angiography and digital subtraction angiography”. Radiology. 205 (2): 341β52. PMIDΒ 9356613. Unknown parameter
|month=ignored (help) - β 2.0 2.1 Litmanovich, D.; Bankier, AA.; Cantin, L.; Raptopoulos, V.; Boiselle, PM. (2009). “CT and MRI in diseases of the aorta”. AJR Am J Roentgenol. 193 (4): 928β40. doi:10.2214/AJR.08.2166. PMIDΒ 19770313. Unknown parameter
|month=ignored (help) - β Cejna, M.; Loewe, C.; Schoder, M.; Dirisamer, A.; HΓΆlzenbein, T.; Kretschmer, G.; Lammer, J.; Thurnher, S. (2002). “MR angiography vs CT angiography in the follow-up of nitinol stent grafts in endoluminally treated aortic aneurysms”. Eur Radiol. 12 (10): 2443β50. doi:10.1007/s00330-002-1429-8. PMIDΒ 12271383. Unknown parameter
|month=ignored (help)
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Cafer Zorkun, M.D., Ph.D. [2]; Hardik Patel, M.D. Ramyar Ghandriz MD[3]
