Contrast-enhanced three-dimensional magnetic resonance angiography of the splanchnic vasculature before and after caloric stimulation. Original investigation. 1998

T F Hany, and M Schmidt, and A W Schoenenberger, and J F Debatin
Institute of Diagnostic Radiology, University Hospital Zürich, Switzerland. debatin@dmr.usz.ch

OBJECTIVE To develop a comprehensive noninvasive magnetic resonance angiography (MRA) strategy for the morphologic and functional assessment of the splanchnic arteries, based on a combination of breath-held contrast-enhanced 3D MRA and segmented k-space 2D phase-contrast acquisitions acquired before and after caloric stimulation. METHODS Ten healthy volunteers were examined twice: once in the fasting state (6 hours with no food intake) and a second time following caloric stimulation with a standard 475-kcal meal. Flow in the superior mesenteric artery (SMA) and vein (SMV) was quantitated using a 2D breath-held, segmented k-space phase-contrast (PC) acquisition in a plane perpendicular to the axis of the vessels, while vascular morphology was displayed with a contrast-enhanced 3D MRA acquisition consisting of 44 contiguous 2-mm sections, acquired in apnea (28 seconds). For comparative analysis, the splanchnic vasculature was divided into 11 segments and evaluated on a 2-point scale (cannot exclude pathology, can exclude pathology). RESULTS Flow volume in the SMA increased from 2.3 ml/min/kg (+/- 0.9 ml/min kg) to 7.3 ml/min kg (+/- 4.7 ml/min kg) following caloric stimulation (P < 0.05). Flow in the SMV exceeded flow in the SMA and increased from 3.4 ml/min/kg (+/- 0.3 ml/min kg) to 9.1 ml/min/kg (+/- 4.8 ml/min/kg) following stimulation. Flow volume of SMV correlated better with SMA flow after stimulation. Caloric stimulation significantly improved visualization of the splanchnic arterial vasculature (P < 0.05). Only 5 of 110 evaluated arterial segments (4.5%) remained inadequately seen to exclude vascular pathology. CONCLUSIONS Magnetic resonance imaging offers a comprehensive assessment of the splanchnic arterial vasculature based on 3D display of vessel morphology and analysis of flow function. While the most relevant proximal vessel segments are visible even under fasting conditions, caloric stimulation enhances visualization of small vessels.

UI MeSH Term Description Entries
D008297 Male Males
D008643 Mesentery A layer of the peritoneum which attaches the abdominal viscera to the ABDOMINAL WALL and conveys their blood vessels and nerves. Mesenteries
D012016 Reference Values The range or frequency distribution of a measurement in a population (of organisms, organs or things) that has not been selected for the presence of disease or abnormality. Normal Range,Normal Values,Reference Ranges,Normal Ranges,Normal Value,Range, Normal,Range, Reference,Ranges, Normal,Ranges, Reference,Reference Range,Reference Value,Value, Normal,Value, Reference,Values, Normal,Values, Reference
D001783 Blood Flow Velocity A value equal to the total volume flow divided by the cross-sectional area of the vascular bed. Blood Flow Velocities,Flow Velocities, Blood,Flow Velocity, Blood,Velocities, Blood Flow,Velocity, Blood Flow
D002149 Energy Intake Total number of calories taken in daily whether ingested or by parenteral routes. Caloric Intake,Calorie Intake,Intake, Calorie,Intake, Energy
D003287 Contrast Media Substances used to allow enhanced visualization of tissues. Radiopaque Media,Contrast Agent,Contrast Agents,Contrast Material,Contrast Materials,Radiocontrast Agent,Radiocontrast Agents,Radiocontrast Media,Agent, Contrast,Agent, Radiocontrast,Agents, Contrast,Agents, Radiocontrast,Material, Contrast,Materials, Contrast,Media, Contrast,Media, Radiocontrast,Media, Radiopaque
D005260 Female Females
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000328 Adult A person having attained full growth or maturity. Adults are of 19 through 44 years of age. For a person between 19 and 24 years of age, YOUNG ADULT is available. Adults
D013152 Splanchnic Circulation The circulation of blood through the BLOOD VESSELS supplying the abdominal VISCERA. Mesenteric Circulation,Circulation, Mesenteric,Circulation, Splanchnic,Circulations, Mesenteric,Circulations, Splanchnic,Mesenteric Circulations,Splanchnic Circulations

Related Publications

T F Hany, and M Schmidt, and A W Schoenenberger, and J F Debatin
January 1997, European radiology,
T F Hany, and M Schmidt, and A W Schoenenberger, and J F Debatin
September 1999, Journal of magnetic resonance imaging : JMRI,
T F Hany, and M Schmidt, and A W Schoenenberger, and J F Debatin
September 1998, Investigative radiology,
T F Hany, and M Schmidt, and A W Schoenenberger, and J F Debatin
September 1998, Investigative radiology,
T F Hany, and M Schmidt, and A W Schoenenberger, and J F Debatin
October 2004, Journal of neuroimaging : official journal of the American Society of Neuroimaging,
T F Hany, and M Schmidt, and A W Schoenenberger, and J F Debatin
January 2002, Revista portuguesa de cardiologia : orgao oficial da Sociedade Portuguesa de Cardiologia = Portuguese journal of cardiology : an official journal of the Portuguese Society of Cardiology,
T F Hany, and M Schmidt, and A W Schoenenberger, and J F Debatin
May 2006, Nan fang yi ke da xue xue bao = Journal of Southern Medical University,
T F Hany, and M Schmidt, and A W Schoenenberger, and J F Debatin
January 1998, Cardiovascular and interventional radiology,
T F Hany, and M Schmidt, and A W Schoenenberger, and J F Debatin
March 2004, Di 1 jun yi da xue xue bao = Academic journal of the first medical college of PLA,
Copied contents to your clipboard!