Abstract | PURPOSE: METHODS: Ten healthy volunteers (3 women and 7 men; aged, 30.7 ± 10.7 years) were imaged at 1.5T to develop an acquisition and postprocessing protocol. Five patients (1 woman and 4 men; mean age, 71 ± 7.5 years) with moderate to severe luminal stenosis were imaged pre- and postadministration of a USPIO contrast agent. We used a multiecho gradient echo acquisition to perform water/fat separation and subsequently QSM. The results were compared with a conventional multicontrast MRI protocol, CT images, and histopathology data. RESULTS: In the volunteer scans, a multiecho gradient echo acquisition with bipolar readout gradients demonstrated to be a reliable acquisition methodology to produce high-quality susceptibility maps in conjunction with the proposed postprocessing methodology. In the patient study, water/fat separation provided a tool to identify lipid-rich necrotic cores and QSM provided a qualitative and quantitative evaluation of plaque features and positive contrast when evaluating USPIO uptake. Plaque calcification could be identified by strong diamagnetism (-1.27 ± 0.71 ppm), while USPIO uptake demonstrated a strong paramagnetism (1.32 ± 0.61 ppm). CONCLUSION: QSM was able to identify multiple plaque features in a single acquisition, providing positive contrast for plaques demonstrating USPIO uptake and negative contrast for calcification.
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Authors | Pascal P R Ruetten, Alison D Cluroe, Ammara Usman, Andrew N Priest, Jonathan H Gillard, Martin J Graves |
Journal | Magnetic resonance in medicine
(Magn Reson Med)
Vol. 84
Issue 2
Pg. 686-697
(08 2020)
ISSN: 1522-2594 [Electronic] United States |
PMID | 31961969
(Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
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Copyright | © 2020 International Society for Magnetic Resonance in Medicine. |
Chemical References |
- Contrast Media
- Dextrans
- Magnetite Nanoparticles
- ferumoxtran-10
- Water
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Topics |
- Aged
- Carotid Stenosis
(diagnostic imaging)
- Contrast Media
- Dextrans
- Female
- Humans
- Magnetic Resonance Imaging
- Magnetite Nanoparticles
- Male
- Middle Aged
- Water
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