Noncontrast MRA of Pedal Arteries in Type II Diabetes: Effect of Disease Load on Vessel Visibility

	Noncontrast MRA of Pedal Arteries in Type II Diabetes: Effect of Disease Load on Vessel Visibility
	Zhang Lijuan; Liu Xin; Fan Zhaoyang; Zhang Na; Chung YiuCho; Liao Weiqi; Zheng Hairong; Li Debiao
刊名	ACADEMIC RADIOLOGY
	2015
英文摘要	Rationale and Objectives: Noncontrast magnetic resonance angiography (NC-MRA) of pedal artery remains challenging because of the global and regional disease load, tissue integrity, and altered microcirculation. This study aims to investigate the feasibility of the NC-MRA of pedal arteries with flow-sensitive dephasing-prepared steady-state free precession (FSD-SSFP) and to explore the effect of disease load of type II diabetes on the vessel depiction. Materials and Methods: FSD-SSFP was performed on a 1.5-T magnetic resonance system before the contrast-enhanced MRA (CE-MRA) as a reference standard in 39 consecutive diabetic subjects (29 men and 16 women, aged 57.9 +/- 11.4 years). Two experienced radiologists evaluated the overall artery visibility (VA) and the contamination from soft tissue (SC) and veins (VC) with a four-point scale. Chronic complications and measures including random blood glucose (RBG), lipid panel, body mass index, risk of diabetic foot ulcers (RDF), and glycated hemoglobin (HbA1c) by the imaging were recorded as disease load indicators. Spearman rank correlation and ordinal regression were performed to investigate the effect of disease load on the depiction of pedal arteries. Results: The measurement of RBG and RDF were significantly correlated with the VC in CE-MRA and with the overall visibility of pedal arteries in NC-MRA (P < .025 and P < .001, respectively). Blood pressure was the only parameter that was significantly associated with SC in NC-MRA with FSD-SSFP (P < .025). For CE-MRA the effect of RDF on the overall VA manifested a significant linear trend (P < .001), and the level of RBG was substantially associated with the VC (P < .025) without significantly impacting VA and SC. Hypertension only correlated with SC in NC-MRA. VA was found independent of the presence of diabetic nephropathy, coronary artery disease, abnormal lipid panel, HbA1c (75.0%), or optimized m(1) value that ranged from 70 to 160 mT.ms(2)/m (mean, 125 +/- 18 mT.ms(2)/m) in this study. Conclusions: FSD-SSFP proved to be a useful modality of NC-MRA for pedal artery imaging in diabetic patients. The vessel depiction is subject to the local and systemic disease load of type II diabetes. Technical optimization of the flow-sensitive dephasing gradient moment and properly choosing candidate would help augment the potential of this technique in patient care of peripheral artery disease.
收录类别	SCI
原文出处	http://www.ncbi.nlm.nih.gov/pubmed/25601304
语种	英语
内容类型	期刊论文
源URL	[http://ir.siat.ac.cn:8080/handle/172644/7149]
专题	深圳先进技术研究院_医工所
作者单位	ACADEMIC RADIOLOGY
推荐引用方式 GB/T 7714	Zhang Lijuan,Liu Xin,Fan Zhaoyang,et al. Noncontrast MRA of Pedal Arteries in Type II Diabetes: Effect of Disease Load on Vessel Visibility[J]. ACADEMIC RADIOLOGY,2015.
APA	Zhang Lijuan.,Liu Xin.,Fan Zhaoyang.,Zhang Na.,Chung YiuCho.,...&Li Debiao.(2015).Noncontrast MRA of Pedal Arteries in Type II Diabetes: Effect of Disease Load on Vessel Visibility.ACADEMIC RADIOLOGY.
MLA	Zhang Lijuan,et al."Noncontrast MRA of Pedal Arteries in Type II Diabetes: Effect of Disease Load on Vessel Visibility".ACADEMIC RADIOLOGY (2015).