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Comparing Contrast-Enhanced Breath-Hold MR Angiography and Conventional Angiography

Olivier Ernst1,2, Vincent Asnar3, Géraldine Sergent1, Emmanuel Lederman3, Lionel Nicol4, Jean-Claude Paris3 and Claude L'Herminé1

1 Department of Radiology, Hôpital Huriez, Centre Hospitalier Universitaire de Lille, 1 rue Polonovski, F-59037 Lille, France.
2 Department of Radiology, Hôpital Calmette, Centre Hospitalier Universitaire de Lille, Blvd. du Professeur Leclerc, F-59037 Lille, France.
3 Department of Gastroenterology, Hôpital Huriez, Centre Hospitalier Universitaire de Lille, F-59037 Lille, France.
4 Siemens SAS, 39 Blvd. Ornano, F-93527 Saint-Denis, France.



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  		Fig. 1A. —Hepatic cirrhosis in 48-year-old man. Contrast-enhanced breath-hold MR angiogram shows left hepatic artery (arrow) arising from left gastric artery and right hepatic artery (arrowhead) arising from superior mesenteric artery.

 


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  		Fig. 1B .—Hepatic cirrhosis in 48-year-old man. Conventional angiography with selective catheterization of left gastric artery reveals pattern in left gastric artery (arrow) similar to that seen in A.

 


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  		Fig. 1C .—Hepatic cirrhosis in 48-year-old man. Conventional angiography with selective catheterization of right hepatic artery shows it (arrow) arising from superior mesenteric artery.

 


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  		Fig. 2A .—Pancreatic adenocarcinoma in 67-year-old woman. Contrast-enhanced breath-hold MR angiogram shows stenosis (arrow) of splenic artery.

 


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  		Fig. 2B .—Pancreatic adenocarcinoma in 67-year-old woman. Conventional angiogram reveals stenosis (arrow) seen in A.

 


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  		Fig. 3A .—Mesenteric ischemia in 26-year-old woman.

A and B, Gadolinium-enhanced breath-hold MR angiograms show segmental occlusion of superior mesenteric artery (large arrow, A). Distal part of the superior mesenteric artery (small arrow, A) is revascularized by arc of Riolan (arrowheads, A and B).

 


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  		Fig. 3B .—Mesenteric ischemia in 26-year-old woman.

A and B, Gadolinium-enhanced breath-hold MR angiograms show segmental occlusion of superior mesenteric artery (large arrow, A). Distal part of the superior mesenteric artery (small arrow, A) is revascularized by arc of Riolan (arrowheads, A and B).

 


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  		Fig. 3C .—Mesenteric ischemia in 26-year-old woman.

C and D, Conventional angiograms with selective catheterization of superior mesenteric artery (arrow, D) and inferior mesenteric artery (arrowhead, C) reveal pattern similar to that seen in A and B.

 


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  		Fig. 3D .—Mesenteric ischemia in 26-year-old woman.

C and D, Conventional angiograms with selective catheterization of superior mesenteric artery (arrow, D) and inferior mesenteric artery (arrowhead, C) reveal pattern similar to that seen in A and B.

 


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  		Fig. 4A .—Pancreatitis in 61-year-old man. Venous contrast-enhanced MR angiogram shows occlusion of upper part of superior mesenteric vein (arrow) with collateral circulation through first jejunal vein (arrowhead) feeding the portal vein.

 


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  		Fig. 4B .—Pancreatitis in 61-year-old man. Conventional angiogram reveals pat-

 


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  		Fig. 5A .—Hepatic cirrhosis in 53-year-old woman. Contrast-enhanced breath-hold MR angiogram shows gastric varices (arrow) arising from left gastric vein.

 


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  		Fig. 5B .—Hepatic cirrhosis in 53-year-old woman. Conventional angiogram reveals portosystemic collateral

 


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  		Fig. 6A .—Hepatic cirrhosis in 55-year-old man. Contrast-enhanced breath-hold MR angiogram shows superior mesenteric artery (arrowhead), proper hepatic artery (long arrow), and left hepatic artery (short arrow) arising from left gastric artery.

 


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  		Fig. 6B .—Hepatic cirrhosis in 55-year-old man. Conventional angiography with selective catheterization of proper hepatic artery reveals hepatic artery branches not shown on the MR angiogram.

 


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  		Fig. 6C .—Hepatic cirrhosis in 55-year-old man. Conventional angiography with selective catheterization of superior mesenteric artery reveals several arterial branches not shown on MR angiogram.

 

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