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Delayed Contrast-Enhanced MRI of the Aortic Wall in Takayasu's Arteritis: Initial Experience

Milind Y. Desai1, John H. Stone2, Thomas K. F. Foo3, David B. Hellmann, João A. C. Lima and David A. Bluemke4

1 Division of Cardiology, Department of Medicine, Johns Hopkins University, Baltimore, MD.
2 Division of Rheumatology, Department of Medicine, Johns Hopkins University, Baltimore, MD.
3 Applied Science Laboratory, GE Healthcare, Milwaukee, WI.
4 Russell H. Morgan Department of Radiology and Radiological Sciences, Johns Hopkins University, 600 N Wolfe St., Baltimore, MD 21287.



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  		Fig. 1A. —39-year-old woman with Takayasu's arteritis. ECG-gated double inversion recovery images of thoracic aorta in sagittal (A) and axial (B) planes show characteristic wall thickening associated with Takayasu's arteritis (arrows).

 


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  		Fig. 1B. —39-year-old woman with Takayasu's arteritis. ECG-gated double inversion recovery images of thoracic aorta in sagittal (A) and axial (B) planes show characteristic wall thickening associated with Takayasu's arteritis (arrows).

 


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  		Fig. 2A. —31-year-old woman with Takayasu's arteritis. ECG-gated sagittal double inversion recovery image (A) and inversion recovery prepared (inversion time, 75 msec) fast gradient-echo sagittal image (B) of thoracic aorta show marked enhancement of thoracic aortic wall (arrows).

 


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  		Fig. 1C. —39-year-old woman with Takayasu's arteritis. Inversion recovery prepared (inversion time, 100 msec) fast gradient-echo images in sagittal oblique (C) and axial (D) planes show marked enhancement of thoracic aortic wall (arrows).

 


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  		Fig. 1D. —39-year-old woman with Takayasu's arteritis. Inversion recovery prepared (inversion time, 100 msec) fast gradient-echo images in sagittal oblique (C) and axial (D) planes show marked enhancement of thoracic aortic wall (arrows).

 


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  		Fig. 2B. —31-year-old woman with Takayasu's arteritis. ECG-gated sagittal double inversion recovery image (A) and inversion recovery prepared (inversion time, 75 msec) fast gradient-echo sagittal image (B) of thoracic aorta show marked enhancement of thoracic aortic wall (arrows).

 


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  		Fig. 3A. —56-year-old man from control group referred for thoracic MR angiography before pulmonary vein ablation for atrial fibrillation. Inversion recovery prepared (inversion time, 100 msec) fast gradient-echo images in axial (A) and sagittal (B) planes show lack of enhancement of thoracic aortic wall (arrows).

 


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  		Fig. 3B. —56-year-old man from control group referred for thoracic MR angiography before pulmonary vein ablation for atrial fibrillation. Inversion recovery prepared (inversion time, 100 msec) fast gradient-echo images in axial (A) and sagittal (B) planes show lack of enhancement of thoracic aortic wall (arrows).

 

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