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Experience in 207 Combined MRI Examinations for Acute Pulmonary Embolism and Deep Vein Thrombosis

Alexander Kluge1, Clemens Mueller1, Johannes Strunk2, Uwe Lange2 and Georg Bachmann1

1 Department of Diagnostic Radiology, Kerckhoff Heart Center, Beneke-Strasse 2-8, 61231 Bad Nauheim, Germany.
2 Department of Rheumatology, Kerckhoff Heart Center, Bad Nauheim, Germany.


Figure 1
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  		Fig. 1A —64-year-old woman with pulmonary embolism. Real-time MR image in coronal orientation show large embolus in left pulmonary artery. Arrowheads indicate embolic material.

 

Figure 2
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  		Fig. 1B —64-year-old woman with pulmonary embolism. source image of MR angiography show large embolus in left pulmonary artery. Arrowheads indicate embolic material.

 

Figure 3
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  		Fig. 1C —64-year-old woman with pulmonary embolism. transverse real-time MR image show large embolus in left pulmonary artery. Arrowheads indicate embolic material.

 

Figure 4
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  		Fig. 1D —64-year-old woman with pulmonary embolism. Perfusion MR image shows large bilateral perfusion defects (arrowheads).

 

Figure 5
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  		Fig. 1E —64-year-old woman with pulmonary embolism. SPECT perfusion image at same level as D shows identical distribution of perfusion defects (arrowheads).

 

Figure 6
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  		Fig. 1F —64-year-old woman with pulmonary embolism. MR venography (left) and fluoroscopic venography (right) show lower leg and upper leg deep venous thrombosis. Arrowheads indicate thrombotic material.

 

Figure 7
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  		Fig. 2 —55-year-old man with pulmonary embolism and deep vein thrombosis (DVT). Combination of three curved multiplanar reconstructed MR venography images depicts large DVT from lower leg to groin.

 

Figure 8
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  		Fig. 3A —51-year-old man with deep vein thrombosis. Sagittal real-time MR images show thrombus (arrowheads) in inferior vena cava. Subsequent imaging revealed no sign of abdominal tumor.

 

Figure 9
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  		Fig. 3B —51-year-old man with deep vein thrombosis. transverse real-time MR images show thrombus (arrowheads) in inferior vena cava. Subsequent imaging revealed no sign of abdominal tumor.

 

Figure 10
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  		Fig. 4A —59-year-old woman. Double oblique multiplanar reconstructed sagittal real-time MR image shows pulmonary embolism (upper solid arrowhead), but incidental tumor in right kidney (lower solid arrowhead) is detected at same time. Histology revealed hypernephroid carcinoma. Signal intensity is obviously lower than that of a liver cyst (open arrowhead).

 

Figure 11
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  		Fig. 4B —59-year-old woman. CT scan confirms central pulmonary embolism (arrowheads).

 

Figure 12
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  		Fig. 5A —48-year-old man. Transverse real-time MR images show multiple pulmonary metastases (arrowheads).

 

Figure 13
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  		Fig. 5B —48-year-old man. Transverse real-time MR images show multiple pulmonary metastases (arrowheads).

 

Figure 14
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  		Fig. 5C —48-year-old man. CT scan at same level as A confirms findings (arrowheads).

 

Figure 15
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  		Fig. 5D —48-year-old man. Transverse real-time MR image at upper abdominal level shows metastasis (arrowhead) at right pararenal gland.

 

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