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Time-Resolved 3D MR Angiography of the Foot at 3 T in Patients with Peripheral Arterial Disease

Karl M. Ruhl1, Marcus Katoh1,2, Stephan Langer3, Gottfried Mommertz3, Rolf W. Guenther1, Thoralf Niendorf1 and Elmar Spuentrup1

1 Department of Diagnostic Radiology, RWTH Aachen University, Pauwelsstrasse 30, 52057 Aachen, Germany.
2 Department of Radiology, University Hospital of the Saarland, Homburg/Saar, Germany.
3 Department of Vascular Surgery, RWTH Aachen University, Aachen, Germany.


Figure 1
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Fig. 1 Maximum intensity projections of time-resolved 3D MR angiography after background subtraction in 64-year-old man with peripheral arterial disease, Fontaine stage IIb, show markedly delayed contrast inflow. Venous system is not enhanced yet.

 

Figure 2
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Fig. 2 Arterial ({diamondsuit}) and venous ({blacksquare}) signal intensity curves over time in 70-year-old man with peripheral arterial disease, Fontaine stage IV, and diabetes.

 

Figure 3
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Fig. 3 Maximum intensity projections show early venous filling in 70-year-old man with diabetes mellitus and peripheral arterial disease, Fontaine stage IV. Note soft-tissue enhancement in forefoot region.

 

Figure 4
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Fig. 4 Maximum intensity projections show pronounced soft-tissue enhancement in toes and forefoot region in 66-year-old woman with diabetes mellitus and peripheral arterial disease, Fontaine stage IV. Posterior tibial artery is occluded. Pedal arch is via anterior circulation system.

 

Figure 5
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Fig. 5 Time-resolved 3D MR angiography images of 70-year-old man with diabetes mellitus and peripheral arterial disease, Fontaine stage IV, obtained before (left) and after (right) surgery. Postoperative MR angiography image shows bypass graft anastomosed with dorsal pedal artery.

 

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