Original Research

Motion of the distal renal artery during three-dimensional contrast-enhanced breath-hold MRA

  1. G. Boudewijn C. Vasbinder MD1,*,
  2. Jeffrey H. Maki MD, PhD2,
  3. Robbert J. Nijenhuis MSc1,
  4. Tim Leiner MD, PhD1,
  5. Gregory J. Wilson PhD2,†,
  6. Alfons G.H. Kessels MD, MSc3,
  7. Etienne E.L.E. Lemarie RT1,
  8. Dave W. Kaandorp PhD1,
  9. Kai Yiu J.A.M. Ho MD, PhD1,‡,
  10. Jos M.A. van Engelshoven MD, PhD1

Article first published online: 25 NOV 2002

DOI: 10.1002/jmri.10214

Issue

Journal of Magnetic Resonance Imaging

Journal of Magnetic Resonance Imaging

Volume 16, Issue 6, pages 685–696, December 2002

Additional Information

How to Cite

Vasbinder, G. B. C., Maki, J. H., Nijenhuis, R. J., Leiner, T., Wilson, G. J., Kessels, A. G., Lemarie, E. E., Kaandorp, D. W., Ho, K. Y. J. and van Engelshoven, J. M. (2002), Motion of the distal renal artery during three-dimensional contrast-enhanced breath-hold MRA. Journal of Magnetic Resonance Imaging, 16: 685–696. doi: 10.1002/jmri.10214

Author Information

  1. 1

    Department of Radiology, Maastricht University Hospital, Maastricht, The Netherlands

  2. 2

    Department of Radiology, Puget Sound VAHCS, Seattle, Washington

  3. 3

    Department of Clinical Epidemiology and Medical Technology Assessment, Maastricht University Hospital, Maastricht, The Netherlands

  1. †

    Philips Medical Systems, Best, The Netherlands

  2. ‡

    University Hospital Groningen, Department of Radiology, Groningen, The Netherlands

*Maastricht University Hospital, Department of Radiology, P. Debyeplein 25, Maastricht NL-6229 HX, The Netherlands

Publication History

  1. Issue published online: 25 NOV 2002
  2. Article first published online: 25 NOV 2002
  3. Manuscript Accepted: 15 AUG 2002
  4. Manuscript Received: 14 MAR 2002

Funded by

  • The Dutch Healthcare Insurance Board. Grant Number: OG 97-003

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Keywords:

  • motion;
  • distal renal artery;
  • contrast-enhanced magnetic resonance angiography;
  • kidney;
  • breath-hold;
  • artifacts

Abstract

Purpose

To study the potential detrimental effects of renal motion on breath-hold three-dimensional contrast-enhanced (CE) magnetic resonance angiography (MRA).

Materials and Methods

A computer model simulating linear motion was applied to MRA pulse sequences. Subsequently, to study whether renal motion was present, 24 patients being evaluated for possible renovascular hypertension underwent a breath-hold nonenhanced single slice two-dimensional dynamic turbo field-echo magnetic resonance imaging (MRI) scan with a typical duration of 32 seconds. This sequence was followed by breath-hold three-dimensional CE renal MRA. CE-MRA images were evaluated by two independent observers.

Results

The computer model revealed linear renal motion to cause artifacts. The severity of these artifacts correlated with velocity. Significant (P < 0.001) near linear cranial motion of the kidneys and diaphragm during a sustained breath-hold was found for the right kidney, left kidney, right diaphragm, and left diaphragm (0.26 ± 0.21 mm/second, 0.25 ± 0.23 mm/second, 0.43 ± 0.43 mm/second, and 0.29 ± 0.33 mm/second [mean ± SD], respectively). CE-MRA images showed artifacts of the distal renal artery that corroborated the computer model findings.

Conclusion

The observed cranial motion of the kidneys during a breath-hold adversely affects distal renal artery image quality on three-dimensional CE-MRA and jeopardizes reliable clinical evaluation. Shortening scan time may be beneficial for decreasing image degradation caused by this phenomenon. J. Magn. Reson. Imaging 2002;16:685–696. Published 2002 Wiley-Liss, Inc.

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