Purpose: To generate two separate three-dimensional (3D) high spatial resolution images of the intracranial arterial and venous systems using a single contrast injection.
Materials And Methods: A 3D contrast-enhanced (CE) magnetic resonance angiography (MRA) acquisition was modified to create two separate k-space data sets to encode the arterial and venous enhancement signals individually after contrast agent injection. Following an automated detection of contrast arrival, the central k-space views corresponding to the arterial phase were acquired for the first eight seconds. A full elliptical-centric acquisition was then acquired for the venous phase and the missing views in the periphery of the first k-space data set were copied from the venous phase. A total of 18 patients underwent this study. Image quality, signal-to-noise ratio (SNR), and contrast-to-noise ratio (CNR) were determined in both intracranial systems.
Results: Two 3D image sets were generated for the arterial and venous intracranial systems. Both sets have high quality images that are clinically diagnostic. SNR and CNR were high in both sets, so that all the major vessels were visible.
Conclusion: This technique provides images with high spatial resolution for both arterial and venous intracranial systems using a single contrast injection.
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http://dx.doi.org/10.1002/jmri.20648 | DOI Listing |
JA Clin Rep
January 2025
Department of Anesthesiology, Saiseikai Kumamoto Hospital, 5-3-1 Minami-Ku, Chikami Kumamoto, 861-4193, Japan.
Background: Management of acute aortic dissection (AAD) caused by retrograde perfusion through the femoral artery during minimally invasive cardiac surgery (MICS) remains controversial. We present a case of AAD occurring during the late cardiopulmonary bypass (CPB) phase, which was successfully managed by vascular graft replacement, without altering the blood supply route.
Case Presentation: A 63-year-old man was scheduled for totally endoscopic aortic valve replacement.
Naunyn Schmiedebergs Arch Pharmacol
January 2025
Department of Pharmaceutics, School of Pharmaceutical Sciences, Delhi Pharmaceutical Sciences and Research University, Pushp Vihar, New Delhi, 110017, India.
Chronic wounds significantly contribute to disability and affect the mortality rate in diabetic patients. In addition, pressure ulcers, diabetic foot ulcers, arterial ulcers, and venous ulcers pose a significant health burden due to their associated morbidity and death. The complex healing process, environmental factors, and genetic factors have been identified as the rate-limiting stages of chronic wound healing.
View Article and Find Full Text PDFUltrasound Obstet Gynecol
January 2025
BCNatal, Barcelona Center for Maternal-Fetal and Neonatal Medicine, Hospital Clínic and Hospital Sant Joan de Déu, IDIBAPS, University of Barcelona, Barcelona, Spain.
Objective: To investigate the prognostic value of maternal angiogenic factors in late-onset small fetuses, alone or in combination with the ultrasound and Doppler parameters currently used for the classification of low-risk small-for-gestational-age (SGA) fetuses or high-risk fetal growth restriction (FGR), overall and according to the presence or absence of pre-eclampsia.
Methods: This was a prospective cohort study of women with a singleton pregnancy with a diagnosis of late-onset fetal smallness (defined as birth weight < 10 centile) and a gestational age of ≥ 34 weeks at delivery. Ultrasound assessment of estimated fetal weight (EFW) and Doppler assessment of uterine artery pulsatility index (UtA-PI) and cerebroplacental ratio (CPR) were performed every 1-2 weeks.
Med Phys
January 2025
Service d'Imagerie Médicale, AP-HP, Hôpitaux Universitaires Henri Mondor, Créteil, France.
Background: Deep learning image reconstruction (DLIR) algorithms allow strong noise reduction while preserving noise texture, which may potentially improve hypervascular focal liver lesions.
Purpose: To assess the impact of DLIR on image quality (IQ) and detectability of simulated hypervascular hepatocellular carcinoma (HCC) in fast kV-switching dual-energy CT (DECT).
Methods: An anthropomorphic phantom of a standard patient morphology (body mass index of 23 kg m) with customized liver, including mimickers of hypervascular lesions in both late arterial phase (AP) and portal venous phase (PVP) enhancement, was scanned on a DECT.
J Craniofac Surg
January 2025
Department of Plastic and Reconstructive Surgery, Plastic Surgery Hospital, Chinese Academy of Medical Sciences, Peking Union Medical College, Shijingshan District, Beijing, China.
The expanded forehead flap based on the frontal branch of the superficial temporal artery (STA-Fbr) is a versatile technique for reconstructing cervicofacial defects. The aim of this study was to summarize STA-Fbr forehead flap harvesting patterns. Between July 2003 and July 2023, 66 patients (43 males) underwent face and neck defect reconstruction using STA-Fbr-based forehead flaps.
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