Prospective intraindividual comparison of unenhanced magnetic resonance imaging vs contrast-enhanced computed tomography for the planning of endovascular.

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Prospective intraindividual comparison of unenhanced magnetic resonance imaging vs contrast-enhanced computed tomography for the planning of endovascular abdominal aortic aneurysm repair  Tsukasa Saida, MD, Kensaku Mori, MD, Fujio Sato, MD, Masashi Shindo, RT, Hideto Takahashi, PhD, Nobuyuki Takahashi, MD, Yuzuru Sakakibara, MD, Manabu Minami, MD  Journal of Vascular Surgery  Volume 55, Issue 3, Pages 679-687 (March 2012) DOI: 10.1016/j.jvs.2011.09.091 Copyright © 2012 Society for Vascular Surgery Terms and Conditions

Fig 1 The drawing demonstrates the locations of the measurements of seven diameters and four lengths and an angle to determine the indication for endovascular abdominal aortic aneurysm repair (EVAR) and proper devices. D1, Aortic diameter just below the orifice of the most caudal renal artery. D2, Aortic diameter at a level of 15 mm below D1. D3, Diameter of abdominal aortic aneurysm (AAA). D4, Largest diameter of left common iliac artery. D5, Largest diameter of the right common iliac artery. D6, Smallest diameter of the left external iliac artery. D7, Smallest diameter of the right external iliac artery. L1, Length of the proximal neck. L2, Length of the infrarenal aorta. L3, Distance between aortic bifurcation and left iliac bifurcation. L4, Distance between aortic bifurcation and right iliac bifurcation. A, Angle between the proximal neck and the aneurysm. Journal of Vascular Surgery 2012 55, 679-687DOI: (10.1016/j.jvs.2011.09.091) Copyright © 2012 Society for Vascular Surgery Terms and Conditions

Fig 2 A 79-year-old patient considered for endovascular repair of the aortic aneurysm. A, Coronal reformation image reconstructed from the axial unenhanced magnetic resonance imaging (MRI) data set: The centerline of the aorta and right common and external iliac arteries is shown. B, Curved planar reformation (CPR) image reconstructed longitudinally to the centerline. C, Perpendicular reformation image reconstructed orthogonally to the centerline. The vessel diameter is measured on this image. D, Straightened CPR image. A cursor can be arbitrarily moved along the centerline and the corresponding perpendicular reformation image (C) is displayed dynamically for the identification of renal arteries, aortic bifurcation, and internal iliac arteries. The vessel length is measured on this image. The origin of the right renal artery is seen on (A), (C), and (D) (arrow). Journal of Vascular Surgery 2012 55, 679-687DOI: (10.1016/j.jvs.2011.09.091) Copyright © 2012 Society for Vascular Surgery Terms and Conditions

Fig 3 The Altman–Bland plot for the intermodality comparison of the aortic aneurysm diameter (D3) measured by observer A. The difference between the measurements on unenhanced magnetic resonance imaging (MRI) and contrast-enhanced computed tomography (CT) are plotted against the means of the measurements. The plots disperse randomly around 0 and are free from systemic bias. Journal of Vascular Surgery 2012 55, 679-687DOI: (10.1016/j.jvs.2011.09.091) Copyright © 2012 Society for Vascular Surgery Terms and Conditions

Fig 4 Intermodality intraclass correlation coefficients with 95% confidence intervals for the two observers comparing all measurements between unenhanced magnetic resonance imaging (MRI) and contrast-enhanced computed tomography (CT). Journal of Vascular Surgery 2012 55, 679-687DOI: (10.1016/j.jvs.2011.09.091) Copyright © 2012 Society for Vascular Surgery Terms and Conditions

Fig 5 Interobserver intraclass correlation coefficients with 95% confidence intervals for unenhanced magnetic resonance imaging (MRI) and contrast-enhanced computed tomography (CT) comparing all measurements between observers A and B. Journal of Vascular Surgery 2012 55, 679-687DOI: (10.1016/j.jvs.2011.09.091) Copyright © 2012 Society for Vascular Surgery Terms and Conditions

Fig 6 Intraobserver intraclass correlation coefficients with 95% confidence intervals for unenhanced magnetic resonance imaging (MRI) and contrast-enhanced computed tomography (CT) comparing all the measurements between the first and second measurements of observer A. Journal of Vascular Surgery 2012 55, 679-687DOI: (10.1016/j.jvs.2011.09.091) Copyright © 2012 Society for Vascular Surgery Terms and Conditions