Contrast-enhanced pulmonary MRA for the primary diagnosis of pulmonary embolism: current state of the art and future directions
Year: 2017
Type: review
Abstract: CT pulmonary angiography (CTPA) is currently considered the imaging standard of care for the diagnosis of pulmonary embolism (PE). Recent advances in contrast-enhanced pulmonary MR angiography (MRA) techniques have led to increased use of this modality for the detection of PE in the proper clinical setting. This review is intended to provide an introduction to the state-of-the-art techniques used in pulmonary MRA for the detection of PE and to discuss possible future directions for this modality. This review discusses the following issues pertinent to MRA for the diagnosis of PE: (1) the diagnostic efficacy and clinical effectiveness for pulmonary MRA relative to CTPA, (2) the different pulmonary MRA techniques used for the detection of PE, (3) guidance for building a clinical service at their institution using MRA and (4) future directions of PE MRA. Our principal aim was to show how pulmonary MRA can be used as a safe, effective modality for the diagnosis of clinically significant PE, particularly for those patients where there are concerns about ionizing radiation or contraindications/allergies to the iodinated contrast material.
Source: British Journal of Radiology
DOI: 10.1259/bjr.20160901
Institution: University of Wisconsin–Madison
Language: English
Subfield: Internal Medicine
Field: Medicine
Domain: Health Sciences
Open Access status: green
Awards: G453267231, Institutional Clinical and Translational Science Award, Institutional Clinical and Translational Science Award, Evolution of Quantitative MRI Biomarkers of Metabolic Syndrome During Puberty, Identifying Barriers and Facilitators to the Implementation of Radiation-Free Imaging Protocols in the Emergency Department
OpenAlex ID: W2596348151