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Trunk CTA and MRA
50 y.o. male with abdominal discomfort and palbable mass. Underwent US, then CTA and finally time-resolved MRA. Diagnosis please.
Secondary question: what is your experience with time-resolved MR-angiography ?
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Comment
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Comment by Michele Anzidei on May 27, 2008 at 3:07am
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Btw Vasovist is a Gd-chelate commercialized by German company, which has the peculiar property of binding to serum albumine, remaining in the vascular bed for hours and enabling extra-high resolution MRA. The last image on the bottom right was acquired with an isotropic voxel size of 0.7 mm !
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Dref, have a look at the dynamic MRA, it fills very fast...can you pick out the involved vessels ?
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Comment by radRounds Radiology Network on May 26, 2008 at 6:23pm
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Vasovist? Is it a macromolecular gado compound? Interesting. Very cool images Michele as always!!
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Comment by Dr. Mohamed Refaey on May 26, 2008 at 5:36pm
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tortuous Aorta and dilated tortuous left internal iliac artery..
a vascular lesion that size would be so hard..isn't there any CT axial cut sections ???
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Btw...we used an intravascular contrast agent (MS-325, commercial: Vasovist), it's new, try it if you can, you'll change the way of image vessels.
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