Experience in 207 Combined MRI Examinations for Acute Pulmonary Embolism and Deep Vein Thrombosis

• DOI: 10.2214/ajr.05.0756
• Publication Date: 2006-05-19T23:57:45Z
• Authors: Alexander Kluge; Clemens Mueller; Johannes Strunk; Uwe Lange; Georg Bachmann
• Keywords: Venography; Concordance

The purpose of this study was to prospectively assess the feasibility and quality combined MRI examinations consisting thoracic for suspected pulmonary embolism (PE) MR venography deep vein thrombosis (DVT), diagnostic yield a examination detecting thromboembolism compared with each component alone, retrospectively concordance duplex sonography venography.Two hundred twenty-one consecutive patients (119 men, 102 women; mean age, 51 years; range, 31-86 years) PE were examined using multitechnique protocol (real-time true fast imaging steady-state precession [FISP], perfusion MRI, angiography) followed by stepping-table performed. Two eighteen scheduled, which five (2.3%) not performed clinical or technical reasons six after negative MRI. Among 207 examinations, diagnosed in 76 DVT 78 examinations. Thirteen without showed DVT; thus, detected 17% additional cases thromboembolism. Agreement good at upper leg (kappa = 0.87-0.89) but moderate pelvis 0.59-0.65).A "one-stop-shopping" approach routinely feasible more separate may be considered second-line technique avoid contraindications CT also primary comprehensive diagnosing