Pitfall for systemic artery aneurysms evaluation using electrocardiogram-gated subtracted three-dimensional fast spin echo sequence of magnetic resonance imaging in patients with Kawasaki disease
Kawasaki disease (KD) is described as a syndrome that causes both coronary and systemic artery aneurysms (SAAs). This report describes the pitfall for SAAs’ evaluation when using electrocardiogram (ECG)-gated subtracted three-dimensional fast spin echo (3D FSE) sequence of magnetic resonance imaging...
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| Format: | Article |
| Language: | English |
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Elsevier
2022-05-01
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| Series: | Radiology Case Reports |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S1930043322000759 |
| _version_ | 1818668131809230848 |
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| author | Haruki Nonaka, RT Takanori Masuda, PhD Masami Yoneyama, MT Masahiro Tahara, MD Mio Okano, RT Yuko Morikawa, RT Kazuya Sanada, MD Tomoyasu Sato, PhD, MD |
| author_facet | Haruki Nonaka, RT Takanori Masuda, PhD Masami Yoneyama, MT Masahiro Tahara, MD Mio Okano, RT Yuko Morikawa, RT Kazuya Sanada, MD Tomoyasu Sato, PhD, MD |
| author_sort | Haruki Nonaka, RT |
| collection | DOAJ |
| description | Kawasaki disease (KD) is described as a syndrome that causes both coronary and systemic artery aneurysms (SAAs). This report describes the pitfall for SAAs’ evaluation when using electrocardiogram (ECG)-gated subtracted three-dimensional fast spin echo (3D FSE) sequence of magnetic resonance imaging in KD patients. A 12-year-old male was diagnosed with KD at 3 months of age. We acquired ECG-gated 3D FSE images in the diastole and systole phases with coronal sections. Subtraction was then performed from diastolic phase imaging to systolic phase imaging. A 15.5 mm right axillary artery aneurysm and an 8.0 mm left axillary artery aneurysm were identified with ECG-gated 3D FSE in the diastolic phase. However, we observed signal loss in the right axillary artery aneurysm when subtraction was performed to selectively detect arteries; further, the brachial artery was poorly detected. ECG-gated subtracted 3D FSE sequence of magnetic resonance imaging can compromise the image quality of both aneurysm and peripheral artery images when detecting SAAs. |
| first_indexed | 2024-12-17T06:31:27Z |
| format | Article |
| id | doaj.art-858b2ba2ad184c64b3283f7f7ca4c01b |
| institution | Directory Open Access Journal |
| issn | 1930-0433 |
| language | English |
| last_indexed | 2024-12-17T06:31:27Z |
| publishDate | 2022-05-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Radiology Case Reports |
| spelling | doaj.art-858b2ba2ad184c64b3283f7f7ca4c01b2022-12-21T22:00:08ZengElsevierRadiology Case Reports1930-04332022-05-0117514401444Pitfall for systemic artery aneurysms evaluation using electrocardiogram-gated subtracted three-dimensional fast spin echo sequence of magnetic resonance imaging in patients with Kawasaki diseaseHaruki Nonaka, RT0Takanori Masuda, PhD1Masami Yoneyama, MT2Masahiro Tahara, MD3Mio Okano, RT4Yuko Morikawa, RT5Kazuya Sanada, MD6Tomoyasu Sato, PhD, MD7Department of Radiological Technology, Tsuchiya General Hospital, Nakajima-cho 3-30, Naka-ku, Hiroshima 730-8655, Japan; Corresponding author.Department of Radiological Technology, Faculty of Health Science and Technology, Kawasaki University of Medical Welfare, Kurashiki, Okayama, JapanPhilips Japan, Tokyo, JapanDepartment of Pediatric Cardiology, Tsuchiya General Hospital, Hiroshima, JapanDepartment of Radiological Technology, Tsuchiya General Hospital, Nakajima-cho 3-30, Naka-ku, Hiroshima 730-8655, JapanDepartment of Radiological Technology, Tsuchiya General Hospital, Nakajima-cho 3-30, Naka-ku, Hiroshima 730-8655, JapanDepartment of Pediatric Cardiology, Tsuchiya General Hospital, Hiroshima, JapanDepartment of Diagnostic Radiology, Tsuchiya General Hospital, Hiroshima, JapanKawasaki disease (KD) is described as a syndrome that causes both coronary and systemic artery aneurysms (SAAs). This report describes the pitfall for SAAs’ evaluation when using electrocardiogram (ECG)-gated subtracted three-dimensional fast spin echo (3D FSE) sequence of magnetic resonance imaging in KD patients. A 12-year-old male was diagnosed with KD at 3 months of age. We acquired ECG-gated 3D FSE images in the diastole and systole phases with coronal sections. Subtraction was then performed from diastolic phase imaging to systolic phase imaging. A 15.5 mm right axillary artery aneurysm and an 8.0 mm left axillary artery aneurysm were identified with ECG-gated 3D FSE in the diastolic phase. However, we observed signal loss in the right axillary artery aneurysm when subtraction was performed to selectively detect arteries; further, the brachial artery was poorly detected. ECG-gated subtracted 3D FSE sequence of magnetic resonance imaging can compromise the image quality of both aneurysm and peripheral artery images when detecting SAAs.http://www.sciencedirect.com/science/article/pii/S1930043322000759Magnetic resonance imagingKawasaki diseaseSystemic artery aneurysmsNon-contrast magnetic resonance angiographyElectrocardiogram-gated subtracted three-dimensional fast spin echo |
| spellingShingle | Haruki Nonaka, RT Takanori Masuda, PhD Masami Yoneyama, MT Masahiro Tahara, MD Mio Okano, RT Yuko Morikawa, RT Kazuya Sanada, MD Tomoyasu Sato, PhD, MD Pitfall for systemic artery aneurysms evaluation using electrocardiogram-gated subtracted three-dimensional fast spin echo sequence of magnetic resonance imaging in patients with Kawasaki disease Radiology Case Reports Magnetic resonance imaging Kawasaki disease Systemic artery aneurysms Non-contrast magnetic resonance angiography Electrocardiogram-gated subtracted three-dimensional fast spin echo |
| title | Pitfall for systemic artery aneurysms evaluation using electrocardiogram-gated subtracted three-dimensional fast spin echo sequence of magnetic resonance imaging in patients with Kawasaki disease |
| title_full | Pitfall for systemic artery aneurysms evaluation using electrocardiogram-gated subtracted three-dimensional fast spin echo sequence of magnetic resonance imaging in patients with Kawasaki disease |
| title_fullStr | Pitfall for systemic artery aneurysms evaluation using electrocardiogram-gated subtracted three-dimensional fast spin echo sequence of magnetic resonance imaging in patients with Kawasaki disease |
| title_full_unstemmed | Pitfall for systemic artery aneurysms evaluation using electrocardiogram-gated subtracted three-dimensional fast spin echo sequence of magnetic resonance imaging in patients with Kawasaki disease |
| title_short | Pitfall for systemic artery aneurysms evaluation using electrocardiogram-gated subtracted three-dimensional fast spin echo sequence of magnetic resonance imaging in patients with Kawasaki disease |
| title_sort | pitfall for systemic artery aneurysms evaluation using electrocardiogram gated subtracted three dimensional fast spin echo sequence of magnetic resonance imaging in patients with kawasaki disease |
| topic | Magnetic resonance imaging Kawasaki disease Systemic artery aneurysms Non-contrast magnetic resonance angiography Electrocardiogram-gated subtracted three-dimensional fast spin echo |
| url | http://www.sciencedirect.com/science/article/pii/S1930043322000759 |
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