Three Cases in which Non-enhanced MRI was Successfully Utilized for a Noninvasive Assessment of the Peripheral Artery of the Lower Limbs

  • SASAO Takashi
    Department of Plastic Surgery, Sanseikai Kawachi General Hospital
  • TAKAYAMA Saeko
    Department of Plastic Surgery, Sanseikai Kawachi General Hospital
  • MORI Yudai
    Department of Plastic Surgery, Sanseikai Kawachi General Hospital

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  • 下肢末梢血管に対する非侵襲的評価として非造影MRIが有用であった3例
  • カシ マッショウ ケッカン ニ タイスル ヒシンシュウテキ ヒョウカ ト シテ ヒゾウエイ MRI ガ ユウヨウ デ アッタ 3レイ

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To evaluate ischemia, ulcers, and the healing of the lower limbs, the investigation of the blood stream is most essential. Sonography, Ankle Brachial Index (ABI), Skin Perfusion Pressure (SPP), Computed Tomography Angiography (CTA), Magnetic Resonance Angiography (MRA), and Angiography Contrasting Inspection are methods indicated for laboratory imaging of blood circulation. However, allergy to contrast media should be considered a side effect. It is not so rare for most patients with ischemia of the lower limbs to present renal insufficiency. Therefore, examinations with contrast media are apt to be given a wide berth.<br> We currently use non-contrasting MRA, and have utilized the diagnostic images to decide on treatment methods for ischemia of the lower limbs and to diagnose pathological changes. Here, in a combination of two methods, Fresh Blood Imaging (FBI) and Steady-State Free Precession Time-Spatial Labeling Inversion Pulse (SSFP), images are markedly described from the common iliac artery to the dorsum of the foot and the sole artery of ischemic lower limbs. The combined application is very useful to diagnose ischemic lower limbs and to decide on treatment methods. This paper reports on three successful utilizations of noninvasive imaging methods, as experienced by its three authors.<br>

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