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관상동맥협착의 진단에 있어 항정상태 자유세차운동 기법을 이용한 부하 심근 관류 자기공명영상의 유용성

Other Titles
 The Usefulness of Stress Perfusion MR using Steady State Free Precession Sequence for Depiction of Significant Coronary Artery Stenosis 
 정세영  ;  이활  ;  임청  ;  최동주  ;  김동훈  ;  최상일  ;  박재형 
 Journal of the Korean Society of Radiology, Vol.56(1) : 25-31, 2007 
Journal Title
 Journal of the Korean Society of Radiology 
Issue Date
Myocardium ; Magnetic resonance (MR) ; Coronary vessels, diseases
Purpose: To evaluate the technical performance of stress myocardial perfusion magnetic resonance (MR) imaging using saturation-recovery steady-state free precession (SR- SSFP) and to assess the diagnostic accuracy of this examination for depiction of significant coronary artery stenosis. Materials and Methods: 167 patients underwent stress myocardial perfusion MR imaging at rest and adenosine-induced stress by using a 1.5-T cardiac MR imaging unit. The first-pass MR perfusion was performed using SR-SSFP sequence. Coronary angiography was performed in 113 patients. Image analysis was performed to compare the diagnostic accuracy of MR imaging with that of coronary angiography. Results: During the MR examination, minor side effects of adenosine-induced stress occurred, most commonly chest discomfort (29%), followed by dyspnea (4%), and facial flushing (0.8%). The overall sensitivity of MR imaging for depicting at least one coronary artery with significant stenosis was 91%. The sensitivities of MR imaging for depiction of stenoses were as follows: 80% for single-vessel stenosis, 81% for doublevessel stenosis, and 100% for triple-vessel stenosis.. The specificity of MR imaging for identification of patients with significant coronary artery stenosis was 78%. Conclusion: Stress myocardial magnetic resonance (MR) perfusion imaging using SRSSFP sequence is safe and useful for the detection of significant coronary artery disease.
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1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers
Yonsei Authors
Chang, Hyuk-Jae(장혁재) ORCID logo https://orcid.org/0000-0002-6139-7545
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