Perspectives of Magnetic Resonance Imaging (MRI) for aortic aneurysms and dissections
Jonathan Nadjiri, M.D. | Technical University Munich | Munich | 08.12.2017
7th Munich Vascular Conference | AORTIC ISSUES (AOR) - LECTURE HALL C
Perspectives of Magnetic Resonance
Imaging (MRI) for aortic
aneurysms and dissections
Dr. med. Jonathan Nadjiri
Institut of diagnostic and interventional Radiology
Direktor of the Institut: Univ.-Prof. Dr. Ernst J. Rummeny
Technical University of Munich
7th Munich Vascular Conference:
AORTIC ISSUES (AOR) - LECTURE HALL C
Research Group of Cardiovascular Imaging
Dr. med. Jonathan Nadjiri, Dr. med. Alexandra Sträter, PD Dr. med. Daniela Münzel, Dr. med. Michael Rasper
Perspectives of Magnetic Resonance Imaging (MRI) for aortic aneurysms and dissections
Jonathan Nadjiri, M.D. | Technical University Munich | Munich | 08.12.2017
7th Munich Vascular Conference | AORTIC ISSUES (AOR) - LECTURE HALL C
No disclosures
Perspectives of Magnetic Resonance Imaging (MRI) for aortic aneurysms and dissections
Jonathan Nadjiri, M.D. | Technical University Munich | Munich | 08.12.2017
7th Munich Vascular Conference | AORTIC ISSUES (AOR) - LECTURE HALL C
Agenda:
✓Current role of MRI in aortic disease
✓Examples of applications
✓Possibilities & perspective
Perspectives of Magnetic Resonance Imaging (MRI) for aortic aneurysms and dissections
Jonathan Nadjiri, M.D. | Technical University Munich | Munich | 08.12.2017
7th Munich Vascular Conference | AORTIC ISSUES (AOR) - LECTURE HALL C
Current role of MRI in aortic disease:
➢ …mainly in CT:
➢ Fast
➢ Few contraindications
➢ Available
➢ Established
➢ Technically easy
➢ Requires only little cooperation
from patient.
Eligible for intensive care patients
CTA
Perspectives of Magnetic Resonance Imaging (MRI) for aortic aneurysms and dissections
Jonathan Nadjiri, M.D. | Technical University Munich | Munich | 08.12.2017
7th Munich Vascular Conference | AORTIC ISSUES (AOR) - LECTURE HALL C
➢ …mainly in CT:
➢ Fast
➢ Few contraindications
➢ Available
➢ Established
➢ Technically easy
➢ Requires only little cooperation
from patient.
Heutige Rolle der MRT in der
Aortendiganostik:What is the current role of MRI in aortic disease now?
MRA
Perspectives of Magnetic Resonance Imaging (MRI) for aortic aneurysms and dissections
Jonathan Nadjiri, M.D. | Technical University Munich | Munich | 08.12.2017
7th Munich Vascular Conference | AORTIC ISSUES (AOR) - LECTURE HALL C
➢ Main arguments for MRI:
➢ More young patients with more follow up-exams.
➢ Native examinations in MR allow for vascular imaging.
➢ First evaluation of diameters of the aorta.
➢ Follow up-exams.
➢ More information
➢ Function (flow measurement)
➢ Function (wall movement)
➢ Perfusion imaging
What is the current role of MRI in aortic disease now?
Evaluation of prognosis
Perspectives of Magnetic Resonance Imaging (MRI) for aortic aneurysms and dissections
Jonathan Nadjiri, M.D. | Technical University Munich | Munich | 08.12.2017
7th Munich Vascular Conference | AORTIC ISSUES (AOR) - LECTURE HALL C
Application: Rule out Endoleak -
Angiography and perfusion
Additional
information
MRA CTA with Gd MRA Perfusion
Perspectives of Magnetic Resonance Imaging (MRI) for aortic aneurysms and dissections
Jonathan Nadjiri, M.D. | Technical University Munich | Munich | 08.12.2017
7th Munich Vascular Conference | AORTIC ISSUES (AOR) - LECTURE HALL C
Application: Rule out Endoleak - data overview
Journal of Endovascular Therapy (2016)European Journal of Vascular and Endovascular Surgery (2013)
Perspectives of Magnetic Resonance Imaging (MRI) for aortic aneurysms and dissections
Jonathan Nadjiri, M.D. | Technical University Munich | Munich | 08.12.2017
7th Munich Vascular Conference | AORTIC ISSUES (AOR) - LECTURE HALL C
Application: Morphologic imaging without use of
contrast agent
SSFP-Sequences
Perspectives of Magnetic Resonance Imaging (MRI) for aortic aneurysms and dissections
Jonathan Nadjiri, M.D. | Technical University Munich | Munich | 08.12.2017
7th Munich Vascular Conference | AORTIC ISSUES (AOR) - LECTURE HALL C
SSFP-Sequeces SSFP-Sequences (Trufi 3D)
Application: Morphologic imaging without use of
contrast agent
Perspectives of Magnetic Resonance Imaging (MRI) for aortic aneurysms and dissections
Jonathan Nadjiri, M.D. | Technical University Munich | Munich | 08.12.2017
7th Munich Vascular Conference | AORTIC ISSUES (AOR) - LECTURE HALL C
Application: Magnetic Resonance Angiography
Perspectives of Magnetic Resonance Imaging (MRI) for aortic aneurysms and dissections
Jonathan Nadjiri, M.D. | Technical University Munich | Munich | 08.12.2017
7th Munich Vascular Conference | AORTIC ISSUES (AOR) - LECTURE HALL C
Application: Rule out dissection - data overview
Perspectives of Magnetic Resonance Imaging (MRI) for aortic aneurysms and dissections
Jonathan Nadjiri, M.D. | Technical University Munich | Munich | 08.12.2017
7th Munich Vascular Conference | AORTIC ISSUES (AOR) - LECTURE HALL C
Perspective: New prognostic parameter
Perspectives of Magnetic Resonance Imaging (MRI) for aortic aneurysms and dissections
Jonathan Nadjiri, M.D. | Technical University Munich | Munich | 08.12.2017
7th Munich Vascular Conference | AORTIC ISSUES (AOR) - LECTURE HALL C
NURadiology
Copyright NURadiology
Perspective: New prognostic parameter
Perspectives of Magnetic Resonance Imaging (MRI) for aortic aneurysms and dissections
Jonathan Nadjiri, M.D. | Technical University Munich | Munich | 08.12.2017
7th Munich Vascular Conference | AORTIC ISSUES (AOR) - LECTURE HALL C
Perspective: New prognostic parameterValve-Related Hemodynamics Mediate Human
Bicuspid Aortopathy
David G. Guzzardi, Alex J. Barker, Pim van Ooij, S.
Chris Malaisrie, Jyothy J. Puthumana, Darrell D.
Belke, Holly E.M. Mewhort, Daniyil A. Svystonyuk,
Sean Kang, Subodh Verma, Jeremy Collins, James
Carr, Robert O. Bonow, Michael Markl, James D.
Thomas, Patrick M. McCarthy, Paul W.M. Fedak
Journal of the American College of Cardiology Aug
2015, 66 (8) 892-900; DOI:
10.1016/j.jacc.2015.06.1310
Perspectives of Magnetic Resonance Imaging (MRI) for aortic aneurysms and dissections
Jonathan Nadjiri, M.D. | Technical University Munich | Munich | 08.12.2017
7th Munich Vascular Conference | AORTIC ISSUES (AOR) - LECTURE HALL C
Summary:
➢ Diagnostic potential of MR exhibits that of the CT in many
vascular applications
➢ Many opportunities: E.g. prognostic data or diagnostic
➢ Eligible for frequent follow-up examinations; in some cases
without contrast agent
➢ Complicated and time consuming examination