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Volume rendering compared with maximum intensity projection for magnetic resonance angiography measurements of the abdominal aorta
Linköping University, Center for Medical Image Science and Visualization (CMIV). Linköping University, Faculty of Health Sciences.ORCID iD: 0000-0002-9446-6981
Department of Radiology, Hudiksvall Hospital, Sweden.
Department of Radiology, Lund University, Malmö University Hospital.
Department of Radiology, Lund University Hospital.
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2004 (English)In: Acta Radiologica, ISSN 0284-1851, E-ISSN 1600-0455, Vol. 45, no 4, 453-459 p.Article in journal (Refereed) Published
Abstract [en]

Purpose: To compare the volume rendering technique (VRT) with maximum intensity projection (MIP) for aortic diameter measurements in MR angiography (MRA) data sets.

Material and Methods: Existing contrast-enhanced 3-dimensional MRA and digital subtraction angiography (DSA) data sets from 20 patients were analyzed. In each MRA data set, two aortic diameters were measured using MIP and VRT. Agreement with DSA measurements, dependence on rendering parameters, and interobserver agreement were assessed.

Results: Diameters measured on MIP with fixed parameters showed no significant difference compared with DSA and with freely selected parameters a slight overestimation relative to DSA. Diameters measured on VRT were larger than on DSA. For both MIP and VRT, the measurements depended on the chosen parameters. The error relative to DSA was larger for VRT than for MIP with fixed parameters but not with freely chosen parameters. Interobserver agreement did not differ significantly.

Conclusions: VRT is not suitable for diameter measurements of the abdominal aorta with fixed parameter settings but may be useful with user-selected settings.

Place, publisher, year, edition, pages
2004. Vol. 45, no 4, 453-459 p.
Keyword [en]
Abdominal aortic aneurysm AAA, angiography, magentic resonance angiography MRA, maximum intensity projection MIP, under dependence, volume rendering technique VRT
National Category
Medical and Health Sciences
URN: urn:nbn:se:liu:diva-24036DOI: 10.1080/02841850410006876Local ID: 3592OAI: diva2:244352
Available from: 2009-10-07 Created: 2009-10-07 Last updated: 2014-04-22Bibliographically approved
In thesis
1. Volume imaging of the abdomen: three-dimensional visualisation of tubular structures in the body with CT and MRI
Open this publication in new window or tab >>Volume imaging of the abdomen: three-dimensional visualisation of tubular structures in the body with CT and MRI
2005 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

The overwhelming amount of image-based information in modem medicine makes it crucial to develop methods to handle and analyze images and make them comprehensible for users. The aim of this thesis was to study the radiological practice of three-dimensional (3D) visualization of tubular structures in the body with CT and MRI. All the studies cancern 3D imaging of tubular structures with camputed tomography (CT) and magnetic resonance imaging (MRI). The first three studies examine the abdominal aorta; the two later ones the, bile ducts.

Study I compared measurements of aorta diameters taken from MR images presented using two visualization methods - maximum intensity projection (MlP) and volume rendering (VRT) - with invasive angiography (DSA) and CT as reference methods. Mean diameters of MR images were smaller than those from DSA and CT when MlP was used, but in general not when VRT was used.

Study II evaluated the dependence on the observer and the choice of method and settings during rendering using the same material as in Study 1. In both MlP and VRT, the choice of settings had significant influence on the results. With DSA as the reference method, VRT gave larger measurement errors than MIP when the rendering parameters were set to fixed values, but not if the user was allowed to select the settings freely.

Study III evaluated three new techniques for standardizing VRT protocols for MRA. Inter-reader variability and agreement with DSA were studied by comparing diameter measurements of the abdominal aorta obtained by the three new techniques, by VRT with freely chosen parameters and by MlP. All three new methods were significantly better than MlP and VRT with freely chosen parameters conceming inter-observer agreement. Agreement with DSA was significantly better for one of the methods. Standardized protocols seem to have a potential to make VRT a clinically useful alternative to MlP for MR angiography measurements.

Study IV evaluated CT imaging of the bile ducts after drip intravenous infusion of the contrast medium iotroxate (CT cholangiography) in terms of adverse effects and visibility. With infusion time adjusted for individual variation in serum bilirubin concentration, a total side-effect frequency of less than 1% was found. A systematic review of previously published studies indicated a frequency of 2.3%. Good contrast excretion and visualization of bile ducts even in patients with elevated bilirubin levels were noted.

Study V evaluated the diagnostic benefits of the same imaging method by comparing it with findings from surgery and endoscopic retrograde cholangiopancreatography (ERCP). The consensus sensitivity and specificity for diagnosing biliary stones was 88% and 94%, respectively. The use of VRT improved diagnostic certainty in 14% of the evaluatians, and the visualization of ductal stones was improved in 38% of the positive cases.

In conclusion, volume rendering technique with standardized parameters may become a clinically useful tool in the clinical MRI environment. DIC-CT with bilirubin-governed infusion time and volume rendering post-processing produces detailed images of the biliary tree, resulting in good sensitivity and specificity. Moreover the safety is acceptable.

Place, publisher, year, edition, pages
Linköping: Linköpings universitet, 2005. 103 p.
Linköping University Medical Dissertations, ISSN 0345-0082 ; 912
National Category
Medical and Health Sciences
urn:nbn:se:liu:diva-29581 (URN)14957 (Local ID)91-85299-25-1 (ISBN)14957 (Archive number)14957 (OAI)
Public defence
2005-10-07, Berzeliussalen, plan 09, Hälsouniversitetet, Campus US, Linköpings universitet, Linköping, 13:00 (Swedish)
Available from: 2009-10-09 Created: 2009-10-09 Last updated: 2013-10-21Bibliographically approved

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Persson, AndersDahlström, NilsSmedby, Örjan
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Center for Medical Image Science and Visualization (CMIV)Faculty of Health SciencesMedical RadiologyDepartment of Radiology in Linköping
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