chapter  22
14 Pages

MR Imaging of Deep Inferior Epigastric Artery and Deep Superior Epigastric Artery Perforators

MRA has progressed from an initial use for brain or solid organs to a feasible technique for vascular study. Even the very peripheral and small diameter vasculature can be evaluated by this radiation and iodinate contrast medium-free technique. Whole-body angio-MR permits rapid, noninvasive, and accurate evaluation of the entire vascular system and can be used for both diagnostic

22.1 Overview ............................................................................................................................... 383 22.2 Use of MR Imaging in Perforator Flaps ...............................................................................384 22.3 MR Imaging of DIEA and DSEA Perforators ......................................................................384 22.4 Comparison of Preoperative Imaging for DIEA Perforator Flaps ....................................... 385

22.4.1 MRA Comparison to Doppler Ultrasound ............................................................... 385 22.4.2 Comparison to CTA .................................................................................................. 386

22.5 MRA Protocol in DIEA and DSEA Perforators ................................................................... 388 22.5.1 Pre-Imaging Preparation .......................................................................................... 388 22.5.2 Patient Preparation .................................................................................................... 389 22.5.3 Procedure .................................................................................................................. 389 22.5.4 Scanning Protocol ..................................................................................................... 389 22.5.5 MRA Reporting ........................................................................................................390

22.6 Summary ..............................................................................................................................390 References ...................................................................................................................................... 393

purposes and monitoring of vascular involvement of peripheral arterial disease, since it offers high enhanced contrast between blood and stationary tissue and fast acquisition times.