ISMRM 25th Annual Meeting & Exhibition • 22-27 April 2017 • Honolulu, HI, USA

Weekend Educational Course: Cardiovascular MRI: Vascular
Weekend Course

ORGANIZERS: James C. Carr, M.D. & Winfred A. Willinek, M.D.

Saturday, 22 April 2017
Room 316A  08:15 - 11:45 Moderators: Darren Lum, Jeffrey Maki

Skill Level: Basic to Intermediate

Slack Channel: #e_cv
Session Number: WE09

This course highlights the components of a routine vascular exam and provides an overview of widely accepted and cutting-edge techniques for vascular imaging, including clinical applications.

Target Audience
Attendees, both physicians and scientists, who have an interest in evaluating cardiovascular disease with MRI in order to gain an in-depth perspective on the technical foundations, clinical needs, and research promises of both flow imaging, vessel wall assessment and magnetic resonance angiography techniques in order to improve their clinical practice.

Educational Objectives
Upon completion of this course, participants should be able to:
-Develop a working knowledge of a basic vascular exam and in its clinical and research applications; -Identify clinical applications of vascular imaging techniques; and
-Recognize the role of MRI for assessing atherosclerosis.

Overview of CE & NCMRA Methods
Ruth Lim
Principles of Contrast enhanced and non contrast enhanced MRA will be reviewed, as well as their clinical application.

Flow Imaging Techniques
Michael Hope
Contrast Agents
Daniela Delli Castelli
This lecture will deal with conventional Gd-based contrast agents. In particular the molecular basis of the paramagnetic enhancement as well as  Gd-complexes stability will be addressed.

Break & Meet the Teachers
Imaging Techniques: Current & Future
Venkatesh Mani
Atherosclerosis, a systemic disease affecting large and medium sized arterial vessel walls is a leading cause of mortality in the world. MRI is quickly becoming the imaging modality of choice for visualizing atherosclerosis in the vessel wall. Atherosclerosis is evaluated in vivo by multi-contrast dark blood turbo spin echo imaging to evaluate plaque burden and composition. DCE- MRI can be used to evaluate plaque permeability. Recently, quantitative MR imaging in the form of T1 and T2 mapping of the vessel wall and on evaluating 4D flow, shear stress and circumferential strain in the arterial tree have become popular. 

Intracranial Atherosclerosis MR Imaging
Xihai Zhao
Coronary, Aorta & Peripheral Vessel Wall MR Imaging
Zhaoyang Fan
Magnetic resonance (MR) has emerged as a leading noninvasive imaging modality for assessing the wall disease beyond revealing luminal stenosis. Continued technical innovations are being proposed for MR atherosclerosis imaging, particularly vessel wall imaging, at coronary, aorta and peripheral vascular beds. Detailed knowledge about these techniques would foster adoption of MR as an effective imaging tool in future research and clinical practice. The present lecture will focus on technical developments in MR vessel wall imaging of these arteries.

Break & Meet the Teachers
Supra-Aortic & Intracranial Vascular Disease
J. Kevin DeMarco
We will review the current recommended imaging parameters to achieve consistent high-quality head/neck contrast-enhanced MRA at both 1.5T and 3.0T.  Discuss the utilization of clinical MPRAGE and 3D FSE T1W sequences to detect intraplaque hemorrhage and possibly necrotic core at the carotid bifurcation.  Review how this additional vessel wall imaging affords better risk stratification of future stroke than carotid stenosis measurements.  Discuss the rapidly evolving intracranial vessel wall imaging (IC VWI) techniques which are currently obtained with works-in-progress investigational sequences.  Early implement has documented the potential added value of IC VWI to identify specific etiologies of proximal intracranial arterial narrowing. 

Chest & Abdominal
Christopher Francois
This presentation will discuss the following:
  1. 1. Sequences used for MRA chest & abdomen
  2. 2. Clinical applications for MRA chest
  3. 3. Clinical applications for MRA abdomen

Peripheral Vascular Disease
Harald Kramer
Upon completion of this course, the attendee will be able to: Identify the appropriate technique for peripheral MRA depending on the available hardware and the clinical question and condition of the patient. Differentiate between different contrast agents and their specific characteristics. Chose between different contrast agent application schemes depending on the technique used and the clinical question. Compare the pros and cons of contrast-enhanced and non contrast-enhanced techniques for peripheral MRA.


The International Society for Magnetic Resonance in Medicine is accredited by the Accreditation Council for
Continuing Medical Education to provide continuing medical education for physicians.