Abstract

Background Peripheral arterial disease (PAD) is associated with impaired function of the lower extremities, manifested clinically as intermittent claudication or rest pain. Previous studies have suggested that alterations in microcirculation due to a paucity of collateralization may contribute to functional impairment in PAD patients. Therefore, small vessel blood flow at the level of leg muscles may be important. We hypothesized that microvascular perfusion can be measured with CE-MRI and will be heterogeneous in calf muscles of PAD patients compared with healthy controls. Methods

Highlights

  • Peripheral arterial disease (PAD) is associated with impaired function of the lower extremities, manifested clinically as intermittent claudication or rest pain

  • We hypothesized that microvascular perfusion can be measured with contrastenhanced magnetic resonance imaging (CE-MRI) and will be heterogeneous in calf muscles of PAD patients compared with healthy controls

  • The Microvascular perfusion maps (MVPM) categorized each voxel as either hypointense (voxel signal intensity (SI) < reference SI 2*standard deviation [STD]), isointense, or hyperintense, based on reference signal intensities for each muscle group that were calculated from all controls using an ensemble means algorithm

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Summary

Open Access

Calf muscle perfusion maps from contrastenhanced magnetic resonance imaging (CE-MRI) to assess peripheral arterial disease. Gerd Brunner1*, Jean Bismuth, Vijay Nambi, Christie M Ballantyne, William Zoghbi, Alan Lumsden, Joel D Morrisett, Dipan J Shah. From 17th Annual SCMR Scientific Sessions New Orleans, LA, USA. From 17th Annual SCMR Scientific Sessions New Orleans, LA, USA. 16-19 January 2014

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