Abstract
Most nonenhanced MRA techniques for evaluating peripheral artery disease (PAD) require cardiac synchronization through physiological gating. Electrocardiographic gating is the most popular method for cardiac synchronization; however, it is subject to interference from switching magnetic field gradients and radiofrequency pulses. A method is described for self-gated nonenhanced MRA that does not require the use of electrocardiographic gating. Imaging was prospectively triggered by detecting the acceleration of blood flow during systole with a reference-less phase contrast navigator. The technique was implemented for nonsubtractive nonenhanced MRA using quiescent-interval single-shot MRA. The lower extremity peripheral arteries of eight healthy subjects were imaged using electrocardiographic-, pulse-, and self-gated quiescent-interval single-shot. Self-gated quiescent-interval single-shot triggered with 99% accuracy. There were no significant differences in relative contrast, contrast-to-noise ratio, or image quality between self-gated and electrocardiographic-gated quiescent-interval single-shot MRA (P > 0.05). Image quality with pulse gating was inferior.
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