By Andre J. Duerinckx, A.E. Stillman

In recent times, there was expanding curiosity within the medical purposes of coronary angiography innovations. Coronary MRA could be instrumental within the assessment of congenital coronary artery anomalies, in spite of the fact that, the complexity of complex MR pulse sequences and methods will be overwhelming to many. Coronary MR Angiography demystifies the artwork of coronary MRA via delivering a textual content in undeniable language with truly illustrated imaging steps and protocols. Designed to bridge the distance among radiology and cardiology, it really is written for physicians and scientists making plans to include this method into their study or perform.

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Circulation 1984;70:153–59. Li D, Paschal CB, Haacke EM, Adler LP. Coronary arteries: three-dimensional MR imaging with fat saturation and magnetization transfer contrast. Radiology 1993;187:401–6. Wielopolski P, van Geuns RJ, de Feyter PJ, Oudkerk M. Breath-hold coronary MR angiography with volume targeted imaging. Radiology 1998;209:209–20. Brittain JH, Hu BS, Wright GA, Meyer CH, Macovski A, Nishimura DG. Coronary angiography with magnetization-prepared T2 contrast. Magn Reson Med 1995;33(5): 689–96.

17 31. Manning WJ, Li W, Edelman RR. A preliminary report comparing magnetic resonance coronary angiography with conventional angiography. N Engl J Med 1993;328: 828–32. 32. Iliceto S, Memmola C, Marangelli V, Caiato C, Rizzon P. Evaluation of coronary artery anatomy and physiology with the use of transesophageal echocardiography. Cor Art Dis 1992;3:357–63. 33. Siostrzonek P, Kranz A, Heinz G, et al. Noninvasive estimation of coronary flow reserve by transesophageal Doppler measurements of coronary sinus flow.

Multiple preclinical studies (as discussed later in the book), including the first one by Manning et al. in the New England Journal of Medicine in 1993 (31), have clearly shown that good-quality breathhold coronary MRA can be performed in patients. Duerinckx et al. (4) have also documented variability of diaphragm position in patients and in normal volunteers during sequential breathhold maneuvers. In the early days of coronary MRA (first-generation techniques), investigators were forced to use prone positioning because in the very early days of coronary MRA, phased array thoracic coils were not yet available.

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