MAGNETOM World

Deep Cervical Infantile Hemangioma Identified by Time-Resolved Magnetic Resonance Angiography

Nicole Seyfried1; Vikas Gulani2; Verena Carola Obmann3|2019-04-01

1School of Medicine, Case Western Reserve University, Cleveland, OH, USA
2Case Western Reserve University and University Hospitals Case Medical Center, Cleveland, OH, USA
3Department of Diagnostic, Interventional and Pediatric Radiology (DIPR), Inselspital, Bern University Hospital, University of Bern, Switzerland

 

Infantile hemangioma (IH) is a common benign vascular tumor of infancy. IHs are often diagnosed clinically and are self-limiting in nature, however lesions localized to the head and neck warrant further investigation with imaging to rule out malignant causes and to evaluate risk of complications. Time-resolved MR Angiography with stochastic interleaved trajectories (TWIST) provides a non-invasive imaging modality for evaluation of IH while allowing for dynamic visualization of the lesion with high temporal and spatial resolution.
We present a case report of a 5-month-old4 female presenting with a posterior neck mass that was later diagnosed as an infantile hemangioma.

 

Clip 1: Arterial phase MIP showing the tortuous vessel filling the lesion in this phase of enhancement.
Deep Cervical Infantile Hemangioma Identified by Time-Resolved Magnetic Resonance Angiography

Deep Cervical Infantile Hemangioma Identified by Time-Resolved Magnetic Resonance Angiography

Vikas Gulani, et al.
Case Western Reserve University and University Hospitals Case Medical Center, Cleveland, OH, USA

Improving Dynamic MR Angiography: Iterative TWIST

Improving Dynamic MR Angiography: Iterative TWIST

Bernd J. Wintersperger et al.
Department of Medical Imaging, Peter Munk Cardiac Centre, University Health Network, Toronto, Ontario, Canada

Time-Resolved MR Angiography using TWIST for Evaluation of Peripheral Vascular Malformations in Children

Time-Resolved MR Angiography using TWIST for Evaluation of Peripheral Vascular Malformations in Children

Ulrich Kramer et al.
University Hospital Tübingen, Department of Diagnostic and Interventional Radiology, Tübingen, Germany

syngoTWIST for Dynamic Time-Resolved MR Angiography

syngoTWIST for Dynamic Time-Resolved MR Angiography

Gerhard Laub, Randall Kroeker
Siemens Medical Solutions at University of California in Los Angeles, CA, USA

Imaging vascular malformations – when to use MRI
Clifford R. Weiss
Johns Hopkins University, Baltimore, MD, USA

TWIST (Time-resolved angiography With Interleaved Stochastic Trajectories) is a time-resolved 3D MRA technique with very high temporal (sub-second) and spatial resolution (sub-millimeter) which will allow to capture the multiple arterial, mixed, venous phase images during the passage of a contrast agent through the vascular anatomy.
 

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