Saline as the Sole Contrast Agent for Successful MRI-guided Epidural Injections
Purpose To assess the performance of sterile saline solution as the sole contrast agent for percutaneous magnetic resonance imaging (MRI)-guided epidural injections at 1.5 T. Methods A retrospective analysis of two different techniques of MRI-guided epidural injections was performed with either gado...
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| Veröffentlicht in: | Cardiovascular and interventional radiology 2013-06, Vol.36 (3), p.748-755 |
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| creator | Deli, Martin Fritz, Jan Mateiescu, Serban Busch, Martin Carrino, John A. Becker, Jan Garmer, Marietta Grönemeyer, Dietrich |
| description | Purpose
To assess the performance of sterile saline solution as the sole contrast agent for percutaneous magnetic resonance imaging (MRI)-guided epidural injections at 1.5 T.
Methods
A retrospective analysis of two different techniques of MRI-guided epidural injections was performed with either gadolinium-enhanced saline solution or sterile saline solution for documentation of the epidural location of the needle tip. T1-weighted spoiled gradient echo (FLASH) images or T2-weighted single-shot turbo spin echo (HASTE) images visualized the test injectants. Methods were compared by technical success rate, image quality, table time, and rate of complications.
Results
105 MRI-guided epidural injections (12 of 105 with gadolinium-enhanced saline solution and 93 of 105 with sterile saline solution) were performed successfully and without complications. Visualization of sterile saline solution and gadolinium-enhanced saline solution was sufficient, good, or excellent in all 105 interventions. For either test injectant, quantitative image analysis demonstrated comparable high contrast-to-noise ratios of test injectants to adjacent body substances with reliable statistical significance levels (
p
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| doi_str_mv | 10.1007/s00270-012-0489-7 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_osti_</sourceid><recordid>TN_cdi_osti_scitechconnect_22113651</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2984697551</sourcerecordid><originalsourceid>FETCH-LOGICAL-c400t-d88c493bba3f9b8d1977bec3a4cd7e572888897ee3cfce4bc63b2f8d07e9d0c13</originalsourceid><addsrcrecordid>eNp1kU1vEzEQhi0EomnhB3BBlrhwWRh_bOw9VlGBSEWVCEjcLK89m260sYPtPfDvcbRt4YIvluVn3hn7IeQNgw8MQH3MAFxBA4w3IHXXqGdkxaSoJ73--ZysgCnZsLZlF-Qy5wMAazVvX5ILLqADyWBF7nZ2GgNSm2m5R7qLE9JNDCXZXOj1HkOhQ0x0NzuHOQ_zRL9-2zb7efTo6c1p9HOyE92GA7oyxpBfkReDnTK-ftivyI9PN983X5rbu8_bzfVt4yRAabzWTnai760Yul571inVoxNWOq-wVVzX1SlE4QaHsndr0fNBe1DYeXBMXJF3S27MZTTZjQXdvYsh1DkM54yJdXum3i_UKcVfM-ZijmN2OE02YJyzYUJ2dR611n8Dn9BDnFOob6hUq1j9OMkrxRbKpZhzwsGc0ni06bdhYM5OzOLEVCfm7MSoWvP2IXnuj-ifKh4lVIAvQK5XYY_pn9b_Tf0DSkGVJA</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1357182542</pqid></control><display><type>article</type><title>Saline as the Sole Contrast Agent for Successful MRI-guided Epidural Injections</title><source>MEDLINE</source><source>Springer Nature - Complete Springer Journals</source><creator>Deli, Martin ; Fritz, Jan ; Mateiescu, Serban ; Busch, Martin ; Carrino, John A. ; Becker, Jan ; Garmer, Marietta ; Grönemeyer, Dietrich</creator><creatorcontrib>Deli, Martin ; Fritz, Jan ; Mateiescu, Serban ; Busch, Martin ; Carrino, John A. ; Becker, Jan ; Garmer, Marietta ; Grönemeyer, Dietrich</creatorcontrib><description>Purpose
To assess the performance of sterile saline solution as the sole contrast agent for percutaneous magnetic resonance imaging (MRI)-guided epidural injections at 1.5 T.
Methods
A retrospective analysis of two different techniques of MRI-guided epidural injections was performed with either gadolinium-enhanced saline solution or sterile saline solution for documentation of the epidural location of the needle tip. T1-weighted spoiled gradient echo (FLASH) images or T2-weighted single-shot turbo spin echo (HASTE) images visualized the test injectants. Methods were compared by technical success rate, image quality, table time, and rate of complications.
Results
105 MRI-guided epidural injections (12 of 105 with gadolinium-enhanced saline solution and 93 of 105 with sterile saline solution) were performed successfully and without complications. Visualization of sterile saline solution and gadolinium-enhanced saline solution was sufficient, good, or excellent in all 105 interventions. For either test injectant, quantitative image analysis demonstrated comparable high contrast-to-noise ratios of test injectants to adjacent body substances with reliable statistical significance levels (
p
< 0.001). The mean table time was 22 ± 9 min in the gadolinium-enhanced saline solution group and 22 ± 8 min in the saline solution group (
p
= 0.75).
Conclusion
Sterile saline is suitable as the sole contrast agent for successful and safe percutaneous MRI-guided epidural drug delivery at 1.5 T.</description><identifier>ISSN: 0174-1551</identifier><identifier>EISSN: 1432-086X</identifier><identifier>DOI: 10.1007/s00270-012-0489-7</identifier><identifier>PMID: 23090410</identifier><language>eng</language><publisher>New York: Springer-Verlag</publisher><subject><![CDATA[Adolescent ; Adult ; Aged ; Cardiology ; Clinical Investigation ; CONTRAST MEDIA ; Contrast Media - administration & dosage ; DRUGS ; Female ; GADOLINIUM ; Gadolinium DTPA - administration & dosage ; Humans ; IMAGE PROCESSING ; Imaging ; INJECTION ; Injections, Epidural ; Magnetic Resonance Imaging, Interventional ; Male ; Medicine ; Medicine & Public Health ; Meglumine - administration & dosage ; Middle Aged ; NMR IMAGING ; Nuclear Medicine ; Organometallic Compounds - administration & dosage ; Radiology ; RADIOLOGY AND NUCLEAR MEDICINE ; Retrospective Studies ; Sodium Chloride - administration & dosage ; SPIN ECHO ; Ultrasound]]></subject><ispartof>Cardiovascular and interventional radiology, 2013-06, Vol.36 (3), p.748-755</ispartof><rights>Springer Science+Business Media, LLC and the Cardiovascular and Interventional Radiological Society of Europe (CIRSE) 2012</rights><rights>Springer Science+Business Media New York and the Cardiovascular and Interventional Radiological Society of Europe (CIRSE) 2013</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c400t-d88c493bba3f9b8d1977bec3a4cd7e572888897ee3cfce4bc63b2f8d07e9d0c13</citedby><cites>FETCH-LOGICAL-c400t-d88c493bba3f9b8d1977bec3a4cd7e572888897ee3cfce4bc63b2f8d07e9d0c13</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00270-012-0489-7$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00270-012-0489-7$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>230,314,778,782,883,27911,27912,41475,42544,51306</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23090410$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink><backlink>$$Uhttps://www.osti.gov/biblio/22113651$$D View this record in Osti.gov$$Hfree_for_read</backlink></links><search><creatorcontrib>Deli, Martin</creatorcontrib><creatorcontrib>Fritz, Jan</creatorcontrib><creatorcontrib>Mateiescu, Serban</creatorcontrib><creatorcontrib>Busch, Martin</creatorcontrib><creatorcontrib>Carrino, John A.</creatorcontrib><creatorcontrib>Becker, Jan</creatorcontrib><creatorcontrib>Garmer, Marietta</creatorcontrib><creatorcontrib>Grönemeyer, Dietrich</creatorcontrib><title>Saline as the Sole Contrast Agent for Successful MRI-guided Epidural Injections</title><title>Cardiovascular and interventional radiology</title><addtitle>Cardiovasc Intervent Radiol</addtitle><addtitle>Cardiovasc Intervent Radiol</addtitle><description>Purpose
To assess the performance of sterile saline solution as the sole contrast agent for percutaneous magnetic resonance imaging (MRI)-guided epidural injections at 1.5 T.
Methods
A retrospective analysis of two different techniques of MRI-guided epidural injections was performed with either gadolinium-enhanced saline solution or sterile saline solution for documentation of the epidural location of the needle tip. T1-weighted spoiled gradient echo (FLASH) images or T2-weighted single-shot turbo spin echo (HASTE) images visualized the test injectants. Methods were compared by technical success rate, image quality, table time, and rate of complications.
Results
105 MRI-guided epidural injections (12 of 105 with gadolinium-enhanced saline solution and 93 of 105 with sterile saline solution) were performed successfully and without complications. Visualization of sterile saline solution and gadolinium-enhanced saline solution was sufficient, good, or excellent in all 105 interventions. For either test injectant, quantitative image analysis demonstrated comparable high contrast-to-noise ratios of test injectants to adjacent body substances with reliable statistical significance levels (
p
< 0.001). The mean table time was 22 ± 9 min in the gadolinium-enhanced saline solution group and 22 ± 8 min in the saline solution group (
p
= 0.75).
Conclusion
Sterile saline is suitable as the sole contrast agent for successful and safe percutaneous MRI-guided epidural drug delivery at 1.5 T.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Cardiology</subject><subject>Clinical Investigation</subject><subject>CONTRAST MEDIA</subject><subject>Contrast Media - administration & dosage</subject><subject>DRUGS</subject><subject>Female</subject><subject>GADOLINIUM</subject><subject>Gadolinium DTPA - administration & dosage</subject><subject>Humans</subject><subject>IMAGE PROCESSING</subject><subject>Imaging</subject><subject>INJECTION</subject><subject>Injections, Epidural</subject><subject>Magnetic Resonance Imaging, Interventional</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Meglumine - administration & dosage</subject><subject>Middle Aged</subject><subject>NMR IMAGING</subject><subject>Nuclear Medicine</subject><subject>Organometallic Compounds - administration & dosage</subject><subject>Radiology</subject><subject>RADIOLOGY AND NUCLEAR MEDICINE</subject><subject>Retrospective Studies</subject><subject>Sodium Chloride - administration & dosage</subject><subject>SPIN ECHO</subject><subject>Ultrasound</subject><issn>0174-1551</issn><issn>1432-086X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp1kU1vEzEQhi0EomnhB3BBlrhwWRh_bOw9VlGBSEWVCEjcLK89m260sYPtPfDvcbRt4YIvluVn3hn7IeQNgw8MQH3MAFxBA4w3IHXXqGdkxaSoJ73--ZysgCnZsLZlF-Qy5wMAazVvX5ILLqADyWBF7nZ2GgNSm2m5R7qLE9JNDCXZXOj1HkOhQ0x0NzuHOQ_zRL9-2zb7efTo6c1p9HOyE92GA7oyxpBfkReDnTK-ftivyI9PN983X5rbu8_bzfVt4yRAabzWTnai760Yul571inVoxNWOq-wVVzX1SlE4QaHsndr0fNBe1DYeXBMXJF3S27MZTTZjQXdvYsh1DkM54yJdXum3i_UKcVfM-ZijmN2OE02YJyzYUJ2dR611n8Dn9BDnFOob6hUq1j9OMkrxRbKpZhzwsGc0ni06bdhYM5OzOLEVCfm7MSoWvP2IXnuj-ifKh4lVIAvQK5XYY_pn9b_Tf0DSkGVJA</recordid><startdate>20130601</startdate><enddate>20130601</enddate><creator>Deli, Martin</creator><creator>Fritz, Jan</creator><creator>Mateiescu, Serban</creator><creator>Busch, Martin</creator><creator>Carrino, John A.</creator><creator>Becker, Jan</creator><creator>Garmer, Marietta</creator><creator>Grönemeyer, Dietrich</creator><general>Springer-Verlag</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7TO</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>H94</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>OTOTI</scope></search><sort><creationdate>20130601</creationdate><title>Saline as the Sole Contrast Agent for Successful MRI-guided Epidural Injections</title><author>Deli, Martin ; Fritz, Jan ; Mateiescu, Serban ; Busch, Martin ; Carrino, John A. ; Becker, Jan ; Garmer, Marietta ; Grönemeyer, Dietrich</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c400t-d88c493bba3f9b8d1977bec3a4cd7e572888897ee3cfce4bc63b2f8d07e9d0c13</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Cardiology</topic><topic>Clinical Investigation</topic><topic>CONTRAST MEDIA</topic><topic>Contrast Media - administration & dosage</topic><topic>DRUGS</topic><topic>Female</topic><topic>GADOLINIUM</topic><topic>Gadolinium DTPA - administration & dosage</topic><topic>Humans</topic><topic>IMAGE PROCESSING</topic><topic>Imaging</topic><topic>INJECTION</topic><topic>Injections, Epidural</topic><topic>Magnetic Resonance Imaging, Interventional</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Meglumine - administration & dosage</topic><topic>Middle Aged</topic><topic>NMR IMAGING</topic><topic>Nuclear Medicine</topic><topic>Organometallic Compounds - administration & dosage</topic><topic>Radiology</topic><topic>RADIOLOGY AND NUCLEAR MEDICINE</topic><topic>Retrospective Studies</topic><topic>Sodium Chloride - administration & dosage</topic><topic>SPIN ECHO</topic><topic>Ultrasound</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Deli, Martin</creatorcontrib><creatorcontrib>Fritz, Jan</creatorcontrib><creatorcontrib>Mateiescu, Serban</creatorcontrib><creatorcontrib>Busch, Martin</creatorcontrib><creatorcontrib>Carrino, John A.</creatorcontrib><creatorcontrib>Becker, Jan</creatorcontrib><creatorcontrib>Garmer, Marietta</creatorcontrib><creatorcontrib>Grönemeyer, Dietrich</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Oncogenes and Growth Factors Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>OSTI.GOV</collection><jtitle>Cardiovascular and interventional radiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Deli, Martin</au><au>Fritz, Jan</au><au>Mateiescu, Serban</au><au>Busch, Martin</au><au>Carrino, John A.</au><au>Becker, Jan</au><au>Garmer, Marietta</au><au>Grönemeyer, Dietrich</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Saline as the Sole Contrast Agent for Successful MRI-guided Epidural Injections</atitle><jtitle>Cardiovascular and interventional radiology</jtitle><stitle>Cardiovasc Intervent Radiol</stitle><addtitle>Cardiovasc Intervent Radiol</addtitle><date>2013-06-01</date><risdate>2013</risdate><volume>36</volume><issue>3</issue><spage>748</spage><epage>755</epage><pages>748-755</pages><issn>0174-1551</issn><eissn>1432-086X</eissn><abstract>Purpose
To assess the performance of sterile saline solution as the sole contrast agent for percutaneous magnetic resonance imaging (MRI)-guided epidural injections at 1.5 T.
Methods
A retrospective analysis of two different techniques of MRI-guided epidural injections was performed with either gadolinium-enhanced saline solution or sterile saline solution for documentation of the epidural location of the needle tip. T1-weighted spoiled gradient echo (FLASH) images or T2-weighted single-shot turbo spin echo (HASTE) images visualized the test injectants. Methods were compared by technical success rate, image quality, table time, and rate of complications.
Results
105 MRI-guided epidural injections (12 of 105 with gadolinium-enhanced saline solution and 93 of 105 with sterile saline solution) were performed successfully and without complications. Visualization of sterile saline solution and gadolinium-enhanced saline solution was sufficient, good, or excellent in all 105 interventions. For either test injectant, quantitative image analysis demonstrated comparable high contrast-to-noise ratios of test injectants to adjacent body substances with reliable statistical significance levels (
p
< 0.001). The mean table time was 22 ± 9 min in the gadolinium-enhanced saline solution group and 22 ± 8 min in the saline solution group (
p
= 0.75).
Conclusion
Sterile saline is suitable as the sole contrast agent for successful and safe percutaneous MRI-guided epidural drug delivery at 1.5 T.</abstract><cop>New York</cop><pub>Springer-Verlag</pub><pmid>23090410</pmid><doi>10.1007/s00270-012-0489-7</doi><tpages>8</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0174-1551 |
| ispartof | Cardiovascular and interventional radiology, 2013-06, Vol.36 (3), p.748-755 |
| issn | 0174-1551 1432-086X |
| language | eng |
| recordid | cdi_osti_scitechconnect_22113651 |
| source | MEDLINE; Springer Nature - Complete Springer Journals |
| subjects | Adolescent Adult Aged Cardiology Clinical Investigation CONTRAST MEDIA Contrast Media - administration & dosage DRUGS Female GADOLINIUM Gadolinium DTPA - administration & dosage Humans IMAGE PROCESSING Imaging INJECTION Injections, Epidural Magnetic Resonance Imaging, Interventional Male Medicine Medicine & Public Health Meglumine - administration & dosage Middle Aged NMR IMAGING Nuclear Medicine Organometallic Compounds - administration & dosage Radiology RADIOLOGY AND NUCLEAR MEDICINE Retrospective Studies Sodium Chloride - administration & dosage SPIN ECHO Ultrasound |
| title | Saline as the Sole Contrast Agent for Successful MRI-guided Epidural Injections |
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