Pulmonary MR angiography in Swyer – James syndrome
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Department of Radiology, Fatih University Medical School, Ankara, Turkey
Department of Radiology, Selcuk University Medical School, Konya, Turkey
Department of Pulmonary Medicine, Selcuk University Medical School, Konya, Turkey
Online publication date: 2009-10-15
Publication date: 2009-10-15
Corresponding author
M. Emin Sakarya   

Dr. M. Emin Sakarya Selcuk University Meram Medical School, Department of Radiology, Konya, Turkiye Phone: +90 505 443 9970 Fax: +90 332 223 6181
Eur J Gen Med 2009;6(4):239-244
Aim: The aim of this study was to investigate the pulmonary magnetic resonance angiography (MRA) imaging findings in Swyer – James syndrome (SJS) as a alternative imaging modalities. Methods: Thirteen patients had posteroanterior inspiratory/expiratory chest X-ray films and pulmonary MRA with SJS (6 males, 7 females) were retrospectively studied. Gradient-echo pulmonary MRA was performed in all patients with a 1.5 T MR unit. MRA imaging was performed in a single breath-hold during the injection of contrast media. Image analysis of the patients was performed. The results of pulmonary artery diameters and pulmonary peripheral vasculature were compared between normal sides versus the affected sides. Statistical analysis was performed with the Student t test. Results: The smaller pulmonary artery on the affected side with poor peripheral vasculature was observed with gadolinium-enhanced gradient-echo MRA in all patients. There was a significant difference between the diameters of the pulmonary arteries of the normal versus the disease sides (p< 0.0005). Conclusion: MRA successfully depicted the small pulmonary artery with diminished peripheral vasculature in patients with SJS. This study showed the pulmonary MRA imaging could be used as a alternative imaging modalities in the evaluation of patient with SJS.
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