Utility of MR Angiography in the Identification of Prostatic Artery Origin Prior to Prostatic Artery Embolization

J Vasc Interv Radiol. 2018 Mar;29(3):307-310.e1. doi: 10.1016/j.jvir.2017.11.001.

Abstract

In 17 patients who underwent prostate artery embolization for treatment of lower urinary tract symptoms, the accuracy of preprocedural magnetic resonance (MR) angiography was retrospectively compared with intraprocedural digital subtraction angiography (DSA) in the identification of prostatic artery origin. Of 34 vessels, 26 MR angiography identified origins (76.5%) were confirmed by DSA at the time of embolization. Although image postprocessing is required, the ability of MR angiography to accurately identify prostatic artery origins prior to embolization is useful in treatment planning and can obviate the need for separate computed tomographic angiography, thus reducing both radiation dose and time demand on patients.

Publication types

  • Comparative Study

MeSH terms

  • Angiography, Digital Subtraction / methods
  • Embolization, Therapeutic / methods*
  • Humans
  • Lower Urinary Tract Symptoms / diagnostic imaging*
  • Lower Urinary Tract Symptoms / therapy*
  • Magnetic Resonance Angiography / methods*
  • Male
  • Prostate / blood supply*
  • Retrospective Studies
  • Treatment Outcome