https://m2.mtmt.hu/ hun 2026-10-23 22:00 JournalArticle 37414242 APPROVED true 0 false 2026-09-09T09:39:09.913+0000 2026-09-09T09:37:43.816+0000 2026-07-31T11:23:10.499+0000 true 10087099 Kelemenné Polgár Anna Rózsa /api/admin/10087099 Admin true 2026-09-09T09:37:44.102+0000 2026-09-09T09:37:44.102+0000 true true true 24 24 /api/publicationtype/24 PublicationType 1 true 24 JournalArticle true 10000059 Article true 24 24 /api/publicationtype/24 PublicationType 1 true 24 JournalArticle /api/subtype/10000059 Szakcikk SubType 101 true 10000059 true 1 /api/category/1 Category true 1 Crichton, Alexander B Noncontrast ultrashort echo time magnetic resonance imaging-guided staging predicts in vivo lower extremity endovascular procedural complexityxity. true true /api/journal/2932 REVIEWED true false 2932 false 2932 true 0741-5214 1097-6809 Journal FOREIGN in press in press 2026 Our understanding of plaque morphology and its relationship with procedural complexity and immediate technical failure (ITF) in percutaneous vascular intervention (PVI) is poorly understood, particularly in tibial disease due to significant limitations of CTA, DSA and DUS imaging. Ultrashort echo time (UTE) MRI is a non-contrast 3T MRI technique that can identify and differentiate plaque morphology and characteristics. The aim of this study was to create a UTE MRI-defined staging system to support clinicians evaluate endovascular procedural complexity.Patients scheduled for PVI underwent pre-operative UTE MRI. Lesions were graded based on MRI-defined anatomical characteristics and plaque morphology on a four-scale staging system, where stage A was least severe and stage D most severe. The primary outcome was the association of UTE Stage with ITF and was evaluated using logistic regression. Secondary outcomes included associations between UTE Stage and number of wire/catheter escalations required during the procedure, and UTE Stage and number of treatment devices used. TASC scoring was also evaluated and investigated for any influence on ITF.47 patients with 90 arterial lesions were included. Stage D and stage C UTE MRI- defined disease strongly influenced ITF (Odds ratio 114.3, 95% CF 10.4-1257.5, p<0.001 and OR 21.0 95% CF 2.33-189.3, p=0.007 respectively). Logistic regression identified Stage D disease was 99 times more likely to require catheters/wire escalations for crossing (OR 0.01, p=0.004, 95% CF 0.00-0.24). UTE MRI stage did not influence number of treatment devices used (Chi 2.53, p=0.47). Logistic regression showed that TASC score had no influence on ITF (Chi 2.13, p=0.55).UTE-MRI defined staging is strongly associated with ITF, crossing time and need for crossing device escalation whereas TASC staging had no influence on ITF. This study supports the notion that an understanding of plaque morphology and plaque characteristics is pivotal to procedural planning. true 2026 true true true false true false NONE 2026-09-09 false 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 D1 false false false false 2026-10-30T01:27:56.864+0000 Városmajori Szív- és Érgyógyászati Klinika (SE / AOK / K) 2 15 1 7 0 true Language 10002 /api/language/10002 Angol English true 2 true PersonAuthorship 140934003 /api/authorship/140934003 1 0.143 true false true Crichton Alexander B true false false AuthorshipType 1 /api/authorshiptype/1 0 true 0 true false true PersonAuthorship 140934004 /api/authorship/140934004 2 0.143 false false false Author 10074600 /api/author/10074600 Pomozi Enikő true true Pomozi Eniko true false false AuthorshipType 1 /api/authorshiptype/1 0 true 0 true false true PersonAuthorship 140934005 /api/authorship/140934005 3 0.143 false false false Author 10077728 /api/author/10077728 Csőre Judit true true Csore Judit true false false AuthorshipType 1 /api/authorshiptype/1 0 true 0 true false true PersonAuthorship 140934006 /api/authorship/140934006 4 0.14285715 false false false Lamichhane Janak true false false AuthorshipType 1 /api/authorshiptype/1 0 true 0 true false true PersonAuthorship 140934007 /api/authorship/140934007 5 0.14285715 false false false Karmonik Christof true false false AuthorshipType 1 /api/authorshiptype/1 0 true 0 true false true PersonAuthorship 140934008 /api/authorship/140934008 6 0.14285715 false false false Lumsden Alan B true false false AuthorshipType 1 /api/authorshiptype/1 0 true 0 true false true PersonAuthorship 140934009 /api/authorship/140934009 7 0.14285715 false true false Roy Trisha true false false AuthorshipType 1 /api/authorshiptype/1 0 true 0 true false true PublicationIdentifier 32718002 /api/publicationidentifier/32718002 PlainSource 6 /api/publicationsource/6 PublicationSourceType 10001 /api/publicationsourcetype/10001 true true true DOI DOI https://doi.org/@@@ true true 6 true 10.1016/j.jvs.2026.07.071 https://doi.org/10.1016/j.jvs.2026.07.071 false true PublicationIdentifier 33001568 /api/publicationidentifier/33001568 PlainSource 3 /api/publicationsource/3 PublicationSourceType 10003 /api/publicationsourcetype/10003 false true true Scopus Scopus http://www.scopus.com/record/display.url?origin=inward&eid=2-s2.0-@@@ true true 3 true IDENTICAL 105048528273 http://www.scopus.com/record/display.url?origin=inward&eid=2-s2.0-105048528273 false true PublicationIdentifier 32718001 /api/publicationidentifier/32718001 PlainSource 17 /api/publicationsource/17 PublicationSourceType 10003 /api/publicationsourcetype/10003 false true true PubMed PubMed http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=@@@&dopt=Abstract true true 17 true 42498187 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=42498187&dopt=Abstract false true Keyword 5867 /api/keyword/5867 true 5867 true Keyword 1068445 /api/keyword/1068445 true 1068445 true Keyword 1510917 /api/keyword/1510917 true true Keyword 2215569 /api/keyword/2215569 true true Keyword 4104081 /api/keyword/4104081 true true SjrRating 11713178 /api/sjrrating/11713178 15 0.1 journal RatingType 10002 /api/ratingtype/10002 sjr true true ClassificationExternal 2746 /api/classificationexternal/2746 true 2746 true D1 FROM_LAST_YEAR true true /api/publication/37414242 <div class="JournalArticle Publication long-list"> <div class="authors"> <img title="Forrásközlemény" style="float: left" src="/frontend/resources/grid/publication-core-icon.png"> <div class="autype autype0"> <span class="author-name" >Crichton Alexander B ✉ </span> ;&nbsp;&nbsp;&nbsp; <span class="author-name" mtid="10074600"><a href="/gui2/?type=authors&mode=browse&sel=10074600" target="_blank">Pomozi Eniko (<span class="authorship-author-name">Pomozi Enikő</span> <span class="authorAux-mtmt"> Radiológia</span>) </a> </span> <span class="author-affil"><span title="Semmelweis Egyetem">SE</span>/<span title="Általános Orvostudományi Kar">AOK</span>/<span title="Klinikum">K</span>/Városmajori Szív- és Érgyógyászati Klinika</span> ;&nbsp;&nbsp;&nbsp; <span class="author-name" mtid="10077728"><a href="/gui2/?type=authors&mode=browse&sel=10077728" target="_blank">Csore Judit (<span class="authorship-author-name">Csőre Judit</span> <span class="authorAux-mtmt"> radiológia</span>) </a> </span> <span class="author-affil"><span title="Semmelweis Egyetem">SE</span>/<span title="Általános Orvostudományi Kar">AOK</span>/<span title="Klinikum">K</span>/Városmajori Szív- és Érgyógyászati Klinika</span> ;&nbsp;&nbsp;&nbsp; <span class="author-name" >Lamichhane Janak </span> ;&nbsp;&nbsp;&nbsp; <span class="author-name" >Karmonik Christof </span> ;&nbsp;&nbsp;&nbsp; <span class="author-name" >Lumsden Alan B </span> ;&nbsp;&nbsp;&nbsp; <span class="author-name" >Roy Trisha </span> </div> </div> <div class="title"><a href="/gui2/?mode=browse&params=publication;37414242" target="_blank">Noncontrast ultrashort echo time magnetic resonance imaging-guided staging predicts in vivo lower extremity endovascular procedural complexityxity.</a></div> <div> <span class="journal-title">JOURNAL OF VASCULAR SURGERY</span> <span class="journal-issn">(<a target="_blank" href="https://portal.issn.org/resource/ISSN/0741-5214">0741-5214</a> <a target="_blank" href="https://portal.issn.org/resource/ISSN/1097-6809">1097-6809</a>)</span>: <span class="journal-volume"></span> <span class="page"> Paper in press. </span> <span class="year">(2026)</span> </div> <div class="pub-footer"> <span class="language" xmlns="http://www.w3.org/1999/html">Nyelv: Angol | </span> <span class="identifiers"> <span class="id identifier oa_none" title="none"> <a style="color:black" title="10.1016/j.jvs.2026.07.071" target="_blank" href="https://doi.org/10.1016/j.jvs.2026.07.071"> DOI </a> </span> <span class="id identifier oa_none" title="none"> <a style="color:blue" title="105048528273" target="_blank" href="http://www.scopus.com/record/display.url?origin=inward&eid=2-s2.0-105048528273"> Scopus </a> </span> <span class="id identifier oa_none" title="none"> <a style="color:black" title="42498187" target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=42498187&dopt=Abstract"> PubMed </a> </span> </span> <OnlyViewableByAuthor><div class="ratings"> <div class="journal-subject">Folyóirat szakterülete: Scopus - Surgery&nbsp;&nbsp;&nbsp;SJR indikátor:&nbsp;D1</div> <div class="journal-subject">Folyóirat szakterülete: Scopus - Cardiology and Cardiovascular Medicine&nbsp;&nbsp;&nbsp;SJR indikátor:&nbsp;Q1</div> </div></OnlyViewableByAuthor> <div class="mtid"><span class="long-pub-mtid">Közlemény: 37414242</span> | <span class="status-data status-APPROVED"> Nyilvános </span> Forrás | <span class="type-subtype">Folyóiratcikk ( Szakcikk ) </span> | <span class="pub-category">Tudományos</span> | <span class="publication-sourceOfData"></span> </div> <div class="lastModified">Utolsó módosítás: 2026.09.09. 11:37 Szalóky-Siki Ágnes (SE_KK_Admin5_SZSA, admin) </div> </div></div>