TWISTÌý(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.
TWIST
Features & Benefits
Features
- Substantial reduction in gadolinium chelate dose
 - The ability to obtain multiple phases
 - No need for a test bolus (or any other kind of bolus timing)
 - iPAT in two directions with a factor up to 9 (optional with iPAT extensions)
 
Clinical Applications
- Peripheral angiography (Better hemodynamic evaluation of stenosis and collaterals, elimination of venous contamination)
 - Dynamic cerebral MRA (Evaluation of cerebral AVMs, vascular malformations)
 - Dynamic carotid, vertebral MRA (steal phenomenon, stenosis, collaterals…)
 - Dynamic pulmonary MRA
 - Dynamic renal MRA
 - Dynamic mesenteric, portal MRA
 - Dynamic Aortography (Aortic dissection visualization, differentiation of false and true lumen with the help of dynamic MRA)
 
Additional Information
TWIST is based on special k-space sampling. In this setting, k-space is divided into two regions. The centrally located region of k-space provides information regarding image contrast, the peripherally located aspect of k-space contributes principally to high spatial resolution. The main factor contributing to the acceleration of the sequence acquisition in this particular imaging approach is the fact that k-space lines in the center are more frequently sampled than are the k-space lines in the periphery during the passage of the contrast medium bolus through the covered 3D volume.
General Requirements
System
- Biograph mMR
 - MAGNETOM Aera
 - MAGNETOM Altea
 - MAGNETOM ESSENZA
 - MAGNETOM Espree
 - MAGNETOM Lumina
 - MAGNETOM Prisma
 - MAGNETOM Sempra
 - MAGNETOM Skyra
 - MAGNETOM Sola
 - MAGNETOM Spectra
 - MAGNETOM Symphony, A Tim System
 - MAGNETOM Trio, A Tim System
 - MAGNETOM Verio
 - MAGNETOM Vida
 - MAGNETOM Amira
 - MAGNETOM Avanto
 - MAGNETOM Prismafit
 - MAGNETOM Skyrafit
 - MAGNETOM Avantofit
 - MAGNETOM Solafit
 - MAGNETOM Vidafit
 
Minimum Software Version
syngo MR B15
syngo MR D11
Other
Ìý
Please Note: Additional technical pre-requisites may apply. Upon receiving your request, your local Siemens representative will clarify whether your system meets the requirements.







