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Background Patients who are being evaluated to undergo fibula free flap transfer often do not have arterial disease. However a significant anatomical variant cannot be clinically excluded. Contrast enhanced magnetic resonance angiogram (CE-MRA) is commonly performed to identify the suitable side to harvest the flap and to exclude unsuitable infra-popliteal arterial anatomy. The aim of this study is to measure the quality and accuracy of a noncontrast MRA (NC-MRA) technique (Native SPACE = Non-contrast Angiography of the Arteries and Veins using Sampling Perfection with Application Optimized Contrast by using different flip angle Evolution) compared to CE-MRA.

Diagnostic accuracy of non-contrast magnetic resonance angiogram of infra-popliteal arteries prior to fibular-free flap harvest