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Comparing the Accuracy of Digital Subtraction Angiography, CT Angiographyand MR Angiography at Estimating the Volume of Cerebral Aneurysms.
MedLine Citation:
PMID:  20557758     Owner:  NLM     Status:  PubMed-not-MEDLINE    
Abstract/OtherAbstract:
While there are many studies that compare imaging modalities in the detection of cerebralaneurysms there are no existing studies that compare two dimensional digital subtraction angiography (DSA), CT angiography (CTA) and MR angiography (MRA) in calculating the volume of cerebral aneurysms. This study will compare these imaging modalities on seven in vitro models of known volume. Seven silicone models of cerebral aneurysms were chosen representing slight variations in geometric shape and size. The volume of each model was measured by weighing the amount of water required to fill the aneurysm to the parentartery. Contrast enhanced images of the modelswere taken with DSA, CTA and MRA. The images were interpreted by four independent readers and the volumes were calculated. The measured volumes from the water weight analysis were compared to the volumes calculated from the interpreter's measurements. The accuracy of DSA, CTA and MRA were compared using the percent of absolute and true variance from the measured volume. The average percent absolute variance for DSA was 14.3%, CTA was 16.8% and MRA was 18.6%. While these differences were minimal, comparing the percent of true variance demonstrated an average variance of -1.9% for DSA, 16.1% for CTA and -15.9% for MRA. Calculating the volume of cerebral aneurysms, while increasingly important, is difficult and error prone. It is important to understand the limitations and inherent errors before relyingon calculated volumes in clinical decision making. Regardless of imaging modality, one should consider error rates of 14-19% for calculatingvolume while keeping in mind the tendencyfor CTA to overestimate volume, MRA to underestimate volume and DSA to both under and overestimate equally.
Authors:
M Hanley; W J Zenzen; M D Brown; J R Gaughen; A J Evans
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Publication Detail:
Type:  Journal Article     Date:  2008-06-30
Journal Detail:
Title:  Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences     Volume:  14     ISSN:  1591-0199     ISO Abbreviation:  Interv Neuroradiol     Publication Date:  2008 Jun 
Date Detail:
Created Date:  2010-06-18     Completed Date:  2013-07-04     Revised Date:  2014-07-30    
Medline Journal Info:
Nlm Unique ID:  9602695     Medline TA:  Interv Neuroradiol     Country:  Italy    
Other Details:
Languages:  eng     Pagination:  173-7     Citation Subset:  -    
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