Document Detail


Endovascular Procedures with CTA and MRA Roadmapping.
MedLine Citation:
PMID:  20649854     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
BACKGROUND/OBJECTIVE: Prior to interventional neuroradiology procedures, many patients undergo noninvasive studies such as computed tomography angiography (CTA) and magnetic resonance angiography (MRA). The ability to use these studies during invasive neuroangiographic procedures reduces additional contrast and radiation exposure, and allows for the integration of extravascular imaging.
METHOD: Navigation roadmaps were created by merging CTA or MRA studies with 3-dimensional volumes in the angiography suite. Roadmaps were created for 3 patients undergoing interventional procedures, one of which used a noncontrasted rotational volume.
RESULTS: Coregistration of CTA or MRA data with real-time angiographic imaging was successful in all 3 patients. Coregistration persisted despite table movement. These roadmaps were used to successfully navigate catheters and wires between vessels in 2 patients.
CONCLUSION: Offline CTA and MRA studies were successfully combined with real-time imaging at the time of angiography. This technique can reduce radiation and iodinated contrast exposure, and expands the application of angiographic technology in cerebrovascular and other neurosurgical diseases.
Authors:
Michael R Levitt; Basavaraj V Ghodke; Daniel L Cooke; Danial K Hallam; Louis J Kim; Laligam N Sekhar
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Publication Detail:
Type:  Journal Article     Date:  2010-07-23
Journal Detail:
Title:  Journal of neuroimaging : official journal of the American Society of Neuroimaging     Volume:  21     ISSN:  1552-6569     ISO Abbreviation:  J Neuroimaging     Publication Date:  2011 Jul 
Date Detail:
Created Date:  2011-06-28     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9102705     Medline TA:  J Neuroimaging     Country:  United States    
Other Details:
Languages:  eng     Pagination:  259-62     Citation Subset:  IM    
Copyright Information:
© 2010 by the American Society of Neuroimaging.
Affiliation:
From the Departments of Neurological Surgery (MRL, BVG, DKH, LJK, LNS) and Radiology (BVG, DLC, DKH, LJK), University of Washington and Harborview Medical Center, Seattle, WA.
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