Document Detail


Follow up of coiled intracranial aneurysms with standard resolution and higher resolution magnetic resonance angiography.
MedLine Citation:
PMID:  18373828     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Time-of-flight magnetic resonance angiography is a non-invasive alternative to digital subtraction angiography (DSA) for follow up of coiled intracranial aneurysms. Standard cranial MRA protocols are a compromise between spatial resolution and imaging time. This study compares a standard resolution MRA protocol with a protocol at higher spatial resolution MRA (HR-MRA) in 21 follow-up occasions in 17 coiled aneurysms in 15 patients. Images were reviewed for presence of residual or recurrent aneurysm and compared with DSA as the gold standard. Aneurysm flow signal on standard resolution MRA differed significantly from HR-MRA in 6/21 cases (P = 0.02) and DSA in 6/21 cases (P = 0.02). HR-MRA had 100% concordance with DSA (P = 1.0). In this study, three-dimensional time-of-flight magnetic resonance angiography carried out at standard resolution is inadequate for follow up of coiled intracranial aneurysms. HR-MRA is comparable to DSA for detection of aneurysm recurrence.
Authors:
S Dupre; A Coulthard
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Publication Detail:
Type:  Clinical Trial; Comparative Study; Journal Article    
Journal Detail:
Title:  Journal of medical imaging and radiation oncology     Volume:  52     ISSN:  1754-9477     ISO Abbreviation:  -     Publication Date:  2008 Feb 
Date Detail:
Created Date:  2008-03-31     Completed Date:  2008-05-16     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101469340     Medline TA:  J Med Imaging Radiat Oncol     Country:  Australia    
Other Details:
Languages:  eng     Pagination:  57-63     Citation Subset:  IM    
Affiliation:
Department of Medical Imaging, Royal Brisbane and Women's Hospital, Brisbane, Queensland, Australia. simon_dupre@health.qld.gov.au
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Angiography, Digital Subtraction / methods
Cerebral Angiography / methods
Embolization, Therapeutic / instrumentation
Follow-Up Studies
Humans
Image Enhancement / methods*
Image Processing, Computer-Assisted / methods
Imaging, Three-Dimensional / methods
Intracranial Aneurysm / diagnosis*,  therapy
Magnetic Resonance Angiography / methods*
Magnetic Resonance Imaging, Interventional / methods
Middle Aged
Observer Variation
Prospective Studies
Recurrence
Sensitivity and Specificity

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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