Document Detail


Magnetic resonance angiography compared to intra-arterial digital subtraction angiography in patients with subarachnoid haemorrhage.
MedLine Citation:
PMID:  1289738     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
In order to evaluate the sensitivity and specificity of magnetic resonance angiography (MRA) in spontaneous subarachnoid haemorrhage, 14 patients with recent haemorrhage verified by CT or lumbar puncture were investigated with both selective intra-arterial digital subtraction angiography (IA-DSA) and MRA by two independent teams, each having the same preangiographic information. The results were compared with each other and whenever possible (all positive cases except one) with those of surgical intervention. Seven patients were identified by MRA and IA-DSA as having a single aneurysm on the circle of Willis, 1 an aneurysm of the posterior inferior cerebellar artery 1 an aneurysm of the internal carotid artery (siphon) and 2 patients with two aneurysms on the circle of Willis. MRA and IA-DSA both failed to demonstrate aneurysms in 2 cases. Three patients had negative results on both methods and no surgical intervention was attempted. The aneurysms ranged from 0.3 to 1.5 cm in size. In most cases there was agreement between MRA and DSA, leading us to believe that, if the proper protocols are followed, MRA is a powerful alternative to other established methods in the detection of intracranial aneurysms. At this stage it will not replace IA-DSA prior to surgery, but the ability to obtain various projections using 3D MRA may improve surgical planning.
Authors:
A Gouliamos; E Gotsis; L Vlahos; C Samara; E Kapsalaki; D Rologis; Z Kapsalakis; C Papavasiliou
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Neuroradiology     Volume:  35     ISSN:  0028-3940     ISO Abbreviation:  Neuroradiology     Publication Date:  1992  
Date Detail:
Created Date:  1993-03-19     Completed Date:  1993-03-19     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  1302751     Medline TA:  Neuroradiology     Country:  GERMANY    
Other Details:
Languages:  eng     Pagination:  46-9     Citation Subset:  IM    
Affiliation:
Department of Radiology, University of Athens, Greece.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Aged
Aneurysm / pathology
Angiography, Digital Subtraction*
Carotid Artery Diseases / diagnosis,  radiography
Carotid Artery, Internal / pathology
Cerebellum / blood supply
Cerebral Angiography
Cerebral Arteries / pathology
Child
Female
Humans
Intracranial Aneurysm / diagnosis,  radiography
Magnetic Resonance Imaging* / methods
Male
Middle Aged
Subarachnoid Hemorrhage / diagnosis*,  radiography*

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


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