Document Detail


Multislice spiral computed tomography for pediatric intracranial vascular pathophysiologies.
MedLine Citation:
PMID:  17918525     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECT: Spiral computed tomography (SCT) and, more recently, multislice SCT (MSCT) angiography have established roles in studying subarachnoid hemorrhage (SAH). Potential advantages in MSCT angiography include rapid acquisition, ready availability, ease of monitoring, high spatial resolution, some temporal resolution, and relative freedom from artifacts. The authors assert that these attributes make MSCT angiography the initial imaging method of choice in the assessment of not just SAH but all intracranial vascular pathophysiologies, particularly in children. METHODS: The installation of a MSCT unit sparked the authors' interest in using MSCT angiography and MSCT venography in cases in which they would have formerly performed magnetic resonance (MR) angiography, MR venography, or catheter angiography as an initial investigational method. They retrospectively evaluated seven cases in which they had used the former imaging techniques to study intracranial vascular pathophysiologies. All scans were obtained on a Siemens Sensation 16-slice scanner, and postprocessing was performed on a Leonardo Workstation. RESULTS: Multislice spiral CT consistently provided useful vascular imaging of a wide variety of intracranial vascular pathophysiologies and an alternative imaging modality in patients considered to be too unstable for more time-consuming investigations. CONCLUSIONS: Multislice spiral CT offers advantages over MR imaging in the assessment of intracranial vascular pathophysiologies and frequently allows complete avoidance or deferral of catheter angiography.
Authors:
Silvia Gatscher; Stefan Brew; Tina Banks; Clare Simcock; Yvonne Sullivan; Joshua Crockett
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of neurosurgery     Volume:  107     ISSN:  0022-3085     ISO Abbreviation:  J. Neurosurg.     Publication Date:  2007 Sep 
Date Detail:
Created Date:  2007-10-08     Completed Date:  2007-11-19     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0253357     Medline TA:  J Neurosurg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  203-8     Citation Subset:  AIM; IM    
Affiliation:
Department of Paediatric Neurosurgery, Great Ormond Street Hospital for Children NHS Trust, Bloomsbury, London, United Kingdom. GatscS@gosh.nhs.uk
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MeSH Terms
Descriptor/Qualifier:
Arteriovenous Fistula / pathology,  radiography
Artifacts
Cerebral Angiography*
Cerebral Veins / abnormalities
Cerebrovascular Disorders / pathology,  radiography*
Child
Humans
Infant
Infant, Newborn
Intracranial Aneurysm / pathology,  radiography
Intracranial Arteriovenous Malformations / pathology,  radiography
Magnetic Resonance Angiography*
Male
Phlebography*
Subarachnoid Hemorrhage / pathology,  radiography
Tomography, Spiral Computed*

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


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