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Fusion of magnetic resonance angiography and cisternography in acute ischemic stroke reveals the vessel anatomy ahead of the clot: a technical note to see beyond obstacles

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Abstract

We describe how the fusion process between magnetic resonance angiography (MRA) and cisternography (MRC) promptly reveals vessel anatomy ahead of the clot, in patients affected by acute anterior circulation large vessel occlusion. This technique showed in 100% of subjects (n = 22) a clear tracing of vessel anatomy before and beyond the clot. The duration of the whole process is short and could be considered safe since no outcome differences have been found when compared with a control group (n = 23). This technique could play a relevant role in guiding endovascular therapy, especially in unexpected unfavorable anatomical arteries configurations.

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Data are not publicly available but are provided upon reasonable request by qualified research groups.

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References

  1. Wahlgren N, Moreira T, Michel P, Steiner T, Jansen O, Cognard C et al (2016) Mechanical thrombectomy in acute ischemic stroke: consensus statement by ESO-Karolinska Stroke Update 2014/2015, supported by ESO, ESMINT. ESNR and EAN Int J Stroke 11:134–147

    Article  Google Scholar 

  2. Alverne F, Lima FO, Rocha FA, Bandeira DA, Lucena AF, Silva HC et al (2020) Unfavorable vascular anatomy during endovascular treatment of stroke: challenges and bailout strategies. J Stroke 22:185–202

    Article  Google Scholar 

  3. Zhu L, Liebeskind DS, Jahan R, Starkman S, Salamon N, Duckwiler G et al (2012) Thrombus branching and vessel curvature are important determinants of middle cerebral artery trunk recanalization with Merci thrombectomy devices. Stroke 43:787–792

    Article  Google Scholar 

  4. Ozaki S, Okamoto S, Shinohara N (2021) A proposed method for outlining occluded intracranial artery using 3D T2-weighted sampling perfection with application optimized contrasts using different flip angle evolution (SPACE). Acta Radiol Open 10:20584601211003230

    PubMed  PubMed Central  Google Scholar 

  5. Kuribara T, Haraguchi K, Ogane K, Matsuura N, Ito T (2015) 3D-FIESTA magnetic resonance angiography fusion imaging of distal segment of occluded middle cerebral artery. Neurol Med Chir (Tokyo) 55:805–808

    Article  Google Scholar 

  6. Mormina E (2020) Fusione di tecniche Angio-RM TOF-3D e Cisternografia-RM BALANCE-3D nella programmazione di terapia endovascolare d’urgenza in Pazienti affetti da Stroke ischemico acuto. Vedere oltre gli ostacoli. PhD Thesis

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Author notes

  1. AAC and AT equally contributed to the manuscript.

Authors and Affiliations

  1. Department of Biomedical and Dental Sciences and Morphofunctional Imaging, University of Messina, A.O.U. Policlinico Universitario G. Martino, Via Consolare Valeria 1, 98100, Messina, Italy

    Enricomaria Mormina, Antonio Armando Caragliano, Agostino Tessitore, Marco Cavallaro, Orazio Buonomo, Carmela Visalli, Antonio Pitrone, Mariano Velo, Karol Galletta, Mirta Longo, Marcello Longo, Francesca Granata & Sergio Lucio Vinci

Authors
  1. Enricomaria Mormina
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  2. Antonio Armando Caragliano
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  3. Agostino Tessitore
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  4. Marco Cavallaro
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  5. Orazio Buonomo
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  6. Carmela Visalli
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  7. Antonio Pitrone
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  8. Mariano Velo
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  9. Karol Galletta
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  10. Mirta Longo
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  11. Marcello Longo
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  12. Francesca Granata
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  13. Sergio Lucio Vinci
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Contributions

All authors contributed to the study conception and design. Material preparation, data collection, and analysis were performed by Enricomaria Mormina, Antonio Armando Caragliano, Agostino Tessitore, Marco Cavallaro, Orazio Buonomo, Carmela Visalli, Antonio Pitrone, Mariano Velo, Karol Galletta, and Mirta Longo. Supervision and data verification were performed by Marcello Longo, Francesca Granata, and Sergio Lucio Vinci. The first draft of the manuscript was written by Enricomaria Mormina, Antonio Armando Caragliano, Agostino Tessitore, and Marco Cavallaro, and all authors commented on previous versions of the manuscript. All authors read and approved the final manuscript.

Corresponding author

Correspondence to Carmela Visalli.

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Ethical approval

This study received ethical approval from our Institutional Review Board. All procedures performed in the studies involving human participants were following the ethical standards of the institutional research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards. Written informed consent was waived due to the retrospective design of the presented technical note.

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N/A for the observational retrospective nature of study.

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N/A for the observational retrospective nature of study.

Conflict of interest

The authors declare that they have no conflict of interest.

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Figures 1 and part of Fig. 2 are released in CC BY 3.0 license from a previous study [6]

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Mormina, E., Caragliano, A.A., Tessitore, A. et al. Fusion of magnetic resonance angiography and cisternography in acute ischemic stroke reveals the vessel anatomy ahead of the clot: a technical note to see beyond obstacles. Neuroradiology 64, 1457–1460 (2022). https://doi.org/10.1007/s00234-022-02963-4

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  • DOI: https://doi.org/10.1007/s00234-022-02963-4

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