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Four-dimensional computed tomography angiography is valuable in intracranial dural arteriovenous fistula diagnosis and fistula evaluation

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Abstract

This study was to evaluate the value of four-dimensional computed tomography angiography (4D-CTA) in the diagnosis of intracranial dural arteriovenous fistula (DAVF). This study included 16 patients who were diagnosed to have intracranial DAVF by digital subtraction angiography (DSA). The 4D-CTA was performed by Aquilion ONE multi-detector CT scanner (Toshiba Medical Systems, Japan) equipped with 320 × 0.5 mm detector rows. Standard biplane fluoroscopy equipments (Infinix, Toshiba Medical Systems, Japan and ADVANTX LC/LP, GE Medical Systems, Milwaukee, WI, USA) were applied in the diagnosis of intra-arterial DSA. Examinations were performed to evaluate the findings of DSA and 4D-CTA in each patient. The examination results were read by two independent readers in a blind manner. All results were documented on standardized scoring sheets. In all 16 cases, the same diagnosis results of intracranial DAVF were obtained from DSA and 4D-CTA. The results of subtype (Borden and Cognard classification), venous reflux and fistula sites were also accurately exhibited in 4D-CTA. In addition, there was a little discrepancy in identifying smaller and specific arterial branches and in distinguishing fistula type (focal or diffuse) using 4D-CTA. Good-to-excellent agreements were made between 4D-CTA and DSA. Therefore, 4D-CTA could be a feasible tool for the characterization of intracranial DAVF, with respect to determining fistula site and venous drainage.

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Acknowledgments

This work was supported by Ningbo Social Developmental Research Project (No. 2012C50027).

Conflict of interest

All authors declare no financial competing interests. All authors declare no non-financial competing interests.

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Authors and Affiliations

  1. Department of Radiology, No. 1 Hospital of Ningbo, No. 59 Liuting Road, Haishu District, Ningbo, 315010, Zhejiang, People’s Republic of China

    Xianwang Ye, Qiuli Huang, Maoqing Jiang & Jie Zhang

  2. Department of Medical College, Ningbo University, Ningbo, Zhejiang, People’s Republic of China

    Haifeng Wang

  3. Department of Neurosurgery, No. 1 Hospital of Ningbo, Ningbo, Zhejiang, People’s Republic of China

    Xiang Gao, Shengjun Zhou & Zhiqing Lin

Authors
  1. Xianwang Ye
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  2. Haifeng Wang
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  3. Qiuli Huang
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  4. Maoqing Jiang
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  5. Xiang Gao
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  6. Jie Zhang
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  7. Shengjun Zhou
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  8. Zhiqing Lin
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Corresponding author

Correspondence to Qiuli Huang.

Additional information

X. Ye and H. Wang contributed equally to this work.

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Ye, X., Wang, H., Huang, Q. et al. Four-dimensional computed tomography angiography is valuable in intracranial dural arteriovenous fistula diagnosis and fistula evaluation. Acta Neurol Belg 115, 303–309 (2015). https://doi.org/10.1007/s13760-014-0387-7

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  • DOI: https://doi.org/10.1007/s13760-014-0387-7

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