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Detection of intracranial aneurysms by three-dimensional time-of-flight magnetic resonance angiography

  • Diagnostic Neuroradiology
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Abstract

The purpose of this study was to investigate the reliability of magnetic resonance angiography (MRA) for detection of intracranial aneurysms. Ninety-six consecutive patients who underwent both MRA using the three-dimensional time-of-flight technique (3D TOF) with the rephase/dephase subtraction method and conventional angiography were reviewed. MRA showed 22 aneurysms in 19 patients, and conventional angiography 28 aneurysms in 23 patients. The sensitivity of MRA was thus 79% for aneurysms in 83% of patients. MRA showed no aneurysm in 67 of 73 patients without aneurysms; its specificity was therefore 92%. The 6 false positive interpretations were suspected internal carotid artery aneurysms.

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References

  1. Säveland H, Hillman J, Brandt L, Edner G, Jakobsson KE, Algers G (1992) Overall outcome in aneurysmal subarachnoid hemorrhage: a prospective study from neurosurgical units in Sweden during a 1-year period. J Neurosurg 76: 729–734

    Google Scholar 

  2. Phillips LH II, Whisnant JP, O'Fallon WM, Sundt TM (1980) The unchanging pattern of subarachnoid hemorrhage in a community. Neurology 30: 1034–1040

    Google Scholar 

  3. Heros RC, Kistler JP (1983) Intracranial arterial aneurysm — an update. Stroke 14: 628–631

    Google Scholar 

  4. Sekhar LN, Heros RC (1981) Origin, growth, and rupture of saccular aneurysms: a review. Neurosurgery 8: 248–260

    Google Scholar 

  5. Atkinson JLD, Sundt TM, Houser OW, Whisnant JP (1989) Angiographic frequency of anterior circulation intracranial aneurysms. J Neurosurg 70: 551–555

    Google Scholar 

  6. Asari S, Satoh T, Sakurai M, Yamamoto Y, Sadamoto K (1982) Delineation of unruptured cerebral aneurysms by computerized angiography. J Neurosurg 57: 527–534

    Google Scholar 

  7. Masaryk TJ, Ross JS (1991) MR angiography: clinical applications. In: Atlas SW, ed. Magnetic resonance imaging of the brain and spine. New York, Raven Press, pp 1079–1098

    Google Scholar 

  8. The proceedings of the first meeting of the Japanese Association of Medical Checkup of the brain. Sapporo, Japan, 1992: 61–86 (in Japanese)

  9. Ross JS, Masaryk TJ, Modic MT, Ruggieri PM, Haacke EM, Selman WR (1990) Intracranial aneurysms: evaluation by MR angiography. AJNR 11: 449–455

    Google Scholar 

  10. Karino T (1986) Microscopic structure of disturbed flows in the arterial and venous systems, and its implication in the localization of vascular diseases. Inter Angio 5: 293–313

    Google Scholar 

  11. Masaryk TJ, Modic MT, Ross JS, Ruggieri PM, Laub GA, Lenz GW, Haacke EM, Selman WR, Wiznitzer M, Harik SI (1989) Intracranial circulation: preliminary clinical results with three-dimensional (volume) MR angiography. Radiology 171: 793–799

    Google Scholar 

  12. Ruggieri PM, Laub GA, Masaryk TJ, Modic MT (1989) Intracranial circulations: pulse-sequence considerations in three-dimensional (volume) Mr angiography. Radiology 171: 785–791

    Google Scholar 

  13. Ross JS, Masaryk TJ, Modic MT, Harik SI, Wiznitzer M, Selman WR (1989) Magnetic resonance angiography of the extracranial carotid arteries and intracranial vessels: a review. Neurology 39: 1369–1376

    Google Scholar 

  14. Nakatani H, Hashimoto N, Kang Y, Yamazoe N, Kikuchi H, Yamaguchi S, Niimi H (1991) Cerebral blood flow patterns at major vessel bifurcations and aneurysms in rats. J Neurosurg 74: 258–262

    Google Scholar 

  15. Anderson CM, Saloneer D, Tsuruda JS, Shapeero LG, Lee RF (1990) Artifact in maximum-intensity-projection display of MR angiograms. AJR 154: 623–629

    Google Scholar 

  16. McCormick WF, Acosta-Rua GJ (1970) The size of intracranial saccular aneurysms. An autopsy study. J Neurosurg 33: 427–442

    Google Scholar 

  17. Karino T, Goldsmith HL, Motomiya M, Mabuchi S, Sohara Y (1987) Flow patterns in vessels of simple and complex geometries. Ann New York Acad Sci 516: 422–441

    Google Scholar 

  18. Pernicone JP (1993) Intracranial aneurysms. In: Potchen EJ, ed. Magnetic resonance angiography. Mosby, St. Louis, pp 405–431

    Google Scholar 

  19. Dumoulin CL, Souza SP, Walker MF, Wagle W (1989) Three-dimensional phase contrast angiography. Magn Reson Med 9: 139–149

    Google Scholar 

  20. Edelman RR, Wentz KU, Mattle H, Zhao B, Liu C, Kim D, Laub G (1989) Projection arteriography and venography: initial clinical results with MR. Radiology 172: 351–357

    Google Scholar 

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Horikoshi, T., Fukamachi, A., Nishi, H. et al. Detection of intracranial aneurysms by three-dimensional time-of-flight magnetic resonance angiography. Neuroradiology 36, 203–207 (1994). https://doi.org/10.1007/BF00588131

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