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Three-dimensional time-of-flight MR angiography for evaluation of intracranial aneurysms after endosaccular packing with Guglielmi detachable coils: comparison with 3D digital subtraction angiography

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Abstract

The sensitivities and specificities of three-dimensional time-of-flight MR angiography (3D-TOF MRA) and 3D digital subtraction angiography (3D-DSA) were compared for evaluation of cerebral aneurysms after endosaccular packing with Guglielmi detachable coils (GDCs). Thirty-three patients with 33 aneurysms were included in this prospective study. 3D-TOF MRA and 3D-DSA were performed in the same week on all patients. Maximal intensity projection (MIP) and 3D reconstructed MRA images were compared with 3D-DSA images. The diameters of residual/recurrent aneurysms detected on 3D-DSA were calculated on a workstation. In 3 (9%) of 33 aneurysms, 3D-TOF MRA did not provide reliable information due to significant susceptibility artifacts on MRA. The sensitivity and specificity rates of MRA were 72.7 and 90.9%, respectively, for the diagnosis of residual/recurrent aneurysm. The diameters of residual/recurrent aneurysms that could not be detected by MRA were significantly smaller than those of detected aneurysms (mean 1.1 vs mean 2.3 mm). In one aneurysm of the anterior communicating artery (ACoA), the relationship between the residual aneurysm and the ACoA was more evident on MRA than DSA images. MRA can detect the recurrent/residual lumen of aneurysms treated with GDCs of up to at least 1.8 mm in diameter. 3D-TOF MRA is useful for follow-up of intracranial aneurysms treated with GDCs, and could partly replace DSA.

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References

  1. Guglielmi G, Vinuela F, Sepetka I, Macellari F (1991) Electrothrombosis of saccular aneurysms via endovascular approach. I. Electrochemical basis, technique and experimental results. J Neurosurg 75:1–7

    CAS  PubMed  Google Scholar 

  2. Guglielmi G, Vinuela F, Dion J, Duckwiler G (1991) Electrothrombosis of saccular aneurysms via endovascular approach. II. Preliminary clinical experience. J Neurosurg 75:8–14

    CAS  PubMed  Google Scholar 

  3. Guglielmi G, Vinuela F, Duckwiler G, Dion J, Lylyk P, Berenstein A, Strother C, Graves V, Halbach V, Nichols D et al (1992) Endovascular treatment of posterior circulation aneurysms by electrothrombosis using detachable coils. J Neurosurg 77:515–524

    CAS  PubMed  Google Scholar 

  4. Richling B, Bavinski G, Gross C, Gruber A, Killer M (1995) Early clinical outcome of patients with ruptured cerebral aneurysms treated by endovascular (GDC) or microsurgical techniques: a single center experience. Intervent Neuroradiol 1:19–27

    Google Scholar 

  5. Graves VB, Strother CM, Duff TA, Perl J (1995) Early treatment of ruptured aneurysms with Guglielmi detachable coils: effect and subsequent rebleeding. Neurosurgery 37:640–648

    CAS  PubMed  Google Scholar 

  6. Fernandez ZA, Guglielmi G, Vinuela F, Duckwiller GR (1994) Endovascular occlusion of intracranial aneurysms with electrically detachable coils: correlation of aneurysm neck size and treatment results. Am J Neuroradiol 15:815–820

    PubMed  Google Scholar 

  7. Gobin Y, Vinuela F, Gurian J, Guglielmi G, Duckwiler GR, Massoud TF, Martin NA (1996) Treatment of large and giant fusiform intracranial aneurysms with Guglielmi detachable coils. J Neurosurg 84:55–62

    CAS  PubMed  Google Scholar 

  8. Vinuela F, Duckwiller G, Mawad M (1997) Guglielmi detachable coil embolization of acute intracranial aneurysm: perioperative anatomical and clinical outcome in 403 patients. J Neurosurg 86:475–482

    PubMed  Google Scholar 

  9. Cognard C, Weill A, Castaings L, Rey A, Moret J (1998) Intracranial berry aneurysms: angiographic and clinical results after endovascular treatment. Radiology 206:499–510

    CAS  PubMed  Google Scholar 

  10. Cognard C, Weill A, Spelle L, Piotin M, Castaings L, Rey A, Moret J (1999) Long-term angiographic follow-up of 169 intracranial berry aneurysms occluded with detachable coils. Radiology 212:348–356

    CAS  PubMed  Google Scholar 

  11. Hankey GJ, Warlow CP, Sellar RJ (1990) Cerebral angiographic risk in mild cerebrovascular disease. Stroke 21:209–222

    CAS  PubMed  Google Scholar 

  12. Grzyska U, Freitag J, Zeumer H (1990) Selective arterial intracerebral DSA: complication rate and control of risk factors. Neuroradiology 32:296–299

    CAS  PubMed  Google Scholar 

  13. White PM, Wardlaw JM, Easton V (2000) Can noninvasive imaging accurately depict intracranial aneurysms? A systematic review. Radiology 217:361–370

    CAS  PubMed  Google Scholar 

  14. Stock KW, Radue EW, Jacob AL, Bao XS, Steinbrich W (1995) Intracranial arteries: prospective blinded comparative study of MR angiography and DSA in 50 patients. Radiology 195:451–456

    CAS  PubMed  Google Scholar 

  15. Hartman J, Nguyen T, Larsen D, Teitelbaum GP (1997) MR artifacts, heat production, and ferromagnetism of Guglielmi detachable coils. Am J Neuroradiol 18:497–501

    CAS  PubMed  Google Scholar 

  16. Derdeyn CP, Graves VB, Turski PA, Masaryk AM, Strother CM (1997) MR angiography of saccular aneurysms after treatment with Guglielmi detachable coils: preliminary experience. Am J Neuroradiol 18:279–286

    CAS  Google Scholar 

  17. Kahara VJ, Seppanen SK, Ryymin PS, Mattila P, Kuurne T, Laasonen EM (1998) MR angiography with three-dimensional time-of-flight and targeted maximum-intensity-projection reconstructions in the follow-up of intracranial aneurysms embolized with Guglielmi detachable coils. Am J Neuroradiol 20:1470–1475

    Google Scholar 

  18. Brunereau L, Cottier JP, Sonier CB, Medioni B, Bertrand P, Rouleau P, Sirinelli D, Herbreteau D (1999) Prospective evaluation of time-of-flight MR angiography in the follow-up of intracranial saccular aneurysms treated with Guglielmi detachable coils. J Comput Assist Tomogr 23:216–223

    Article  CAS  PubMed  Google Scholar 

  19. Weber W, Yousry TA, Felber SR, Henkes H, Nahser HC, Roer N, Kuhne D (2001) Noninvasive follow-up of GDC-treated saccular aneurysms by MR angiography. Eur Radiol 11:1792–1797

    Article  CAS  PubMed  Google Scholar 

  20. Gonner F, Heid O, Remonda L, Nicoli G, Baumgartner RW, Godoy N, Schroth G (1998) MR angiography with ultrashort echo time in cerebral aneurysms treated with Guglielmi detachable coils. Am J Neuroradiol 19:1324–1328

    PubMed  Google Scholar 

  21. Boulin A, Pierot L (2001) Follow-up of intracranial aneurysms treated with detachable coils: comparison of gadolinium-enhanced 3D time-of-flight MR angiography and digital subtraction angiography. Radiology 219:108–113

    CAS  PubMed  Google Scholar 

  22. Anzalone N, Righi C, Simionato F, Scomazzoni F, Pagani G, Calori G, Santino P, Scotti G (2000) Three-dimensional time-of-flight MR angiography in the evaluation of intracranial aneurysms treated with Guglielmi detachable coils. Am J Neuroradiol 21:746–752

    CAS  PubMed  Google Scholar 

  23. Tanoue S, Kiyosue H, Kenai H, Nakamura T, Yamashita M, Mori H (2000) Three-dimensional reconstructed images after rotational angiography in the evaluation of intracranial aneurysms: surgical correlation. Neurosurgery 47:866–871

    CAS  PubMed  Google Scholar 

  24. Anxionnat R, Bracard S, Ducrocq X, Trousset Y, Launary L, Kerrien E, Braun M, Valliant R, Scomazzoni F, Lebedinsky A, Picard L (2001) Intracranial aneurysms: clinical value of 3D digital subtraction angiography in the therapeutic decision and endovascular treatment. Radiology 218:799–808

    CAS  PubMed  Google Scholar 

  25. Brilstra EH, Rinkel GJE, van der Graaf Y, van Rooij WJ, Algra A (1999) Treatment of intracranial aneurysms by embolization with coils: a systematic review. Stroke 30:470–476

    CAS  PubMed  Google Scholar 

  26. Albuquerque FC, Spetzler RF, Zabramski JM, McDougall CG (2001) Effects of three-dimensional angiography on the coiling of cerebral aneurysms. Neurosurgery 51:597–606

    Google Scholar 

  27. Kiyosue H, Okahara M, Tanoue S, Nakamura T, Nagatomi H, Mori H (2002) Detection of the residual lumen of intracranial aneurysms immediately after coil embolization by three-dimensional disital subtraction angiographic virtual endoscopic imaging. Neurosurgery 50:476–485

    PubMed  Google Scholar 

  28. Byrne JV, Sohn MJ, Molyneux AJ, Chir B (1999) Five-year experience in using coil embolization for ruptured intracranial aneurysms: outcomes and incidence of late rebleeding. Am J Neuroradiol 90:656–663

    CAS  Google Scholar 

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Authors and Affiliations

  1. Department of Radiology, Nagatomi Neurosurgical Hospital, Oita, Japan

    Mika Okahara & Yuzo Hori

  2. Department of Radiology, Oita University Faculty of Medicine, 1-1 Hasama-machi, Oita, 879-5503, Japan

    Mika Okahara, Hiro Kiyosue & Hiromu Mori

  3. Department of Neurosurgery, Nagatomi Neurosurgical Hospital, Oita, Japan

    Masanori Yamashita & Hirofumi Nagatomi

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  1. Mika Okahara
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  2. Hiro Kiyosue
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  3. Yuzo Hori
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  4. Masanori Yamashita
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  5. Hirofumi Nagatomi
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  6. Hiromu Mori
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Correspondence to Mika Okahara.

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Okahara, M., Kiyosue, H., Hori, Y. et al. Three-dimensional time-of-flight MR angiography for evaluation of intracranial aneurysms after endosaccular packing with Guglielmi detachable coils: comparison with 3D digital subtraction angiography. Eur Radiol 14, 1162–1168 (2004). https://doi.org/10.1007/s00330-004-2277-5

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  • DOI: https://doi.org/10.1007/s00330-004-2277-5

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