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Ren S, Wu W, Su C, Zhu Q, Schmidt M, Sun Y, Forman C, Speier P, Hong X, Lu S. High-resolution compressed sensing time-of-flight MR angiography outperforms CT angiography for evaluating patients with Moyamoya disease after surgical revascularization. BMC Med Imaging 2022; 22:64. [PMID: 35387607 PMCID: PMC8988403 DOI: 10.1186/s12880-022-00790-w] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/18/2021] [Accepted: 03/28/2022] [Indexed: 12/12/2022] Open
Abstract
Background To evaluate the utility of high-resolution compressed sensing time-of-fight MR angiography (CS TOF-MRA) for assessing patients with moyamoya disease (MMD) after surgical revascularization, by comparison with computer tomography angiography (CTA). Methods Twenty patients with MMD after surgical revascularizations who underwent CS TOF-MRA and CTA were collected. The scan time of CS TOF-MRA was 5 min and 4 s, with a reconstructed resolution of 0.4 × 0.4 × 0.4 mm3. Visualization of superficial temporal artery and middle cerebral artery (STA–MCA) bypass, neovascularization into the brain pial surface and Moyamoya vessels (MMVs) were independently ranked by two neuroradiologists on CS TOF-MRA and CTA, respectively. The patency of anastomosis was assessed as patent or occluded, using digital subtraction angiography and expert’s consensus as ground truth. Interobserver agreement was calculated using the weighted kappa statistic. Wilcoxon signed-rank or Chi-square test was performed to investigate diagnostic difference between CS TOF-MRA and CTA. Results Twenty-two hemispheres from 20 patients were analyzed. The inter-reader agreement for evaluating STA–MCA bypass, neovascularization and anastomosis patency was good to excellent (κCS TOF-MRA, 0.738–1.000; κCTA, 0.743–0.909). The STA–MCA bypass and MMVs were better visualized on CS TOF-MRA than CTA (both P < 0.05). CS TOF-MRA had a higher sensitivity than CTA (94.7% vs. 73.7%) for visualizing anastomoses. Neovascularization was better observed in 13 (59.1%) sides on CS TOF-MRA, in comparison to 7 (31.8%) sides on CTA images (P = 0.005). Conclusion High-resolution CS TOF-MRA outperforms CTA for visualization of STA–MCA bypass, neovascularization and MMVs within a clinically reasonable time in MMD patients after revascularization.
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Affiliation(s)
- Shujing Ren
- Department of Radiology, The First Affiliated Hospital of Nanjing Medical University, Nanjing, Jiangsu Province, China
| | - Wei Wu
- Department of Neurosurgery, The First Affiliated Hospital of Nanjing Medical University, Nanjing, Jiangsu Province, China
| | - Chunqiu Su
- Department of Radiology, The First Affiliated Hospital of Nanjing Medical University, Nanjing, Jiangsu Province, China
| | - Qianmiao Zhu
- Department of Neurosurgery, The First Affiliated Hospital of Nanjing Medical University, Nanjing, Jiangsu Province, China
| | | | - Yi Sun
- MR Collaboration NE Asia, Siemens Healthcare, Shanghai, China
| | | | | | - Xunning Hong
- Department of Radiology, The First Affiliated Hospital of Nanjing Medical University, Nanjing, Jiangsu Province, China
| | - Shanshan Lu
- Department of Radiology, The First Affiliated Hospital of Nanjing Medical University, Nanjing, Jiangsu Province, China.
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Orita E, Murai Y, Sekine T, Takagi R, Amano Y, Ando T, Iwata K, Obara M, Kumita S. Four-Dimensional Flow MRI Analysis of Cerebral Blood Flow Before and After High-Flow Extracranial–Intracranial Bypass Surgery With Internal Carotid Artery Ligation. Neurosurgery 2018; 85:58-64. [DOI: 10.1093/neuros/nyy192] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/26/2017] [Accepted: 04/13/2018] [Indexed: 11/13/2022] Open
Affiliation(s)
- Erika Orita
- Department of Radiology, Nippon Medical School, Tokyo, Japan
| | - Yasuo Murai
- Depar-tment of Neurological Surgery, Nippon Medical School, Tokyo, Japan
| | - Tetsuro Sekine
- Department of Radiology, Nippon Medical School, Tokyo, Japan
| | - Ryo Takagi
- Department of Radiology, Nippon Medical School, Tokyo, Japan
- Department of Radiology, Nihon University School of Medicine, Tokyo, Japan
| | - Yasuo Amano
- Department of Radiology, Nippon Medical School, Tokyo, Japan
- Department of Radiology, Nihon University School of Medicine, Tokyo, Japan
| | - Takahiro Ando
- Department of Radiology, Nippon Medical School, Tokyo, Japan
| | - Kotomi Iwata
- Department of Radiology, Nippon Medical School, Tokyo, Japan
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Okazaki T, Irie S, Inagaki T, Saito O, Yamashina M, Hayase H, Nakagawa H, Nagahiro S, Saito K. Coloring Technique of Magnetic Resonance Angiography for Superficial Temporal Artery to Middle Cerebral Artery Bypass Surgery. World Neurosurg 2018; 112:e113-e118. [PMID: 29366994 DOI: 10.1016/j.wneu.2017.12.152] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/04/2017] [Accepted: 12/23/2017] [Indexed: 11/24/2022]
Abstract
OBJECTIVE Superficial temporal artery (STA)-to-middle cerebral artery (MCA) bypass is an established surgical technique for achieving revascularization. It is important to select the proper recipient artery of the MCA. Three-dimensional computed tomographic angiography (3D-CTA) and conventional angiography are useful in the selection process but need contrast agents. The authors have designed a coloring MRA technique that needs no agents to visualize the recipient artery. Retrospective evaluation of the efficacy and limitation for selection of the recipient artery and decision of the place and size of the craniotomy were carried out. METHODS The authors performed the coloring MRA before operation since January 2013. Ninety-two patients underwent STA-MCA bypass for atherosclerotic stenosis or occlusion of internal carotid artery (ICA), MCA with reference to the coloring MRA. To evaluate the efficacy of coloring MRA, the control group consisted of 75 patients who underwent STA-MCA bypass between January 2012 to November 2013 with reference to 3D-CTA. The size of craniotomy was retrospectively calculated and compared. RESULTS Neither additional craniotomy nor wrong selection of the recipient artery was done in either group. There was no significant difference in size between the 2 groups in both single and double bypass. CONCLUSIONS The coloring MRA technique was not inferior to 3D-CTA with respect to the size of craniotomy. This novel technique was found to be very helpful not only for the virtual identification of the proper recipient artery but also for preoperative simulation such as decisions about length of donor artery, location, and size of craniotomy.
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Affiliation(s)
- Toshiyuki Okazaki
- Department of Neurosurgery, Kushiro Kojinkai Memorial Hospital, Kushiro, Japan; Department of Neurosurgery, Tokushima University, Tokushima, Japan.
| | - Shinsuke Irie
- Department of Neurosurgery, Kushiro Kojinkai Memorial Hospital, Kushiro, Japan
| | - Toru Inagaki
- Department of Neurosurgery, Kushiro Kojinkai Memorial Hospital, Kushiro, Japan
| | - Osamu Saito
- Department of Neurosurgery, Kushiro Kojinkai Memorial Hospital, Kushiro, Japan
| | - Motoshige Yamashina
- Department of Neurosurgery, Kushiro Kojinkai Memorial Hospital, Kushiro, Japan
| | - Hitoshi Hayase
- Department of Neurosurgery, Kushiro Kojinkai Memorial Hospital, Kushiro, Japan
| | - Hiroshi Nakagawa
- Department of Neurosurgery, Kushiro Kojinkai Memorial Hospital, Kushiro, Japan
| | - Shinji Nagahiro
- Department of Neurosurgery, Tokushima University, Tokushima, Japan
| | - Koji Saito
- Department of Neurosurgery, Kushiro Kojinkai Memorial Hospital, Kushiro, Japan
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Lin A, Rawal S, Agid R, Mandell DM. Cerebrovascular Imaging: Which Test is Best? Neurosurgery 2017; 83:5-18. [DOI: 10.1093/neuros/nyx325] [Citation(s) in RCA: 28] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/20/2016] [Accepted: 05/12/2017] [Indexed: 11/12/2022] Open
Abstract
Abstract
Optimal diagnosis and characterization of cerebrovascular disease requires selection of the appropriate imaging exam for each clinical situation. In this review, we focus on intracranial arterial disease and discuss the techniques in current clinical use for imaging the blood vessel lumen and blood vessel wall, and for mapping cerebral hemodynamic impairment at the tissue level. We then discuss specific strategies for imaging intracranial aneurysms, arteriovenous malformations, dural arterial venous fistulas, and arterial steno-occlusive disease.
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Affiliation(s)
- Amy Lin
- Division of Neuroradiology, Department of Medical Imaging, Toronto Western Hospital and the University of Toronto, Toronto, Ontario, Canada
| | - Sapna Rawal
- Division of Neuroradiology, Department of Medical Imaging, Toronto Western Hospital and the University of Toronto, Toronto, Ontario, Canada
| | - Ronit Agid
- Division of Neuroradiology, Department of Medical Imaging, Toronto Western Hospital and the University of Toronto, Toronto, Ontario, Canada
| | - Daniel M Mandell
- Division of Neuroradiology, Department of Medical Imaging, Toronto Western Hospital and the University of Toronto, Toronto, Ontario, Canada
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Han JS, Abou-Hamden A, Mandell DM, Poublanc J, Crawley AP, Fisher JA, Mikulis DJ, Tymianski M. Impact of Extracranial–Intracranial Bypass on Cerebrovascular Reactivity and Clinical Outcome in Patients With Symptomatic Moyamoya Vasculopathy. Stroke 2011; 42:3047-54. [DOI: 10.1161/strokeaha.111.615955] [Citation(s) in RCA: 65] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Affiliation(s)
- Jay S. Han
- From the Department of Anesthesia (J.S.H., J.A.F.), University of Toronto and University Health Network, Toronto, Canada; the Department of Physiology (J.S.H., J.A.F., M.T.), University of Toronto, Toronto, Canada; the Division of Neurosurgery (A.A., M.T.), Department of Surgery (M.T.), University Health Network, Toronto, Canada; and the Division of Neuroradiology (D.M.M., J.P., A.P.C., D.J.M.), Department of Medical Imaging, University Health Network and the University of Toronto, Toronto, Canada
| | - Amal Abou-Hamden
- From the Department of Anesthesia (J.S.H., J.A.F.), University of Toronto and University Health Network, Toronto, Canada; the Department of Physiology (J.S.H., J.A.F., M.T.), University of Toronto, Toronto, Canada; the Division of Neurosurgery (A.A., M.T.), Department of Surgery (M.T.), University Health Network, Toronto, Canada; and the Division of Neuroradiology (D.M.M., J.P., A.P.C., D.J.M.), Department of Medical Imaging, University Health Network and the University of Toronto, Toronto, Canada
| | - Daniel M. Mandell
- From the Department of Anesthesia (J.S.H., J.A.F.), University of Toronto and University Health Network, Toronto, Canada; the Department of Physiology (J.S.H., J.A.F., M.T.), University of Toronto, Toronto, Canada; the Division of Neurosurgery (A.A., M.T.), Department of Surgery (M.T.), University Health Network, Toronto, Canada; and the Division of Neuroradiology (D.M.M., J.P., A.P.C., D.J.M.), Department of Medical Imaging, University Health Network and the University of Toronto, Toronto, Canada
| | - Julien Poublanc
- From the Department of Anesthesia (J.S.H., J.A.F.), University of Toronto and University Health Network, Toronto, Canada; the Department of Physiology (J.S.H., J.A.F., M.T.), University of Toronto, Toronto, Canada; the Division of Neurosurgery (A.A., M.T.), Department of Surgery (M.T.), University Health Network, Toronto, Canada; and the Division of Neuroradiology (D.M.M., J.P., A.P.C., D.J.M.), Department of Medical Imaging, University Health Network and the University of Toronto, Toronto, Canada
| | - Adrian P. Crawley
- From the Department of Anesthesia (J.S.H., J.A.F.), University of Toronto and University Health Network, Toronto, Canada; the Department of Physiology (J.S.H., J.A.F., M.T.), University of Toronto, Toronto, Canada; the Division of Neurosurgery (A.A., M.T.), Department of Surgery (M.T.), University Health Network, Toronto, Canada; and the Division of Neuroradiology (D.M.M., J.P., A.P.C., D.J.M.), Department of Medical Imaging, University Health Network and the University of Toronto, Toronto, Canada
| | - Joseph A. Fisher
- From the Department of Anesthesia (J.S.H., J.A.F.), University of Toronto and University Health Network, Toronto, Canada; the Department of Physiology (J.S.H., J.A.F., M.T.), University of Toronto, Toronto, Canada; the Division of Neurosurgery (A.A., M.T.), Department of Surgery (M.T.), University Health Network, Toronto, Canada; and the Division of Neuroradiology (D.M.M., J.P., A.P.C., D.J.M.), Department of Medical Imaging, University Health Network and the University of Toronto, Toronto, Canada
| | - David J. Mikulis
- From the Department of Anesthesia (J.S.H., J.A.F.), University of Toronto and University Health Network, Toronto, Canada; the Department of Physiology (J.S.H., J.A.F., M.T.), University of Toronto, Toronto, Canada; the Division of Neurosurgery (A.A., M.T.), Department of Surgery (M.T.), University Health Network, Toronto, Canada; and the Division of Neuroradiology (D.M.M., J.P., A.P.C., D.J.M.), Department of Medical Imaging, University Health Network and the University of Toronto, Toronto, Canada
| | - Michael Tymianski
- From the Department of Anesthesia (J.S.H., J.A.F.), University of Toronto and University Health Network, Toronto, Canada; the Department of Physiology (J.S.H., J.A.F., M.T.), University of Toronto, Toronto, Canada; the Division of Neurosurgery (A.A., M.T.), Department of Surgery (M.T.), University Health Network, Toronto, Canada; and the Division of Neuroradiology (D.M.M., J.P., A.P.C., D.J.M.), Department of Medical Imaging, University Health Network and the University of Toronto, Toronto, Canada
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