Three-dimensional CT angiography in the evaluation of cerebral arteries in acute hemorrhage

K V Rajagopal1, B N Lakhkar, D K Acharya

  • 1Department of Radio Diagnosis & Imaging, Kasturba Medical College, Manipal 576-119, Karnataka, India.

Neurology India
|October 23, 2003
PubMed

Insights

Three-dimensional CT angiography (3D CTA) effectively detects cerebral aneurysms with high sensitivity and specificity. This non-invasive imaging technique aids in identifying aneurysm origin and neck, proving valuable for diagnosis.

Area of Science:

  • Neuroradiology
  • Medical Imaging

Background:

  • Cerebral aneurysms pose a significant risk for subarachnoid hemorrhage.
  • Accurate detection and characterization are crucial for effective treatment planning.

Purpose of the Study:

  • To evaluate the diagnostic value of non-invasive three-dimensional CT angiography (3D CTA) for detecting cerebral aneurysms.

Main Methods:

  • Helical CT acquisition with non-ionic contrast in 50 patients.
  • Maximum Intensity Projection (MIP) reconstruction for 3D CTA.
  • Comparison with digital subtraction angiography (DSA) in 14 patients.

Main Results:

  • 3D CTA detected 38 out of 39 aneurysms (97.4% detection rate).
  • High specificity (100%) and sensitivity (97.2%) for aneurysm detection.
  • Accurate visualization of aneurysm origin and neck in most cases (97%).

Conclusions:

  • 3D CTA is a simple, quick, and non-invasive method for cerebral aneurysm detection.
  • It can replace DSA in many cases, particularly for aneurysms in the circle of Willis.
  • Provides clear depiction of aneurysm relation to bony landmarks.
Abstract

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