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Published on: June 2, 2015
Three-dimensional MR digital subtraction angiography using parallel imaging and keyhole data sampling in
Kazuhiro Tsuchiya1, Chinatsu Aoki, Akira Fujikawa
1Department of Radiology, Kyorin University School of Medicine, 6-20-2, Shinkawa, Mitaka, Tokyo, 181-8611, Japan. tsuchiyak-kyr@umin.ac.jp
Insights
This study shows Magnetic Resonance digital subtraction angiography (MR DSA) is a feasible technique for diagnosing cerebrovascular diseases, providing both anatomical and hemodynamic information.
Area of Science:
- Neuroradiology
- Medical Imaging
- Cardiovascular Diseases
Background:
- Cerebrovascular diseases (CVDs) require accurate diagnostic imaging.
- Conventional angiography has limitations in visualizing complex hemodynamics.
- Magnetic Resonance Angiography (MRA) offers non-invasive anatomical assessment.
Purpose of the Study:
- To evaluate the feasibility of MR digital subtraction angiography (DSA) for diagnosing various cerebrovascular diseases.
- To assess the capability of MR DSA in depicting both anatomical structures and hemodynamic information.
- To compare the diagnostic performance of MR DSA with conventional angiography and MRA.
Main Methods:
- MR digital subtraction angiography (DSA) was performed using parallel imaging and keyhole data sampling.
- The technique was applied to 11 patients with diverse cerebrovascular conditions.
- Image quality and diagnostic information were compared with conventional angiograms and standard MRA.
Main Results:
- MR DSA successfully visualized anatomical features in 10 out of 11 patients, comparable to MRA.
- The technique captured hemodynamic information, including collateral flow, with a temporal resolution of 1.68 s/frame.
- Conventional angiography revealed missed details in 4 patients, highlighting limitations in complex cases.
Conclusions:
- MR DSA is a feasible technique for the diagnosis of cerebrovascular diseases.
- It offers valuable combined anatomical and hemodynamic insights, complementing conventional methods.
- While not superior to conventional angiography in all aspects, MR DSA provides crucial functional information.
Abstract:
We assessed the feasibility of MR digital subtraction angiography (DSA) using parallel imaging and keyhole data sampling in the diagnosis of cerebrovascular diseases (CVDs) in 11 patients. Their diseases included arterial trunk stenosis/occlusion ( n=4), aneurysm ( n=3), arteriovenous malformation ( n=2), venous angioma ( n=1), and sinus thrombosis ( n=1). The technique depicted not only anatomical features, comparably to MR angiography ( n=10/11), but also hemodynamics such as collateral flow at a temporal resolution of 1.68 s/frame. When compared with conventional angiograms ( n=7), details were missed in four patients (incomplete demonstration of aneurysmal neck in two and poor separation of AVM components in two). Although inferior to conventional angiography, this technique can provide both anatomical and hemodynamic information of CVDs.
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