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State of the Art Cranial Ultrasound Imaging in Neonates
Published on: February 2, 2015
Image findings in brain developmental venous anomalies
1Department of Neurosurgery, Seoul Paik Hospital, Inje University College of Medicine, Seoul, Korea.
Journal of Cerebrovascular and Endovascular Neurosurgery
|December 5, 2012
Summary
Developmental venous anomalies (DVAs) are incidental findings. Contrast-enhanced MRI and CT angiography effectively visualize DVAs, while MRA is less reliable for identifying these venous malformations.
Area of Science:
- Neuroradiology
- Vascular Neurology
- Medical Imaging
Background:
- Developmental venous anomalies (DVAs) are common, benign vascular malformations.
- DVAs are typically discovered incidentally during neuroimaging studies.
- Accurate radiological characterization is essential for understanding DVA anatomy and management.
Purpose of the Study:
- To describe the radiological findings of DVAs.
- To evaluate the effectiveness of various neuroimaging modalities in visualizing DVAs.
- To compare the diagnostic utility of MRI, CT, MRA, and TFCA for DVA detection.
Main Methods:
- Retrospective review of 1899 patients with brain DVAs.
- Analysis of magnetic resonance imaging (MRI) with contrast enhancement.
- Review of computed tomography (CT), magnetic resonance angiography (MRA), CT angiography, and transfemoral cerebral angiography (TFCA) findings.
Main Results:
- Thirty-two DVAs were identified in 31 patients (1.63%).
- Contrast-enhanced MRI provided excellent resolution of DVAs.
- CT angiography demonstrated good visualization of DVAs, while MRA failed to identify them.
Conclusions:
- Contrast-enhanced MRI and CT angiography are superior for detailed DVA imaging.
- MRA is not recommended for DVA detection.
- Enhanced CT effectively visualizes the draining vein of DVAs.
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