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Quantitative color-coded digital subtraction neuroangiography for pediatric arteriovenous shunting lesions

Grace M Y Ma1, Adam A Dmytriw2,3, Premal A Patel4,5

  • 1Image Guided Therapy, Department of Diagnostic Imaging, Department of Medical Imaging, Hospital for Sick Children, University of Toronto, 555 University Ave, Toronto, ON, M5S, Canada. gracemy.ma@gmail.com.

Child'S Nervous System : Chns : Official Journal of the International Society for Pediatric Neurosurgery
|July 8, 2019
PubMed

Insights

Quantitative color-coded digital subtraction angiography (qDSA) offers valuable real-time data for treating complex pediatric neurovascular conditions. This technique aids in planning and optimizing endovascular treatments for high-flow arteriovenous shunts in children.

Area of Science:

  • Pediatric neuroendovascular surgery
  • Medical imaging techniques

Background:

  • Pediatric neurovascular conditions present unique challenges for endovascular treatment.
  • Minimizing radiation and contrast exposure is crucial in pediatric patients.
  • High-flow arteriovenous shunts in infants are difficult to assess with standard methods.

Observation:

  • This report details the use of quantitative color-coded digital subtraction angiography (qDSA) in pediatric neuroendovascular procedures.
  • Representative cases illustrate the application of qDSA for high-flow arteriovenous shunting lesions.
  • Siemens ArtisQ biplane system and Syngo iFlow module were utilized for image acquisition and processing.

Findings:

  • Color-coded qDSA provides real-time quantitative insights into high-flow arteriovenous neurovascular lesions.
  • The technique generates color-coded maps from digital subtraction angiography runs.
  • This quantitative data is essential for informed clinical decision-making.

Implications:

  • qDSA can guide treatment selection and optimize endovascular protocols in pediatric neurovascular cases.
  • The method allows for effective outcome monitoring and determination of treatment endpoints.
  • This advanced imaging approach holds significant potential for improving pediatric neuroendovascular care.
Abstract

Keywords:
ArteriovenousChildrenDigital subtraction angiographyQuantitativeiFlow

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