Vessel-selective 4D-MR angiography using super-selective pseudo-continuous arterial spin labeling may be a useful tool for assessing brain AVM hemodynamics.
Adolescent
Adult
Aged
Angiography, Digital Subtraction
/ methods
Brain
/ blood supply
Child
Female
Hemodynamics
/ physiology
Humans
Image Interpretation, Computer-Assisted
/ methods
Imaging, Three-Dimensional
/ methods
Intracranial Arteriovenous Malformations
/ diagnostic imaging
Magnetic Resonance Angiography
/ methods
Male
Middle Aged
Retrospective Studies
Sensitivity and Specificity
Spin Labels
Young Adult
Arteriovenous malformations
Brain
Magnetic resonance angiography
Magnetic resonance imaging
Journal
European radiology
ISSN: 1432-1084
Titre abrégé: Eur Radiol
Pays: Germany
ID NLM: 9114774
Informations de publication
Date de publication:
Dec 2020
Dec 2020
Historique:
received:
14
01
2020
accepted:
30
06
2020
revised:
04
04
2020
pubmed:
23
7
2020
medline:
1
4
2021
entrez:
23
7
2020
Statut:
ppublish
Résumé
To evaluate the usefulness of 4D-MR angiography based on super-selective pseudo-continuous ASL combined with keyhole and view-sharing (4D-S-PACK) for vessel-selective visualization and to examine the ability of this technique to visualize brain arteriovenous malformations (AVMs). In this retrospective study, 15 patients (ten men and five women, mean age 44.0 ± 16.9 years) with brain AVMs were enrolled. All patients were imaged with 4D-PACK (non-selective), 4D-S-PACK, and digital subtraction angiography (DSA). Observers evaluated vessel selectivity, identification of feeding arteries and venous drainage patterns, visualization scores, and contrast-to-noise ratio (CNR) for each AVM component. Measurements were compared between the MR methods. Vessel selectivity was graded 4 in 43/45 (95.6%, observer 1) and 42/45 (93.3%, observer 2) territories and graded 3 in two (observer 1) and three (observer 2) territories. The sensitivity and specificity for identification of feeding arteries for both observers was 88.9% and 100% on 4D-PACK, and 100% and 100% on 4D-S-PACK, respectively. For venous drainage, the sensitivity and specificity was 100% on both methods for observer 1. The sensitivity and specificity for observer 2 was 94.4% and 83.3% on 4D-PACK, and 94.4% and 91.7% on 4D-S-PACK, respectively. The CNRs at the timepoint of 1600 ms were slightly lower in 4D-S-PACK than in 4D-PACK for all AVM components (Feeding artery, p = .02; nidus, p = .001; and draining artery, p = .02). The visualization scores for both observers were not significantly different between 4D-PACK and 4D-S-PACK for all components. 4D-S-PACK could be a useful non-invasive clinical tool for assessing hemodynamics in brain AVMs. • The 4D-MR angiography based on super-selective pseudo-continuous arterial spin labeling combined with CENTRA-keyhole and view-sharing (4D-S-PACK) enabled excellent vessel selectivity. • The 4D-S-PACK enabled the perfect identification of feeding arteries of brain arteriovenous malformation (AVM). • 4D-S-PACK could be a non-invasive clinical tool for assessing hemodynamics in brain AVMs.
Identifiants
pubmed: 32696254
doi: 10.1007/s00330-020-07057-4
pii: 10.1007/s00330-020-07057-4
doi:
Substances chimiques
Spin Labels
0
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
6452-6463Subventions
Organisme : Japan Society for the Promotion of Science
ID : JP17K10410
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