Korean Journal of Radiology

The Korean Society of Radiology (대한영상의학회)
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Time-Resolved 3D Contrast-Enhanced MRA on 3.0T: a Non-Invasive Follow-Up Technique after Stent-Assisted Coil Embolization of the Intracranial Aneurysm

  • Choi, Jin-Woo (Department of Radiology, Konkuk University School of Medicine) ;
  • Roh, Hong-Gee (Department of Radiology, Konkuk University School of Medicine) ;
  • Moon, Won-Jin (Department of Radiology, Konkuk University School of Medicine) ;
  • Kim, Na-Ra (Department of Radiology, Konkuk University School of Medicine) ;
  • Moon, Sung-Gyu (Department of Radiology, Konkuk University School of Medicine) ;
  • Kang, Chung-Hwan (Department of Radiology, Konkuk University School of Medicine) ;
  • Chun, Young-Il (Department of Neurosurgery, Konkuk University School of Medicine) ;
  • Kang, Hyun-Seung (Department of Neurosurgery, Konkuk University School of Medicine)
  • Published : 2011.12.01
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Abstract

Objective: To evaluate the usefulness of time-resolved contrast enhanced magnetic resonance angiography (4D MRA) after stent-assisted coil embolization by comparing it with time of flight (TOF)-MRA. Materials and Methods: TOF-MRA and 4D MRA were obtained by 3T MRI in 26 patients treated with stent-assisted coil embolization (Enterprise:Neuroform = 7:19). The qualities of the MRA were rated on a graded scale of 0 to 4. We classified completeness of endovascular treatment into three categories. The degree of quality of visualization of the stented artery was compared between TOF and 4D MRA by the Wilcoxon signed rank test. We used the Mann-Whitney U test for comparing the quality of the visualization of the stented artery according to the stent type in each MRA method. Results: The quality in terms of the visualization of the stented arteries in 4D MRA was significantly superior to that in 3D TOF-MRA, regardless of type of the stent (p < 0.001). The quality of the arteries which were stented with Neuroform was superior to that of the arteries stented with Enterprise in 3D TOF (p < 0.001) and 4D MRA (p = 0.008), respectively. Conclusion: 4D MRA provides a higher quality view of the stented parent arteries when compared with TOF.

Keywords

References

  1. Molyneux AJ, Kerr RS, Birks J, Ramzi N, Yarnold J, Sneade M, et al. Risk of recurrent subarachnoid haemorrhage, death, or dependence and standardised mortality ratios after clipping or coiling of an intracranial aneurysm in the International Subarachnoid Aneurysm Trial (ISAT): long-term follow-up. Lancet Neurol 2009;8:427-433 https://doi.org/10.1016/S1474-4422(09)70080-8
  2. Wiebers DO, Whisnant JP, Huston J 3rd, Meissner I, Brown RD Jr, Piepgras DG, et al. Unruptured intracranial aneurysms: natural history, clinical outcome, and risks of surgical and endovascular treatment. Lancet 2003;362:103-110 https://doi.org/10.1016/S0140-6736(03)13860-3
  3. Jabbour PM, Tjoumakaris SI, Rosenwasser RH. Endovascular management of intracranial aneurysms. Neurosurg Clin N Am 2009;20:383-398 https://doi.org/10.1016/j.nec.2009.07.003
  4. Hwang JH, Roh HG, Chun YI, Kang HS, Choi JW, Moon WJ, et al. Endovascular coil embolization of very small intracranial aneurysms. Neuroradiology 2011;53:349-357 https://doi.org/10.1007/s00234-010-0735-0
  5. Chae KS, Jeon P, Kim KH, Kim ST, Kim HJ, Byun HS. Endovascular coil embolization of very small intracranial aneurysms. Korean J Radiol 2010;11:536-541 https://doi.org/10.3348/kjr.2010.11.5.536
  6. Tahtinen OI, Vanninen RL, Manninen HI, Rautio R, Haapanen A, Niskakangas T, et al. Wide-necked intracranial aneurysms: treatment with stent-assisted coil embolization during acute (<72 hours) subarachnoid hemorrhage--experience in 61 consecutive patients. Radiology 2009;253:199-208 https://doi.org/10.1148/radiol.2531081923
  7. Fiorella D, Albuquerque FC, Deshmukh VR, McDougall CG. Usefulness of the Neuroform stent for the treatment of cerebral aneurysms: results at initial (3-6-mo) follow-up. Neurosurgery 2005;56:1191-1201; discussion 1201-1192 https://doi.org/10.1227/01.NEU.0000159645.86823.AF
  8. Siddiqui MA, J JB, Lindsay KW, Jenkins S. Horizontal stentassisted coil embolisation of wide-necked intracranial aneurysms with the Enterprise stent--a case series with early angiographic follow-up. Neuroradiology 2009;51:411-418 https://doi.org/10.1007/s00234-009-0517-8
  9. Kaufmann TJ, Huston J 3rd, Mandrekar JN, Schleck CD, Thielen KR, Kallmes DF. Complications of diagnostic cerebral angiography: evaluation of 19,826 consecutive patients. Radiology 2007;243:812-819 https://doi.org/10.1148/radiol.2433060536
  10. Schaafsma JD, Velthuis BK, Majoie CB, van den Berg R, Brouwer PA, Barkhof F, et al. Intracranial aneurysms treated with coil placement: test characteristics of follow-up MR angiography--multicenter study. Radiology 2010;256:209-218 https://doi.org/10.1148/radiol.10091528
  11. Anzalone N, Scomazzoni F, Cirillo M, Righi C, Simionato F, Cadioli M, et al. Follow-up of coiled cerebral aneurysms at 3T: comparison of 3D time-of-flight MR angiography and contrast-enhanced MR angiography. AJNR Am J Neuroradiol 2008;29:1530-1536 https://doi.org/10.3174/ajnr.A1166
  12. Kwee TC, Kwee RM. MR angiography in the follow-up of intracranial aneurysms treated with Guglielmi detachable coils: systematic review and meta-analysis. Neuroradiology 2007;49:703-713 https://doi.org/10.1007/s00234-007-0266-5
  13. Majoie CB, Sprengers ME, van Rooij WJ, Lavini C, Sluzewski M, van Rijn JC, et al. MR angiography at 3T versus digital subtraction angiography in the follow-up of intracranial aneurysms treated with detachable coils. AJNR Am J Neuroradiol 2005;26:1349-1356
  14. Pierot L, Delcourt C, Bouquigny F, Breidt D, Feuillet B, Lanoix O, et al. Follow-up of intracranial aneurysms selectively treated with coils: Prospective evaluation of contrast-enhanced MR angiography. AJNR Am J Neuroradiol 2006;27:744-749
  15. Ramgren B, Siemund R, Cronqvist M, Undren P, Nilsson OG, Holtas S, et al. Follow-up of intracranial aneurysms treated with detachable coils: comparison of 3D inflow MRA at 3T and 1.5T and contrast-enhanced MRA at 3T with DSA. Neuroradiology 2008;50:947-954 https://doi.org/10.1007/s00234-008-0429-z
  16. Sprengers ME, Schaafsma JD, van Rooij WJ, van den Berg R, Rinkel GJ, Akkerman EM, et al. Evaluation of the occlusion status of coiled intracranial aneurysms with MR angiography at 3T: is contrast enhancement necessary? AJNR Am J Neuroradiol 2009;30:1665-1671 https://doi.org/10.3174/ajnr.A1678
  17. Yamada N, Hayashi K, Murao K, Higashi M, Iihara K. Timeof- flight MR angiography targeted to coiled intracranial aneurysms is more sensitive to residual flow than is digital subtraction angiography. AJNR Am J Neuroradiol 2004;25:1154-1157
  18. Wall A, Kugel H, Bachman R, Matuszewski L, Kramer S, Heindel W, et al. 3.0 T vs. 1.5 T MR angiography: in vitro comparison of intravascular stent artifacts. J Magn Reson Imaging 2005;22:772-779 https://doi.org/10.1002/jmri.20445
  19. Wang Y, Truong TN, Yen C, Bilecen D, Watts R, Trost DW, et al. Quantitative evaluation of susceptibility and shielding effects of nitinol, platinum, cobalt-alloy, and stainless steel stents. Magn Reson Med 2003;49:972-976 https://doi.org/10.1002/mrm.10450
  20. Wallace RC, Karis JP, Partovi S, Fiorella D. Noninvasive imaging of treated cerebral aneurysms, part I: MR angiographic follow-up of coiled aneurysms. AJNR Am J Neuroradiol 2007;28:1001-1008 https://doi.org/10.3174/ajnr.A0662
  21. Cashen TA, Carr JC, Shin W, Walker MT, Futterer SF, Shaibani A, et al. Intracranial time-resolved contrast-enhanced MR angiography at 3T. AJNR Am J Neuroradiol 2006;27:822-829
  22. Farb RI, Agid R, Willinsky RA, Johnstone DM, Terbrugge KG. Cranial dural arteriovenous fistula: diagnosis and classification with time-resolved MR angiography at 3T. AJNR Am J Neuroradiol 2009;30:1546-1551 https://doi.org/10.3174/ajnr.A1646
  23. Lim RP, Shapiro M, Wang EY, Law M, Babb JS, Rueff LE, et al. 3D time-resolved MR angiography (MRA) of the carotid arteries with time-resolved imaging with stochastic trajectories: comparison with 3D contrast-enhanced Bolus-Chase MRA and 3D time-of-flight MRA. AJNR Am J Neuroradiol 2008;29:1847-1854 https://doi.org/10.3174/ajnr.A1252
  24. Meckel S, Mekle R, Taschner C, Haller S, Scheffler K, Radue EW, et al. Time-resolved 3D contrast-enhanced MRA with GRAPPA on a 1.5-T system for imaging of craniocervical vascular disease: initial experience. Neuroradiology 2006;48:291-299 https://doi.org/10.1007/s00234-006-0052-9
  25. Tsuchiya K, Honya K, Fujikawa A, Tateishi H, Shiokawa Y. Postoperative assessment of extracranial-intracranial bypass by time-resolved 3D contrast-enhanced MR angiography using parallel imaging. AJNR Am J Neuroradiol 2005;26:2243-2247
  26. Zou Z, Ma L, Cheng L, Cai Y, Meng X. Time-resolved contrastenhanced MR angiography of intracranial lesions. J Magn Reson Imaging 2008;27:692-699 https://doi.org/10.1002/jmri.21303
  27. Roy D, Milot G, Raymond J. Endovascular treatment of unruptured aneurysms. Stroke 2001;32:1998-2004 https://doi.org/10.1161/hs0901.095600
  28. Blum MB, Schmook M, Schernthaner R, Edelhauser G, Puchner S, Lammer J, et al. Quantification and detectability of instent stenosis with CT angiography and MR angiography in arterial stents in vitro. AJR Am J Roentgenol 2007;189:1238-1242 https://doi.org/10.2214/AJR.07.2501
  29. Lettau M, Sauer A, Heiland S, Rohde S, Bendszus M, Hahnel S. Carotid artery stents: in vitro comparison of different stent designs and sizes using CT angiography and contrastenhanced MR angiography at 1.5T and 3T. AJNR Am J Neuroradiol 2009;30:1993-1997 https://doi.org/10.3174/ajnr.A1743
  30. Klisch J, Eger C, Sychra V, Strasilla C, Basche S, Weber J. Stent-assisted coil embolization of posterior circulation aneurysms using solitaire ab: preliminary experience. Neurosurgery 2009;65:258-266; discussion 266 https://doi.org/10.1227/01.NEU.0000348295.44970.C8
  31. Klisch J, Clajus C, Sychra V, Eger C, Strasilla C, Rosahl S, et al. Coil embolization of anterior circulation aneurysms supported by the Solitaire AB Neurovascular Remodeling Device. Neuroradiology 2010;52:349-359 https://doi.org/10.1007/s00234-009-0568-x

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