• Title/Summary/Keyword: MR angiography

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Persistent Trigeminal Artery Detected by Conventional Angiography and Magnetic Resonance Angiography

  • Kim, Myoung-Soo;Hur, Jin-Woo;Lee, Jong-Won;Lee, Hyun-Koo
    • Journal of Korean Neurosurgical Society
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    • v.37 no.2
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    • pp.101-104
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    • 2005
  • Objective: A persistent trigeminal artery (PTA) may be found incidentally on conventional cerebral angiography and magnetic resonance(MR) angiography. Our goal is to examine the course and relationships of the vessel to the surrounding structures. Methods: Cerebral angiography was performed in 494 patients and MRA in 880; the patients had or were suspected to have cerebrovascular disease. In the images, the incidence, origin, course, and relationships of the PTA were evaluated. Results: A PTA was found in two (0.4%) of the patients undergoing cerebral angiography and three (0.34%) receiving an MR angiography. In four patients, the PTA arose from the lateral part of the cavernous segment of the internal carotid artery, then passed caudally and around the base of the dorsum sellae. In the other patient, the PTA arose from the medial aspect of the siphon, and ascended sharply to pierce the dorsum sellae and join the basilar artery. In four cases, there was hypoplasia of a proximal basilar artery below the abnormal communication; the vessel was of increased diameter above the communication. Conclusion: Identification of a PTA with a trans-sellar course is crucial if trans-sphenoidal surgery is planned. Hypoplasia of a proximal basilar artery should not be mistaken for an acquired narrowing.

Usefulness of 3-Dimensional Gadolinium-enhanced MR Angiography for the Evaluation of Pedal Artery. : Comparison with digital subtraction angiography (족부혈관 평가에 있어서의 3차원 Gadolinium 조영증강 자기공명혈관조영술의 유용성 : 디지털 감산 혈관조영술과의 비교)

  • Ji, Youn-Sang;Lee, Bong-Jae
    • Journal of radiological science and technology
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    • v.24 no.2
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    • pp.23-28
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    • 2001
  • The purpose of this study is to compare the 3-dimensional MR angiography(MRA) with digital subtraction angiography(DSA) for the evaluation of pedal artery. MR angiography was performed using three-dimensional FISP acquisition before, and four sequential acquisitions after the injection of gadolinium(0.2 mmol/kg, 3 ml/sec). MRA was compared with DSA for a correct identification of the arterial segment. Out of 168 segments, 32 segmints were invisible in both MRA and DSA. At the level of ankle, 48 segments were visible in both examinations, and 18 segments were visible only in MRA. In the foot area, 34 segments were visible in MRA, but not in DSA. Three arterial segments were visible only in DSA. 3D MRA is comparable to DSA for the evaluation of pedal artery, thus it gives additional Information for the planning of treatment in lower extremity artery.

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The Evaluation of Carotid Artery Stenosis Using Spiral CT. (Spiral CT를 이용한 경동맥 질환의 평가)

  • Yoon, Hee-Suk;Hwang, Yun-Chean;Shin, Hyun-Kil;Beak, Cheon-Ki;Yoon, Suck-Min
    • Journal of radiological science and technology
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    • v.19 no.2
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    • pp.45-49
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    • 1996
  • To determine the utility of spiral computed tomography(CT) in the evaluation of carotid artery stenosis, spiral CT images of 10 patients were compared with both ones of conventional angiography and magnetic resonance(MR) angiography. The severeness of stenosis was determined for each Internal carotid artery on the basis of arterial narrowness : mild stenosis : 40 % or less, moderate stenosis = $40{\sim}70%$, severe stenosis = greater than 70 % of arterial narrowness. The short examination and clear depiction of the arterial lumen In areas of complex or low flow make CT angiography attractive alternative to MR angiography. Spiral CT angiography shows normal and abnormal carotid anatomy well when compared with conventional anglography.

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Transient Global Aphasia with Hemiparesis Following Cerebral Angiography : Relationship to Blood Brain Barrier Disruption

  • Kim, Dong-Ha;Choi, Chang-Hwa;Lee, Jung-Hwan;Lee, Jae-Il
    • Journal of Korean Neurosurgical Society
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    • v.48 no.6
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    • pp.524-527
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    • 2010
  • Temporary disruption of the blood-brain barrier (BBB) after cerebral angiography is presumably caused by nonionic radiographic contrast medium (CM). We hereby report a case of 58-year-old woman who developed decreased mentality, global aphasia and aggravated right hemiparesis after cerebral angiography. Brain CT examination demonstrated gyriform enhancement throughout the left cerebral cortex and thalamus. MR diffusion did not reveal acute infarction. MR angiography did not show any stenosis, spasm or occlusion at the major cerebral vessels. Follow-up CT scan after 1 day did not show any gyriform enhancement. Worsened neurologic signs and symptoms were improved completely after 7 days. In the present study, disruption of the BBB with contrast medium after angiography seems to be the causative factor of transient neurologic deterioration.

Review and Implementation of Magnetic Resonance Angiography (자기공명 혈관조영술의 고찰 및 구현)

  • Yi, Y.;Ryu, T.H.;Ju, H.Y.;Kim, S.S.;Kim, I.Y.;Lee, M.W.;Oh, C.H.;Ahn, C.B.;Lee, H.K.
    • Proceedings of the KOSOMBE Conference
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    • v.1997 no.05
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    • pp.223-226
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    • 1997
  • X-Ray Angiography has been gold standard for imaging of blood flow. However, patients have to take many risks such as catheterization procedure, iodine contrast agent and ionizing X-rays. MR Angiography has been suggested as a substitute for its non-hazard to patient. But the resolution and contrast was inferior to that of X-ray Angiography. Recently the resolution and the contrast have been much improved due to the development of fast imaging technique. Here we report some preliminary results of the MR Angiography we have implemented on 1 Tesla MRI unit.

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Development of Stereotactic Surgery system with CT, MR Imaging, and Angiography (컴퓨터 단층촬영, 자기공명영상, 뇌혈관촬영을 이용한 정위적 수술시스템의 개발)

  • Kim, S.H.;Suh, T.S.
    • Proceedings of the KOSOMBE Conference
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    • v.1998 no.11
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    • pp.117-118
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    • 1998
  • The aim of this work is to develop 3-D stereotactic localization system in order to determine the precise shape, size and location of the lesion in the brain in the field of Stereotactic Radiosurgery(SRS) and neurosurgery using CT/MRI/angiography and multi-purpose QA phantom. The algorithms to obtain a 3-D stereotactic coordinates of the target have been developed, and targets on each CT image were superimposed each other on MR/angiography images without distortion corretion. This system was implented in Visual C++ as a PC-based application program.

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