Concordance of Time-of-Flight MRA and Digital Subtraction Angiography in Adult Primary Central Nervous System Vasculitis

Boysson, Hubert de; Boulouis, Grégoire; Parienti, Jean‐Jacques; Touzé, Emmanuel; Zuber, Mathieu; Arquizan, Caroline; Dequatre, Nelly; Detante, Olivier; Bienvenu, Boris; Aouba, Achille; Guillevin, Loı̈c; Pagnoux, Christian; Naggara, Olivier

doi:10.3174/ajnr.a5300

Cited by 18 publications

(12 citation statements)

References 23 publications

(19 reference statements)

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“…Similarly, a previous literature found 3D TOF MRA could be alternative tool to cDSA for follow-up of coiled intracranial aneurysms. 8 9 The precise diagnosis of 3D TOF MRA was related to the size of the aneurysm. 3D TOF MRA had limitation to detect the small aneurysm (≤3 mm) from several literature.…”

Section: Discussionmentioning

confidence: 99%

Detection and Measurement of Intracranial Aneurysm Compared between Magnetic Resonance Intracranial Black Blood Vessel Imaging and Gold Standard Cerebral Digital Subtraction Angiography

Songsaeng

Sakarunchai

Mongkolnaowarat

et al. 2020

JNRP

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Background Magnetic resonance intracranial black blood vessel imaging (MR-IBBVI) is a new noninvasive method for evaluating intracranial vessel wall pathology. No previous studies have investigated the efficacy of MR-IBBVI to determine aneurysm size. We aimed to identify the precise diagnosis of MR-IBBVI for the detection and measurement of intracranial aneurysm compared with gold standard cerebral digital subtraction angiography (cDSA). Materials and Methods The retrospective study collected patients of precoiled or postcoiled intracranial aneurysm who were treated at our institute from January 2012 to June 2019 and who had MR-IBBVI, cDSA imaging, and/or three-dimensional time-of-flight sequence of magnetic resonance angiography. The sensitivity and specificity of aneurysm detection by MR-IBBVI and the accuracy of MR-IBBVI for measuring the aneurysm and vessel size were calculated. Results One hundred and twenty patients (61% female) with 132 aneurysms were included into this study. The mean aneurysm size was 5.3 mm (range: 2.2–22.6). Sensitivity and specificity of MR-IBBVI to detect a small aneurysm were 98.74 and 91.21%, respectively. No statistically significant results were observed between MR-IBBVI and DSA for aneurysm detection or any of the evaluated measurement parameters. Conclusion MR-IBBVI is an accurate and highly sensitive method to detect and evaluate the size of an intracranial aneurysm both before and after coiling.

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Section: Discussionmentioning

confidence: 99%

Detection and Measurement of Intracranial Aneurysm Compared between Magnetic Resonance Intracranial Black Blood Vessel Imaging and Gold Standard Cerebral Digital Subtraction Angiography

Songsaeng

Sakarunchai

Mongkolnaowarat

et al. 2020

JNRP

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“…The BB technique shows the blood within vessels in black, enabling identification of the vessel lumen. 3D TOF angiography technique is helpful in the luminal vessel contour assessment and performed in 1.5 Tesla MRA is comparable to digital subtraction angiography [ 9 , 24 ]. MRI signs of vasculitis such as focal and longitudinal narrowing, vascular alternating narrowing and dilatation (VAND), and stenoses were identified and counted.…”

Section: Methodsmentioning

confidence: 99%

Vascular and Vasogenic Manifestations of Systemic ANCA-Associated Vasculitis with Renal Involvement in Non-Contrast Brain MRI in Patients with Acute Disease Onset

Lubas

Staszewski

Maliborski

et al. 2022

JCM

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Background. Data concerning central nervous system (CNS) alterations in ANCA-associated vasculitis with renal involvement (AAVR) are sparse. The study aimed to assess vascular and vasogenic brain alterations in patients with acute onset of AAVR and the applicability of non-contrast magnetic resonance imaging (MRI) techniques in this diagnosis. Methods. Thirty-eight patients with acute onset of AAVR were included in the study. BVAS/WG, c-ANCA, p-ANCA, renal function and perfusion, neurological assessment, and brain MRI were performed. Results. Cerebral vascular alternating narrowing and dilatation (VAND) was detected in 42.1% of patients, and the black-blood was significantly more diagnostic than the TOF technique (p < 0.001). VAND occurrence was independently associated with the concentration of p-ANCA. The vasogenic white matter lesions (VWML) were found in 94.4% of patients, and in their detection, SWAN was significantly better than the FLAIR technique (p = 0.002). The number of VWML correlated with age and cranial nerve damage. Hemosiderin deposits were found in 21.6% of patients and were associated with a gait impairment and paresthesia. Conclusions. Vascular and vasogenic alterations in the CNS are frequent in patients with acute onset of systemic ANCA-associated vasculitis with renal involvement. Non-contrast MRI is useful in the diagnosis of brain vasculitis.

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“…Накопление контраста при атеросклеротическом поражении коррелирует со степенью нестабильности бляшки. Вместе с тем в настоящее время не определены характерные МРТ-изменения, которые позволяют однозначно подтвердить диагноз первичного васкулита ЦНС с поражением мелких сосудов или исключить его и маскирующие заболевания [6,[18][19][20]. При биопсии мозговой и оболочечной ткани (церебральная и менингеальная биопсия) обнаруживаются явления трансмурального сосудистого воспаления, вовлекающего лептоменингеальные или паренхиматозные сосуды.…”

Section: рисунок 2 Dsa (A) и 3d-mрa в Tof-режиме (C) с соответствующunclassified

Поражение Центральной Нервной Системы При Васкулитах

Sorokin¹

2021

INJ

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ФГБОУ ВО «Ростовский государственный медицинский университет» Министерства здравоохранения Российской Федерации, г. Ростов-на-Дону, Россия Поражение центральной нервной системы при васкулитах Резюме. В статье представлена классификация васкулитов с поражением центральной нервной системы (ЦНС), их клинические проявления, критерии диагностики первичного васкулита ЦНС и методы лечения. Постановка диагноза первичного васкулита ЦНС требует прежде всего исключения вторичного характера поражения сосудов головного мозга. В ряде случаев возможны ситуации с возникновением необходимости пересмотра ранее выставленного диагноза. Описан клинический случай с возможным пересмотром ранее выставленного диагноза рассеянного склероза в пользу вторичного церебрального васкулита на фоне аутоиммунного тиреоидита.

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Concordance of Time-of-Flight MRA and Digital Subtraction Angiography in Adult Primary Central Nervous System Vasculitis

Cited by 18 publications

References 23 publications

Detection and Measurement of Intracranial Aneurysm Compared between Magnetic Resonance Intracranial Black Blood Vessel Imaging and Gold Standard Cerebral Digital Subtraction Angiography

Detection and Measurement of Intracranial Aneurysm Compared between Magnetic Resonance Intracranial Black Blood Vessel Imaging and Gold Standard Cerebral Digital Subtraction Angiography

Vascular and Vasogenic Manifestations of Systemic ANCA-Associated Vasculitis with Renal Involvement in Non-Contrast Brain MRI in Patients with Acute Disease Onset

Поражение Центральной Нервной Системы При Васкулитах

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