Outer-diameter narrowing of the internal carotid and middle cerebral arteries in moyamoya disease detected on 3D constructive interference in steady-state MR image: is arterial constrictive remodeling a major pathogenesis?

Background To obtain information on affected vessels in moyamoya disease (MMD), we analyzed the vascular morphological characteristics of MMD using three-dimensional (3D) constructive interference in steady-state (CISS) magnetic resonance imaging (MRI). Methods The population of this 3D-CISS MRI stu...

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Veröffentlicht in:Acta neurochirurgica 2012-12, Vol.154 (12), p.2151-2157
Hauptverfasser: Kaku, Yasuyuki, Morioka, Motohiro, Ohmori, Yuki, Kawano, Takayuki, Kai, Yutaka, Fukuoka, Hirofumi, Hirai, Toshinori, Yamashita, Yasuyuki, Kuratsu, Jun-ichi
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container_issue 12
container_start_page 2151
container_title Acta neurochirurgica
container_volume 154
creator Kaku, Yasuyuki
Morioka, Motohiro
Ohmori, Yuki
Kawano, Takayuki
Kai, Yutaka
Fukuoka, Hirofumi
Hirai, Toshinori
Yamashita, Yasuyuki
Kuratsu, Jun-ichi
description Background To obtain information on affected vessels in moyamoya disease (MMD), we analyzed the vascular morphological characteristics of MMD using three-dimensional (3D) constructive interference in steady-state (CISS) magnetic resonance imaging (MRI). Methods The population of this 3D-CISS MRI study consisted of 51 patients with MMD: 16 patients with atherosclerotic middle cerebral artery (MCA) stenosis or occlusion, 42 MRI control patients, and 28 control digital subtraction angiography (DSA) patients. We measured the outer diameters of the terminal portion of the internal carotid artery (ICA) and the proximal portion of the MCA (M1 portion). We evaluated the inner diameter as the relative value (%) obtained from magnified DSA images and analyzed these data. Results The outer diameters of the ICA and M1 portions were significantly smaller in the MMD group than in the other two groups, while the M1 outer diameter of the atherosclerosis group was not significantly different compared to the control (ICA: MMD, 2.61 ± 0.46 mm vs. control, 4.04 ± 0.50 mm and M1: MMD, 1.92 ± 0.43 mm vs. control, 3.34 ± 0.54 mm vs. atherosclerosis, 3.45 ± 0.56 mm). Furthermore, in MMD patients, the outer diameter was unrelated to the progression of the luminal stenosis grade estimated by DSA. Conclusions This is the first report that the outer diameters of both the ICA and M1 decrease in MMD patients. Our findings suggest that the vascular constrictive changes of the affected arteries are an important phenomenon reflecting MMD pathology.
doi_str_mv 10.1007/s00701-012-1472-4
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Methods The population of this 3D-CISS MRI study consisted of 51 patients with MMD: 16 patients with atherosclerotic middle cerebral artery (MCA) stenosis or occlusion, 42 MRI control patients, and 28 control digital subtraction angiography (DSA) patients. We measured the outer diameters of the terminal portion of the internal carotid artery (ICA) and the proximal portion of the MCA (M1 portion). We evaluated the inner diameter as the relative value (%) obtained from magnified DSA images and analyzed these data. Results The outer diameters of the ICA and M1 portions were significantly smaller in the MMD group than in the other two groups, while the M1 outer diameter of the atherosclerosis group was not significantly different compared to the control (ICA: MMD, 2.61 ± 0.46 mm vs. control, 4.04 ± 0.50 mm and M1: MMD, 1.92 ± 0.43 mm vs. control, 3.34 ± 0.54 mm vs. atherosclerosis, 3.45 ± 0.56 mm). Furthermore, in MMD patients, the outer diameter was unrelated to the progression of the luminal stenosis grade estimated by DSA. Conclusions This is the first report that the outer diameters of both the ICA and M1 decrease in MMD patients. Our findings suggest that the vascular constrictive changes of the affected arteries are an important phenomenon reflecting MMD pathology.</description><identifier>ISSN: 0001-6268</identifier><identifier>EISSN: 0942-0940</identifier><identifier>DOI: 10.1007/s00701-012-1472-4</identifier><identifier>PMID: 22935819</identifier><language>eng</language><publisher>Vienna: Springer Vienna</publisher><subject>Adolescent ; Adult ; Angiography ; Angiography, Digital Subtraction - methods ; Arteriosclerosis ; Carotid artery ; Carotid Artery, Internal - diagnostic imaging ; Carotid Artery, Internal - pathology ; Cerebral blood flow ; Clinical Article ; Constriction, Pathologic - diagnostic imaging ; Constriction, Pathologic - pathology ; Data processing ; Diagnostic Imaging - methods ; Female ; Humans ; Imaging, Three-Dimensional ; Interventional Radiology ; Ischemia ; Magnetic Resonance Angiography - methods ; Magnetic resonance imaging ; Male ; Medicine ; Medicine &amp; Public Health ; Middle Cerebral Artery - diagnostic imaging ; Middle Cerebral Artery - pathology ; Minimally Invasive Surgery ; Moyamoya disease ; Moyamoya Disease - diagnostic imaging ; Moyamoya Disease - pathology ; Neurology ; Neuroradiology ; Neurosurgery ; Stenosis ; Surgical Orthopedics ; Young Adult</subject><ispartof>Acta neurochirurgica, 2012-12, Vol.154 (12), p.2151-2157</ispartof><rights>Springer-Verlag 2012</rights><rights>Springer-Verlag Wien 2012</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c471t-8864a63069d13d0be7a061ecf87a6562f4eb4b70dee4f27aec76cb3c077dce0c3</citedby><cites>FETCH-LOGICAL-c471t-8864a63069d13d0be7a061ecf87a6562f4eb4b70dee4f27aec76cb3c077dce0c3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00701-012-1472-4$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00701-012-1472-4$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>315,781,785,27929,27930,41493,42562,51324</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/22935819$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kaku, Yasuyuki</creatorcontrib><creatorcontrib>Morioka, Motohiro</creatorcontrib><creatorcontrib>Ohmori, Yuki</creatorcontrib><creatorcontrib>Kawano, Takayuki</creatorcontrib><creatorcontrib>Kai, Yutaka</creatorcontrib><creatorcontrib>Fukuoka, Hirofumi</creatorcontrib><creatorcontrib>Hirai, Toshinori</creatorcontrib><creatorcontrib>Yamashita, Yasuyuki</creatorcontrib><creatorcontrib>Kuratsu, Jun-ichi</creatorcontrib><title>Outer-diameter narrowing of the internal carotid and middle cerebral arteries in moyamoya disease detected on 3D constructive interference in steady-state MR image: is arterial constrictive remodeling a major pathogenesis?</title><title>Acta neurochirurgica</title><addtitle>Acta Neurochir</addtitle><addtitle>Acta Neurochir (Wien)</addtitle><description>Background To obtain information on affected vessels in moyamoya disease (MMD), we analyzed the vascular morphological characteristics of MMD using three-dimensional (3D) constructive interference in steady-state (CISS) magnetic resonance imaging (MRI). Methods The population of this 3D-CISS MRI study consisted of 51 patients with MMD: 16 patients with atherosclerotic middle cerebral artery (MCA) stenosis or occlusion, 42 MRI control patients, and 28 control digital subtraction angiography (DSA) patients. We measured the outer diameters of the terminal portion of the internal carotid artery (ICA) and the proximal portion of the MCA (M1 portion). We evaluated the inner diameter as the relative value (%) obtained from magnified DSA images and analyzed these data. Results The outer diameters of the ICA and M1 portions were significantly smaller in the MMD group than in the other two groups, while the M1 outer diameter of the atherosclerosis group was not significantly different compared to the control (ICA: MMD, 2.61 ± 0.46 mm vs. control, 4.04 ± 0.50 mm and M1: MMD, 1.92 ± 0.43 mm vs. control, 3.34 ± 0.54 mm vs. atherosclerosis, 3.45 ± 0.56 mm). Furthermore, in MMD patients, the outer diameter was unrelated to the progression of the luminal stenosis grade estimated by DSA. Conclusions This is the first report that the outer diameters of both the ICA and M1 decrease in MMD patients. 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Public Health</topic><topic>Middle Cerebral Artery - diagnostic imaging</topic><topic>Middle Cerebral Artery - pathology</topic><topic>Minimally Invasive Surgery</topic><topic>Moyamoya disease</topic><topic>Moyamoya Disease - diagnostic imaging</topic><topic>Moyamoya Disease - pathology</topic><topic>Neurology</topic><topic>Neuroradiology</topic><topic>Neurosurgery</topic><topic>Stenosis</topic><topic>Surgical Orthopedics</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kaku, Yasuyuki</creatorcontrib><creatorcontrib>Morioka, Motohiro</creatorcontrib><creatorcontrib>Ohmori, Yuki</creatorcontrib><creatorcontrib>Kawano, Takayuki</creatorcontrib><creatorcontrib>Kai, Yutaka</creatorcontrib><creatorcontrib>Fukuoka, Hirofumi</creatorcontrib><creatorcontrib>Hirai, Toshinori</creatorcontrib><creatorcontrib>Yamashita, Yasuyuki</creatorcontrib><creatorcontrib>Kuratsu, Jun-ichi</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Neurosciences Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>Health &amp; 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Methods The population of this 3D-CISS MRI study consisted of 51 patients with MMD: 16 patients with atherosclerotic middle cerebral artery (MCA) stenosis or occlusion, 42 MRI control patients, and 28 control digital subtraction angiography (DSA) patients. We measured the outer diameters of the terminal portion of the internal carotid artery (ICA) and the proximal portion of the MCA (M1 portion). We evaluated the inner diameter as the relative value (%) obtained from magnified DSA images and analyzed these data. Results The outer diameters of the ICA and M1 portions were significantly smaller in the MMD group than in the other two groups, while the M1 outer diameter of the atherosclerosis group was not significantly different compared to the control (ICA: MMD, 2.61 ± 0.46 mm vs. control, 4.04 ± 0.50 mm and M1: MMD, 1.92 ± 0.43 mm vs. control, 3.34 ± 0.54 mm vs. atherosclerosis, 3.45 ± 0.56 mm). Furthermore, in MMD patients, the outer diameter was unrelated to the progression of the luminal stenosis grade estimated by DSA. Conclusions This is the first report that the outer diameters of both the ICA and M1 decrease in MMD patients. Our findings suggest that the vascular constrictive changes of the affected arteries are an important phenomenon reflecting MMD pathology.</abstract><cop>Vienna</cop><pub>Springer Vienna</pub><pmid>22935819</pmid><doi>10.1007/s00701-012-1472-4</doi><tpages>7</tpages></addata></record>
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subjects Adolescent
Adult
Angiography
Angiography, Digital Subtraction - methods
Arteriosclerosis
Carotid artery
Carotid Artery, Internal - diagnostic imaging
Carotid Artery, Internal - pathology
Cerebral blood flow
Clinical Article
Constriction, Pathologic - diagnostic imaging
Constriction, Pathologic - pathology
Data processing
Diagnostic Imaging - methods
Female
Humans
Imaging, Three-Dimensional
Interventional Radiology
Ischemia
Magnetic Resonance Angiography - methods
Magnetic resonance imaging
Male
Medicine
Medicine & Public Health
Middle Cerebral Artery - diagnostic imaging
Middle Cerebral Artery - pathology
Minimally Invasive Surgery
Moyamoya disease
Moyamoya Disease - diagnostic imaging
Moyamoya Disease - pathology
Neurology
Neuroradiology
Neurosurgery
Stenosis
Surgical Orthopedics
Young Adult
title Outer-diameter narrowing of the internal carotid and middle cerebral arteries in moyamoya disease detected on 3D constructive interference in steady-state MR image: is arterial constrictive remodeling a major pathogenesis?
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