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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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 |
format | Article |
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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.</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 & 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. Our findings suggest that the vascular constrictive changes of the affected arteries are an important phenomenon reflecting MMD pathology.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Angiography</subject><subject>Angiography, Digital Subtraction - methods</subject><subject>Arteriosclerosis</subject><subject>Carotid artery</subject><subject>Carotid Artery, Internal - diagnostic imaging</subject><subject>Carotid Artery, Internal - pathology</subject><subject>Cerebral blood flow</subject><subject>Clinical Article</subject><subject>Constriction, Pathologic - diagnostic imaging</subject><subject>Constriction, Pathologic - pathology</subject><subject>Data processing</subject><subject>Diagnostic Imaging - methods</subject><subject>Female</subject><subject>Humans</subject><subject>Imaging, Three-Dimensional</subject><subject>Interventional Radiology</subject><subject>Ischemia</subject><subject>Magnetic Resonance Angiography - methods</subject><subject>Magnetic resonance imaging</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Cerebral Artery - diagnostic imaging</subject><subject>Middle Cerebral Artery - pathology</subject><subject>Minimally Invasive Surgery</subject><subject>Moyamoya disease</subject><subject>Moyamoya Disease - diagnostic imaging</subject><subject>Moyamoya Disease - pathology</subject><subject>Neurology</subject><subject>Neuroradiology</subject><subject>Neurosurgery</subject><subject>Stenosis</subject><subject>Surgical Orthopedics</subject><subject>Young Adult</subject><issn>0001-6268</issn><issn>0942-0940</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNqFks2KFDEQxxtR3HX1AbxIgRcvrUk6k3R7kWX9hJUF0XNTnVTPZuhO1iStzMv6LKZ3RhFBPCSpSv3qXyFVVfWYs-ecMf0ilY3xmnFRc6lFLe9Up6yToi4bu1tsVqJKqPakepDSrnhCy-Z-dSJE12xa3p1WP66WTLG2DmcqBniMMXx3fgthhHxN4Hy59jiBwRiys4DewuysnQgMRRpiiWEskKNUaJjDHtcF1iXCRGCLsMlkIXhoXoMJPuW4mOy-HdXHIuPN6kDKhHZfp4yZ4OMncDNu6SW4dCyxvuM23x3yI83B0rS-F2HGXYhwg_k6bMlTcunVw-reiFOiR8fzrPry9s3ni_f15dW7Dxfnl7WRmue6bZVE1TDVWd5YNpBGpjiZsdWoNkqMkgY5aGaJ5Cg0ktHKDI1hWltDzDRn1bOD7k0MXxdKuZ9dMjRN6Cksqedio7UqzWr_j3LdKiU7Lgv69C90F5a1GbcU24iOd7pQ_ECZGFKKNPY3sfxb3Pec9euc9Ic56Uv7-3VO-lX5yVF5GWayvzN-DUYBxAFIJeS3FP8o_U_Vn0qEzYo</recordid><startdate>20121201</startdate><enddate>20121201</enddate><creator>Kaku, Yasuyuki</creator><creator>Morioka, Motohiro</creator><creator>Ohmori, Yuki</creator><creator>Kawano, Takayuki</creator><creator>Kai, Yutaka</creator><creator>Fukuoka, Hirofumi</creator><creator>Hirai, Toshinori</creator><creator>Yamashita, Yasuyuki</creator><creator>Kuratsu, Jun-ichi</creator><general>Springer Vienna</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7TK</scope><scope>7U9</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>H94</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>M7N</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20121201</creationdate><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><author>Kaku, Yasuyuki ; Morioka, Motohiro ; Ohmori, Yuki ; Kawano, Takayuki ; Kai, Yutaka ; Fukuoka, Hirofumi ; Hirai, Toshinori ; Yamashita, Yasuyuki ; Kuratsu, Jun-ichi</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c471t-8864a63069d13d0be7a061ecf87a6562f4eb4b70dee4f27aec76cb3c077dce0c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2012</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Angiography</topic><topic>Angiography, Digital Subtraction - methods</topic><topic>Arteriosclerosis</topic><topic>Carotid artery</topic><topic>Carotid Artery, Internal - diagnostic imaging</topic><topic>Carotid Artery, Internal - pathology</topic><topic>Cerebral blood flow</topic><topic>Clinical Article</topic><topic>Constriction, Pathologic - diagnostic imaging</topic><topic>Constriction, Pathologic - pathology</topic><topic>Data processing</topic><topic>Diagnostic Imaging - methods</topic><topic>Female</topic><topic>Humans</topic><topic>Imaging, Three-Dimensional</topic><topic>Interventional Radiology</topic><topic>Ischemia</topic><topic>Magnetic Resonance Angiography - methods</topic><topic>Magnetic resonance imaging</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & 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 & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Acta neurochirurgica</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kaku, Yasuyuki</au><au>Morioka, Motohiro</au><au>Ohmori, Yuki</au><au>Kawano, Takayuki</au><au>Kai, Yutaka</au><au>Fukuoka, Hirofumi</au><au>Hirai, Toshinori</au><au>Yamashita, Yasuyuki</au><au>Kuratsu, Jun-ichi</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>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?</atitle><jtitle>Acta neurochirurgica</jtitle><stitle>Acta Neurochir</stitle><addtitle>Acta Neurochir (Wien)</addtitle><date>2012-12-01</date><risdate>2012</risdate><volume>154</volume><issue>12</issue><spage>2151</spage><epage>2157</epage><pages>2151-2157</pages><issn>0001-6268</issn><eissn>0942-0940</eissn><abstract>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.</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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