Ultra-high-resolution CT angiography of the artery of Adamkiewicz: a feasibility study

Purpose Preoperative identification of the artery of Adamkiewicz can help prevent postoperative spinal cord injury following thoracic and thoracoabdominal aortic repair. Several studies have demonstrated the feasibility of evaluating the artery of Adamkiewicz using multi-detector row computed tomogr...

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Veröffentlicht in:Neuroradiology 2018-01, Vol.60 (1), p.109-115
Hauptverfasser: Yoshioka, Kunihiro, Tanaka, Ryoichi, Takagi, Hidenobu, Ueyama, Yuta, Kikuchi, Kei, Chiba, Takuya, Arakita, Kazumasa, Schuijf, Joanne D., Saito, Yasuo
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container_end_page 115
container_issue 1
container_start_page 109
container_title Neuroradiology
container_volume 60
creator Yoshioka, Kunihiro
Tanaka, Ryoichi
Takagi, Hidenobu
Ueyama, Yuta
Kikuchi, Kei
Chiba, Takuya
Arakita, Kazumasa
Schuijf, Joanne D.
Saito, Yasuo
description Purpose Preoperative identification of the artery of Adamkiewicz can help prevent postoperative spinal cord injury following thoracic and thoracoabdominal aortic repair. Several studies have demonstrated the feasibility of evaluating the artery of Adamkiewicz using multi-detector row computed tomography (CT), but precise visualization remains a challenge. The present study was conducted to evaluate the usefulness of ultra-high-resolution CT for visualizing the artery of Adamkiewicz with a slice thickness of 0.25 versus 0.5 mm in patients with aortic aneurysms. Methods Our institutional review board approved this study. Twenty-four patients with thoracic and thoracoabdominal aneurysms were scanned with beam collimation of 0.25 mm × 128. Images were reconstructed with slice thicknesses of 0.25 and 0.5 mm. The signal-to-noise ratio (SNR) of the aorta and contrast-to-noise ratio (CNR) between the anterior spinal artery and spinal cord were measured. Two independent observers evaluated visualization of the artery of Adamkiewicz and its continuity between the anterior spinal artery and the aorta using a four-point scale. Results No significant differences in the SNR of the aorta or CNR of the anterior spinal artery were observed between 0.25- and 0.5-mm slices. The average visualization score was significantly higher for 0.25-mm slices (3.58 ± 0.78) than for 0.5-mm slices (3.13 ± 0.99) ( p  = 0.01). The percentage of patients with nondiagnostic image quality was significantly lower for 0.25-mm slices (8.3%) than for 0.5-mm slices (33.3%) ( p  = 0.03). Conclusion In patients with aortic aneurysms, ultra-high-resolution CT with 0.25-mm slices significantly improves visualization of the artery of Adamkiewicz compared to 0.5-mm slices.
doi_str_mv 10.1007/s00234-017-1927-7
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Several studies have demonstrated the feasibility of evaluating the artery of Adamkiewicz using multi-detector row computed tomography (CT), but precise visualization remains a challenge. The present study was conducted to evaluate the usefulness of ultra-high-resolution CT for visualizing the artery of Adamkiewicz with a slice thickness of 0.25 versus 0.5 mm in patients with aortic aneurysms. Methods Our institutional review board approved this study. Twenty-four patients with thoracic and thoracoabdominal aneurysms were scanned with beam collimation of 0.25 mm × 128. Images were reconstructed with slice thicknesses of 0.25 and 0.5 mm. The signal-to-noise ratio (SNR) of the aorta and contrast-to-noise ratio (CNR) between the anterior spinal artery and spinal cord were measured. Two independent observers evaluated visualization of the artery of Adamkiewicz and its continuity between the anterior spinal artery and the aorta using a four-point scale. Results No significant differences in the SNR of the aorta or CNR of the anterior spinal artery were observed between 0.25- and 0.5-mm slices. The average visualization score was significantly higher for 0.25-mm slices (3.58 ± 0.78) than for 0.5-mm slices (3.13 ± 0.99) ( p  = 0.01). The percentage of patients with nondiagnostic image quality was significantly lower for 0.25-mm slices (8.3%) than for 0.5-mm slices (33.3%) ( p  = 0.03). Conclusion In patients with aortic aneurysms, ultra-high-resolution CT with 0.25-mm slices significantly improves visualization of the artery of Adamkiewicz compared to 0.5-mm slices.</description><identifier>ISSN: 0028-3940</identifier><identifier>EISSN: 1432-1920</identifier><identifier>DOI: 10.1007/s00234-017-1927-7</identifier><identifier>PMID: 29080918</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Aneurysms ; Angiography ; Aorta ; Aortic aneurysms ; Collimation ; Computed tomography ; Coronary vessels ; Feasibility studies ; High resolution ; Image quality ; Image reconstruction ; Imaging ; Injury prevention ; Medicine ; Medicine &amp; Public Health ; Neurology ; Neuroradiology ; Neurosciences ; Neurosurgery ; Noise ; Patients ; Radiology ; Spinal cord ; Spinal cord injuries ; Spinal Neuroradiology ; Thorax ; Visualization</subject><ispartof>Neuroradiology, 2018-01, Vol.60 (1), p.109-115</ispartof><rights>Springer-Verlag GmbH Germany 2017</rights><rights>Neuroradiology is a copyright of Springer, (2017). All Rights Reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c438t-6c35daff9788608280727b60f9af91d4d2af79e2bce3dd5fbbe894f80f5c9cc03</citedby><cites>FETCH-LOGICAL-c438t-6c35daff9788608280727b60f9af91d4d2af79e2bce3dd5fbbe894f80f5c9cc03</cites><orcidid>0000-0002-0100-042X</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00234-017-1927-7$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00234-017-1927-7$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>315,781,785,27926,27927,41490,42559,51321</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29080918$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Yoshioka, Kunihiro</creatorcontrib><creatorcontrib>Tanaka, Ryoichi</creatorcontrib><creatorcontrib>Takagi, Hidenobu</creatorcontrib><creatorcontrib>Ueyama, Yuta</creatorcontrib><creatorcontrib>Kikuchi, Kei</creatorcontrib><creatorcontrib>Chiba, Takuya</creatorcontrib><creatorcontrib>Arakita, Kazumasa</creatorcontrib><creatorcontrib>Schuijf, Joanne D.</creatorcontrib><creatorcontrib>Saito, Yasuo</creatorcontrib><title>Ultra-high-resolution CT angiography of the artery of Adamkiewicz: a feasibility study</title><title>Neuroradiology</title><addtitle>Neuroradiology</addtitle><addtitle>Neuroradiology</addtitle><description>Purpose Preoperative identification of the artery of Adamkiewicz can help prevent postoperative spinal cord injury following thoracic and thoracoabdominal aortic repair. Several studies have demonstrated the feasibility of evaluating the artery of Adamkiewicz using multi-detector row computed tomography (CT), but precise visualization remains a challenge. The present study was conducted to evaluate the usefulness of ultra-high-resolution CT for visualizing the artery of Adamkiewicz with a slice thickness of 0.25 versus 0.5 mm in patients with aortic aneurysms. Methods Our institutional review board approved this study. Twenty-four patients with thoracic and thoracoabdominal aneurysms were scanned with beam collimation of 0.25 mm × 128. Images were reconstructed with slice thicknesses of 0.25 and 0.5 mm. The signal-to-noise ratio (SNR) of the aorta and contrast-to-noise ratio (CNR) between the anterior spinal artery and spinal cord were measured. Two independent observers evaluated visualization of the artery of Adamkiewicz and its continuity between the anterior spinal artery and the aorta using a four-point scale. Results No significant differences in the SNR of the aorta or CNR of the anterior spinal artery were observed between 0.25- and 0.5-mm slices. The average visualization score was significantly higher for 0.25-mm slices (3.58 ± 0.78) than for 0.5-mm slices (3.13 ± 0.99) ( p  = 0.01). The percentage of patients with nondiagnostic image quality was significantly lower for 0.25-mm slices (8.3%) than for 0.5-mm slices (33.3%) ( p  = 0.03). 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Several studies have demonstrated the feasibility of evaluating the artery of Adamkiewicz using multi-detector row computed tomography (CT), but precise visualization remains a challenge. The present study was conducted to evaluate the usefulness of ultra-high-resolution CT for visualizing the artery of Adamkiewicz with a slice thickness of 0.25 versus 0.5 mm in patients with aortic aneurysms. Methods Our institutional review board approved this study. Twenty-four patients with thoracic and thoracoabdominal aneurysms were scanned with beam collimation of 0.25 mm × 128. Images were reconstructed with slice thicknesses of 0.25 and 0.5 mm. The signal-to-noise ratio (SNR) of the aorta and contrast-to-noise ratio (CNR) between the anterior spinal artery and spinal cord were measured. Two independent observers evaluated visualization of the artery of Adamkiewicz and its continuity between the anterior spinal artery and the aorta using a four-point scale. Results No significant differences in the SNR of the aorta or CNR of the anterior spinal artery were observed between 0.25- and 0.5-mm slices. The average visualization score was significantly higher for 0.25-mm slices (3.58 ± 0.78) than for 0.5-mm slices (3.13 ± 0.99) ( p  = 0.01). The percentage of patients with nondiagnostic image quality was significantly lower for 0.25-mm slices (8.3%) than for 0.5-mm slices (33.3%) ( p  = 0.03). Conclusion In patients with aortic aneurysms, ultra-high-resolution CT with 0.25-mm slices significantly improves visualization of the artery of Adamkiewicz compared to 0.5-mm slices.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>29080918</pmid><doi>10.1007/s00234-017-1927-7</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0002-0100-042X</orcidid></addata></record>
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source SpringerNature Journals
subjects Aneurysms
Angiography
Aorta
Aortic aneurysms
Collimation
Computed tomography
Coronary vessels
Feasibility studies
High resolution
Image quality
Image reconstruction
Imaging
Injury prevention
Medicine
Medicine & Public Health
Neurology
Neuroradiology
Neurosciences
Neurosurgery
Noise
Patients
Radiology
Spinal cord
Spinal cord injuries
Spinal Neuroradiology
Thorax
Visualization
title Ultra-high-resolution CT angiography of the artery of Adamkiewicz: a feasibility study
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