Vessel-selective 4D MRA based on ASL might potentially show better performance than 3D TOF MRA for treatment evaluation in patients with intra-extracranial bypass surgery: a prospective study
Objectives To compare bypass patency and intracranial collaterals from the external carotid artery (ECA) by four-dimensional MR angiography (MRA) based on super-selective pseudo-continuous arterial spin labeling (pCASL) combined with the keyhole and view-sharing techniques (4D-sPACK) versus three-di...
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| Veröffentlicht in: | European radiology 2021-07, Vol.31 (7), p.5263-5271 |
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| creator | Wang, Maoxue Yang, Yongbo Wang, Yi Li, Ming Zhang, Jilei Zhang, Bing |
| description | Objectives
To compare bypass patency and intracranial collaterals from the external carotid artery (ECA) by four-dimensional MR angiography (MRA) based on super-selective pseudo-continuous arterial spin labeling (pCASL) combined with the keyhole and view-sharing techniques (4D-sPACK) versus three-dimensional time-of-flight (3D TOF) MRA in patients with extra-intracranial revascularization.
Methods
The MR data of 45 patients administered bypass surgery were collected. The image quality of 4D-sPACK was evaluated using a 4-point grading system according to whether the diagnosis of intracranial collaterals was affected. Anastomosis patency and intracranial collateral visualization from ECA were assessed by two radiologists on 4D-sPACK and 3D TOF MRA, with digital subtraction angiography (DSA) findings as reference. Intracranial collateral assessment employed another 4-point grading system according to the number of vessels shown. Interobserver agreement was assessed with the weighted kappa statistic.
Results
Fifty hemispheres in 43 patients were included. The image quality of 4D-sPACK was good in 47 (47/50, 94.0%) hemispheres. 4D-sPACK had a higher sensitivity than 3D TOF MRA (97.73% vs 79.55%) for visualizing anastomoses. There were significant differences between 4D-sPACK (scores, 3.22 ± 1.15) and 3D TOF MRA (scores, 1.80 ± 0.67) in the visualization of intracranial collaterals from ECA (
p
|
| doi_str_mv | 10.1007/s00330-020-07503-3 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2474845050</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2474845050</sourcerecordid><originalsourceid>FETCH-LOGICAL-c375t-fc9cc9d3da5ab57d4898582d6930c9ce019952bc3cf338d3c2aec9485069a1cd3</originalsourceid><addsrcrecordid>eNp9UU1v1DAQtRCILgt_gAMaiQsXgxPbm5jbqqWAtKgSFK6W40y6qfKF7bTk1_HXmHYXkDggeTzWzJs343mMPc_E60yI4k0UQkrBRU5WaCG5fMBWmZI5z0SpHrKVMLLkhTHqhD2J8VoIYTJVPGYnUspyY8psxX5-wxix42ToU3uDoM7g0-ctVC5iDeMA2y876NurfYJpTDik1nXdAnE_3kKFKWGACUMzht4NHiHt3QDyDC4vzu9pKAEpoEs9lQLeuG52qSXadoCJXhSNcNumPQVScBx_0O2DG6gNVMvkYoQ4hysMy1twMIUxTsdBY5rr5Sl71Lgu4rOjX7Ov5-8uTz_w3cX7j6fbHfey0Ik33nhvalk77Spd1Ko0pS7zemOkoBSKzBidV176hlZTS5879EaVWmyMy3wt1-zVgZcm-D5jTLZvo8eucwOOc7S5KlSptCAZ1uzlP9DrcQ4DTWdzrXIt6dyh8gPK05diwMZOoe1dWGwm7J289iCvJXntvbxWUtGLI_Vc9Vj_KfmtJwHkARApNdDW_vb-D-0vJ0Sy9A</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2542532530</pqid></control><display><type>article</type><title>Vessel-selective 4D MRA based on ASL might potentially show better performance than 3D TOF MRA for treatment evaluation in patients with intra-extracranial bypass surgery: a prospective study</title><source>SpringerLink Journals - AutoHoldings</source><creator>Wang, Maoxue ; Yang, Yongbo ; Wang, Yi ; Li, Ming ; Zhang, Jilei ; Zhang, Bing</creator><creatorcontrib>Wang, Maoxue ; Yang, Yongbo ; Wang, Yi ; Li, Ming ; Zhang, Jilei ; Zhang, Bing</creatorcontrib><description>Objectives
To compare bypass patency and intracranial collaterals from the external carotid artery (ECA) by four-dimensional MR angiography (MRA) based on super-selective pseudo-continuous arterial spin labeling (pCASL) combined with the keyhole and view-sharing techniques (4D-sPACK) versus three-dimensional time-of-flight (3D TOF) MRA in patients with extra-intracranial revascularization.
Methods
The MR data of 45 patients administered bypass surgery were collected. The image quality of 4D-sPACK was evaluated using a 4-point grading system according to whether the diagnosis of intracranial collaterals was affected. Anastomosis patency and intracranial collateral visualization from ECA were assessed by two radiologists on 4D-sPACK and 3D TOF MRA, with digital subtraction angiography (DSA) findings as reference. Intracranial collateral assessment employed another 4-point grading system according to the number of vessels shown. Interobserver agreement was assessed with the weighted kappa statistic.
Results
Fifty hemispheres in 43 patients were included. The image quality of 4D-sPACK was good in 47 (47/50, 94.0%) hemispheres. 4D-sPACK had a higher sensitivity than 3D TOF MRA (97.73% vs 79.55%) for visualizing anastomoses. There were significant differences between 4D-sPACK (scores, 3.22 ± 1.15) and 3D TOF MRA (scores, 1.80 ± 0.67) in the visualization of intracranial collaterals from ECA (
p
< 0.001). The interobserver agreement was substantial for intracranial collateral assessment (
κ
4D-sPACK
= 0.788;
κ
3D TOF MRA
= 0.800) and almost perfect for bypass patency (
κ
4D-sPACK
= 0.912;
κ
3D TOF MRA
= 0.816;
κ
DSA
= 0.811).
Conclusion
This pilot study shows that, 4D-sPACK has a better performance than 3D TOF MRA in treatment evaluation of patients after bypass surgery, and has high consistency with DSA.
Key Points
• 4D-sPACK is a non-contrast-enhanced dynamic MRA method for the visualization of intracranial vessels.
• 4D-sPACK has higher specificity for the diagnosis of anastomosis occlusion.
• 4D-sPACK is better than 3D TOF MRA in the visualization of intracranial collaterals in patients after bypass surgery.</description><identifier>ISSN: 0938-7994</identifier><identifier>EISSN: 1432-1084</identifier><identifier>DOI: 10.1007/s00330-020-07503-3</identifier><identifier>PMID: 33386981</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Anastomosis ; Angiography ; Carotid artery ; Diagnosis ; Diagnostic Radiology ; Heart surgery ; Hemispheres ; Image quality ; Imaging ; Internal Medicine ; Interventional Radiology ; Medical imaging ; Medicine ; Medicine & Public Health ; Neuro ; Neuroradiology ; Occlusion ; Patients ; Radiology ; Spin labeling ; Surgery ; Ultrasound ; Visualization</subject><ispartof>European radiology, 2021-07, Vol.31 (7), p.5263-5271</ispartof><rights>European Society of Radiology 2021. corrected publication 2021</rights><rights>European Society of Radiology 2021. corrected publication 2021.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c375t-fc9cc9d3da5ab57d4898582d6930c9ce019952bc3cf338d3c2aec9485069a1cd3</citedby><cites>FETCH-LOGICAL-c375t-fc9cc9d3da5ab57d4898582d6930c9ce019952bc3cf338d3c2aec9485069a1cd3</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/s00330-020-07503-3$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00330-020-07503-3$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27923,27924,41487,42556,51318</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33386981$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Wang, Maoxue</creatorcontrib><creatorcontrib>Yang, Yongbo</creatorcontrib><creatorcontrib>Wang, Yi</creatorcontrib><creatorcontrib>Li, Ming</creatorcontrib><creatorcontrib>Zhang, Jilei</creatorcontrib><creatorcontrib>Zhang, Bing</creatorcontrib><title>Vessel-selective 4D MRA based on ASL might potentially show better performance than 3D TOF MRA for treatment evaluation in patients with intra-extracranial bypass surgery: a prospective study</title><title>European radiology</title><addtitle>Eur Radiol</addtitle><addtitle>Eur Radiol</addtitle><description>Objectives
To compare bypass patency and intracranial collaterals from the external carotid artery (ECA) by four-dimensional MR angiography (MRA) based on super-selective pseudo-continuous arterial spin labeling (pCASL) combined with the keyhole and view-sharing techniques (4D-sPACK) versus three-dimensional time-of-flight (3D TOF) MRA in patients with extra-intracranial revascularization.
Methods
The MR data of 45 patients administered bypass surgery were collected. The image quality of 4D-sPACK was evaluated using a 4-point grading system according to whether the diagnosis of intracranial collaterals was affected. Anastomosis patency and intracranial collateral visualization from ECA were assessed by two radiologists on 4D-sPACK and 3D TOF MRA, with digital subtraction angiography (DSA) findings as reference. Intracranial collateral assessment employed another 4-point grading system according to the number of vessels shown. Interobserver agreement was assessed with the weighted kappa statistic.
Results
Fifty hemispheres in 43 patients were included. The image quality of 4D-sPACK was good in 47 (47/50, 94.0%) hemispheres. 4D-sPACK had a higher sensitivity than 3D TOF MRA (97.73% vs 79.55%) for visualizing anastomoses. There were significant differences between 4D-sPACK (scores, 3.22 ± 1.15) and 3D TOF MRA (scores, 1.80 ± 0.67) in the visualization of intracranial collaterals from ECA (
p
< 0.001). The interobserver agreement was substantial for intracranial collateral assessment (
κ
4D-sPACK
= 0.788;
κ
3D TOF MRA
= 0.800) and almost perfect for bypass patency (
κ
4D-sPACK
= 0.912;
κ
3D TOF MRA
= 0.816;
κ
DSA
= 0.811).
Conclusion
This pilot study shows that, 4D-sPACK has a better performance than 3D TOF MRA in treatment evaluation of patients after bypass surgery, and has high consistency with DSA.
Key Points
• 4D-sPACK is a non-contrast-enhanced dynamic MRA method for the visualization of intracranial vessels.
• 4D-sPACK has higher specificity for the diagnosis of anastomosis occlusion.
• 4D-sPACK is better than 3D TOF MRA in the visualization of intracranial collaterals in patients after bypass surgery.</description><subject>Anastomosis</subject><subject>Angiography</subject><subject>Carotid artery</subject><subject>Diagnosis</subject><subject>Diagnostic Radiology</subject><subject>Heart surgery</subject><subject>Hemispheres</subject><subject>Image quality</subject><subject>Imaging</subject><subject>Internal Medicine</subject><subject>Interventional Radiology</subject><subject>Medical imaging</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Neuro</subject><subject>Neuroradiology</subject><subject>Occlusion</subject><subject>Patients</subject><subject>Radiology</subject><subject>Spin labeling</subject><subject>Surgery</subject><subject>Ultrasound</subject><subject>Visualization</subject><issn>0938-7994</issn><issn>1432-1084</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNp9UU1v1DAQtRCILgt_gAMaiQsXgxPbm5jbqqWAtKgSFK6W40y6qfKF7bTk1_HXmHYXkDggeTzWzJs343mMPc_E60yI4k0UQkrBRU5WaCG5fMBWmZI5z0SpHrKVMLLkhTHqhD2J8VoIYTJVPGYnUspyY8psxX5-wxix42ToU3uDoM7g0-ctVC5iDeMA2y876NurfYJpTDik1nXdAnE_3kKFKWGACUMzht4NHiHt3QDyDC4vzu9pKAEpoEs9lQLeuG52qSXadoCJXhSNcNumPQVScBx_0O2DG6gNVMvkYoQ4hysMy1twMIUxTsdBY5rr5Sl71Lgu4rOjX7Ov5-8uTz_w3cX7j6fbHfey0Ik33nhvalk77Spd1Ko0pS7zemOkoBSKzBidV176hlZTS5879EaVWmyMy3wt1-zVgZcm-D5jTLZvo8eucwOOc7S5KlSptCAZ1uzlP9DrcQ4DTWdzrXIt6dyh8gPK05diwMZOoe1dWGwm7J289iCvJXntvbxWUtGLI_Vc9Vj_KfmtJwHkARApNdDW_vb-D-0vJ0Sy9A</recordid><startdate>20210701</startdate><enddate>20210701</enddate><creator>Wang, Maoxue</creator><creator>Yang, Yongbo</creator><creator>Wang, Yi</creator><creator>Li, Ming</creator><creator>Zhang, Jilei</creator><creator>Zhang, Bing</creator><general>Springer Berlin Heidelberg</general><general>Springer Nature B.V</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QO</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FD</scope><scope>8FE</scope><scope>8FG</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ARAPS</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB0</scope><scope>LK8</scope><scope>M0S</scope><scope>M1P</scope><scope>M7P</scope><scope>NAPCQ</scope><scope>P5Z</scope><scope>P62</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20210701</creationdate><title>Vessel-selective 4D MRA based on ASL might potentially show better performance than 3D TOF MRA for treatment evaluation in patients with intra-extracranial bypass surgery: a prospective study</title><author>Wang, Maoxue ; Yang, Yongbo ; Wang, Yi ; Li, Ming ; Zhang, Jilei ; Zhang, Bing</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c375t-fc9cc9d3da5ab57d4898582d6930c9ce019952bc3cf338d3c2aec9485069a1cd3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Anastomosis</topic><topic>Angiography</topic><topic>Carotid artery</topic><topic>Diagnosis</topic><topic>Diagnostic Radiology</topic><topic>Heart surgery</topic><topic>Hemispheres</topic><topic>Image quality</topic><topic>Imaging</topic><topic>Internal Medicine</topic><topic>Interventional Radiology</topic><topic>Medical imaging</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Neuro</topic><topic>Neuroradiology</topic><topic>Occlusion</topic><topic>Patients</topic><topic>Radiology</topic><topic>Spin labeling</topic><topic>Surgery</topic><topic>Ultrasound</topic><topic>Visualization</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Wang, Maoxue</creatorcontrib><creatorcontrib>Yang, Yongbo</creatorcontrib><creatorcontrib>Wang, Yi</creatorcontrib><creatorcontrib>Li, Ming</creatorcontrib><creatorcontrib>Zhang, Jilei</creatorcontrib><creatorcontrib>Zhang, Bing</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Biotechnology Research Abstracts</collection><collection>Nursing & Allied Health Database</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>Technology Research Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Technology Collection</collection><collection>ProQuest Natural Science 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>Advanced Technologies & Aerospace Collection</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Technology Collection</collection><collection>Natural Science Collection</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>ProQuest Biological Science Collection</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Biological Science Database</collection><collection>Nursing & Allied Health Premium</collection><collection>Advanced Technologies & Aerospace Database</collection><collection>ProQuest Advanced Technologies & Aerospace Collection</collection><collection>Biotechnology and BioEngineering Abstracts</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>European radiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Wang, Maoxue</au><au>Yang, Yongbo</au><au>Wang, Yi</au><au>Li, Ming</au><au>Zhang, Jilei</au><au>Zhang, Bing</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Vessel-selective 4D MRA based on ASL might potentially show better performance than 3D TOF MRA for treatment evaluation in patients with intra-extracranial bypass surgery: a prospective study</atitle><jtitle>European radiology</jtitle><stitle>Eur Radiol</stitle><addtitle>Eur Radiol</addtitle><date>2021-07-01</date><risdate>2021</risdate><volume>31</volume><issue>7</issue><spage>5263</spage><epage>5271</epage><pages>5263-5271</pages><issn>0938-7994</issn><eissn>1432-1084</eissn><abstract>Objectives
To compare bypass patency and intracranial collaterals from the external carotid artery (ECA) by four-dimensional MR angiography (MRA) based on super-selective pseudo-continuous arterial spin labeling (pCASL) combined with the keyhole and view-sharing techniques (4D-sPACK) versus three-dimensional time-of-flight (3D TOF) MRA in patients with extra-intracranial revascularization.
Methods
The MR data of 45 patients administered bypass surgery were collected. The image quality of 4D-sPACK was evaluated using a 4-point grading system according to whether the diagnosis of intracranial collaterals was affected. Anastomosis patency and intracranial collateral visualization from ECA were assessed by two radiologists on 4D-sPACK and 3D TOF MRA, with digital subtraction angiography (DSA) findings as reference. Intracranial collateral assessment employed another 4-point grading system according to the number of vessels shown. Interobserver agreement was assessed with the weighted kappa statistic.
Results
Fifty hemispheres in 43 patients were included. The image quality of 4D-sPACK was good in 47 (47/50, 94.0%) hemispheres. 4D-sPACK had a higher sensitivity than 3D TOF MRA (97.73% vs 79.55%) for visualizing anastomoses. There were significant differences between 4D-sPACK (scores, 3.22 ± 1.15) and 3D TOF MRA (scores, 1.80 ± 0.67) in the visualization of intracranial collaterals from ECA (
p
< 0.001). The interobserver agreement was substantial for intracranial collateral assessment (
κ
4D-sPACK
= 0.788;
κ
3D TOF MRA
= 0.800) and almost perfect for bypass patency (
κ
4D-sPACK
= 0.912;
κ
3D TOF MRA
= 0.816;
κ
DSA
= 0.811).
Conclusion
This pilot study shows that, 4D-sPACK has a better performance than 3D TOF MRA in treatment evaluation of patients after bypass surgery, and has high consistency with DSA.
Key Points
• 4D-sPACK is a non-contrast-enhanced dynamic MRA method for the visualization of intracranial vessels.
• 4D-sPACK has higher specificity for the diagnosis of anastomosis occlusion.
• 4D-sPACK is better than 3D TOF MRA in the visualization of intracranial collaterals in patients after bypass surgery.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>33386981</pmid><doi>10.1007/s00330-020-07503-3</doi><tpages>9</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0938-7994 |
| ispartof | European radiology, 2021-07, Vol.31 (7), p.5263-5271 |
| issn | 0938-7994 1432-1084 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_2474845050 |
| source | SpringerLink Journals - AutoHoldings |
| subjects | Anastomosis Angiography Carotid artery Diagnosis Diagnostic Radiology Heart surgery Hemispheres Image quality Imaging Internal Medicine Interventional Radiology Medical imaging Medicine Medicine & Public Health Neuro Neuroradiology Occlusion Patients Radiology Spin labeling Surgery Ultrasound Visualization |
| title | Vessel-selective 4D MRA based on ASL might potentially show better performance than 3D TOF MRA for treatment evaluation in patients with intra-extracranial bypass surgery: a prospective study |
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