Noninvasive detection of steno-occlusive disease of the supra-aortic arteries with three-dimensional contrast-enhanced magnetic resonance angiography: A prospective, intra-individual comparative analysis with digital subtraction angiography
Concomitant disease of the supra-aortic arteries can influence the outcome of surgical treatment of carotid artery stenosis. However, sensitivity and specificity data of noninvasive contrast-enhanced 3-dimensional (3D) magnetic resonance angiography (CE MRA) for the detection of steno-occlusive dise...
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| Veröffentlicht in: | Stroke (1970) 2005, Vol.36 (1), p.38-43 |
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| container_title | Stroke (1970) |
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| creator | WILLINEK, Winfried A VON FALKENHAUSEN, Marcus BORN, Markus GIESEKE, Jürgen HOLLER, Tobias KLOCKGETHER, Thomas TEXTOR, Hans J SCHILD, Hans H URBACH, Horst |
| description | Concomitant disease of the supra-aortic arteries can influence the outcome of surgical treatment of carotid artery stenosis. However, sensitivity and specificity data of noninvasive contrast-enhanced 3-dimensional (3D) magnetic resonance angiography (CE MRA) for the detection of steno-occlusive disease of the entire supra-aortic arteries including the circle of Willis remain unclear. We aimed to intra-individually compare high-spatial-resolution CE 3D MRA and digital subtraction angiography (DSA) for the assessment of steno-occlusive vascular disease of the supra-aortic arteries.
CE MRA and DSA of the supra-aortic arteries were prospectively performed in 50 consecutive patients. Intra-individual comparison of CE MRA and DSA was available in 833 arteries. High-spatial-resolution CE MRA comprised a measured voxel size of 0.81 mm x 0.81 mm x 1 mm (0.66 mm3). Steno-occlusive vascular disease of the 833 arteries was assessed independently by 2 radiologists according to the NASCET criteria.
CE MRA had a sensitivity of 100% (73/73), a specificity of 99.3% (760/765), a positive predictive value of 93.6% (73/78), and a negative predictive value of 100% (760/760) by using a 70% to 99% threshold of arterial diameter stenosis. For detection of occlusion, sensitivity, specificity, PPV, and NPV value of CE MRA were 100%, respectively.
Noninvasive high-spatial-resolution CE MRA is suited to replace diagnostic DSA for the detection of steno-occlusive disease of the supra-aortic arteries. |
| doi_str_mv | 10.1161/01.STR.0000149616.41312.00 |
| format | Article |
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CE MRA and DSA of the supra-aortic arteries were prospectively performed in 50 consecutive patients. Intra-individual comparison of CE MRA and DSA was available in 833 arteries. High-spatial-resolution CE MRA comprised a measured voxel size of 0.81 mm x 0.81 mm x 1 mm (0.66 mm3). Steno-occlusive vascular disease of the 833 arteries was assessed independently by 2 radiologists according to the NASCET criteria.
CE MRA had a sensitivity of 100% (73/73), a specificity of 99.3% (760/765), a positive predictive value of 93.6% (73/78), and a negative predictive value of 100% (760/760) by using a 70% to 99% threshold of arterial diameter stenosis. For detection of occlusion, sensitivity, specificity, PPV, and NPV value of CE MRA were 100%, respectively.
Noninvasive high-spatial-resolution CE MRA is suited to replace diagnostic DSA for the detection of steno-occlusive disease of the supra-aortic arteries.</description><identifier>ISSN: 0039-2499</identifier><identifier>EISSN: 1524-4628</identifier><identifier>DOI: 10.1161/01.STR.0000149616.41312.00</identifier><identifier>PMID: 15569881</identifier><identifier>CODEN: SJCCA7</identifier><language>eng</language><publisher>Hagerstown, MD: Lippincott Williams & Wilkins</publisher><subject>Adult ; Aged ; Angiography, Digital Subtraction ; Aorta ; Arterial Occlusive Diseases - diagnosis ; Arterial Occlusive Diseases - diagnostic imaging ; Biological and medical sciences ; Cardiovascular system ; Carotid Stenosis - diagnosis ; Carotid Stenosis - diagnostic imaging ; Contrast Media ; Female ; Humans ; Imaging, Three-Dimensional ; Investigative techniques, diagnostic techniques (general aspects) ; Magnetic Resonance Angiography - methods ; Male ; Medical sciences ; Middle Aged ; Nervous system ; Neurology ; Prospective Studies ; Radiodiagnosis. Nmr imagery. Nmr spectrometry ; Sensitivity and Specificity ; Vascular diseases and vascular malformations of the nervous system</subject><ispartof>Stroke (1970), 2005, Vol.36 (1), p.38-43</ispartof><rights>2005 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c324t-6a3619e995b7099803ea810f5407598af96d82c4d4470ae05aa24fca282d0eb83</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,3674,4010,27900,27901,27902</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=16392314$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/15569881$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>WILLINEK, Winfried A</creatorcontrib><creatorcontrib>VON FALKENHAUSEN, Marcus</creatorcontrib><creatorcontrib>BORN, Markus</creatorcontrib><creatorcontrib>GIESEKE, Jürgen</creatorcontrib><creatorcontrib>HOLLER, Tobias</creatorcontrib><creatorcontrib>KLOCKGETHER, Thomas</creatorcontrib><creatorcontrib>TEXTOR, Hans J</creatorcontrib><creatorcontrib>SCHILD, Hans H</creatorcontrib><creatorcontrib>URBACH, Horst</creatorcontrib><title>Noninvasive detection of steno-occlusive disease of the supra-aortic arteries with three-dimensional contrast-enhanced magnetic resonance angiography: A prospective, intra-individual comparative analysis with digital subtraction angiography</title><title>Stroke (1970)</title><addtitle>Stroke</addtitle><description>Concomitant disease of the supra-aortic arteries can influence the outcome of surgical treatment of carotid artery stenosis. However, sensitivity and specificity data of noninvasive contrast-enhanced 3-dimensional (3D) magnetic resonance angiography (CE MRA) for the detection of steno-occlusive disease of the entire supra-aortic arteries including the circle of Willis remain unclear. We aimed to intra-individually compare high-spatial-resolution CE 3D MRA and digital subtraction angiography (DSA) for the assessment of steno-occlusive vascular disease of the supra-aortic arteries.
CE MRA and DSA of the supra-aortic arteries were prospectively performed in 50 consecutive patients. Intra-individual comparison of CE MRA and DSA was available in 833 arteries. High-spatial-resolution CE MRA comprised a measured voxel size of 0.81 mm x 0.81 mm x 1 mm (0.66 mm3). Steno-occlusive vascular disease of the 833 arteries was assessed independently by 2 radiologists according to the NASCET criteria.
CE MRA had a sensitivity of 100% (73/73), a specificity of 99.3% (760/765), a positive predictive value of 93.6% (73/78), and a negative predictive value of 100% (760/760) by using a 70% to 99% threshold of arterial diameter stenosis. For detection of occlusion, sensitivity, specificity, PPV, and NPV value of CE MRA were 100%, respectively.
Noninvasive high-spatial-resolution CE MRA is suited to replace diagnostic DSA for the detection of steno-occlusive disease of the supra-aortic arteries.</description><subject>Adult</subject><subject>Aged</subject><subject>Angiography, Digital Subtraction</subject><subject>Aorta</subject><subject>Arterial Occlusive Diseases - diagnosis</subject><subject>Arterial Occlusive Diseases - diagnostic imaging</subject><subject>Biological and medical sciences</subject><subject>Cardiovascular system</subject><subject>Carotid Stenosis - diagnosis</subject><subject>Carotid Stenosis - diagnostic imaging</subject><subject>Contrast Media</subject><subject>Female</subject><subject>Humans</subject><subject>Imaging, Three-Dimensional</subject><subject>Investigative techniques, diagnostic techniques (general aspects)</subject><subject>Magnetic Resonance Angiography - methods</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Nervous system</subject><subject>Neurology</subject><subject>Prospective Studies</subject><subject>Radiodiagnosis. Nmr imagery. Nmr spectrometry</subject><subject>Sensitivity and Specificity</subject><subject>Vascular diseases and vascular malformations of the nervous system</subject><issn>0039-2499</issn><issn>1524-4628</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2005</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpNkdtu1DAQhiMEotvCKyALiV41i085uHdVxUmqQIJyHc06k12jxAkeZ9G-NY-A011p8Y2l-b9_xuM_y94KvhaiFO-5WP94_L7m6QhtSlGutVBCpsKzbCUKqXNdyvp5tuJcmVxqYy6yS6JfiZeqLl5mF6IoSlPXYpX9_Tp65_dAbo-sxYg2utGzsWMU0Y_5aG0_H0VHCISLFHfIaJ4C5DCG6CyDEDE4JPbHxV2SA2LeugE9pWbQMzv6GIBijn4H3mLLBth6XKwBKSGpxsBv3bgNMO0Ot-yOTWGkaXnOHm-YW_y5863bu3Z-6jhMEGBRkxH6A7nT9NZtXUwEzZvkOa7zX-tX2YsOesLXp_sq-_nxw-P95_zh26cv93cPuVVSx7wEVQqDxhSbihtTc4VQC94VmleFqaEzZVtLq1utKw7ICwCpOwuyli3HTa2usutj37TH7xkpNoMji30PHseZmrJS2nBeJfD2CNq0MAXsmim4AcKhEbxZ8m64aFLezTnv5invVEjmN6cp82bA9mw9BZyAdycAyELfhfTVjs5cqYxUQqt_jzC8nw</recordid><startdate>2005</startdate><enddate>2005</enddate><creator>WILLINEK, Winfried A</creator><creator>VON FALKENHAUSEN, Marcus</creator><creator>BORN, Markus</creator><creator>GIESEKE, Jürgen</creator><creator>HOLLER, Tobias</creator><creator>KLOCKGETHER, Thomas</creator><creator>TEXTOR, Hans J</creator><creator>SCHILD, Hans H</creator><creator>URBACH, Horst</creator><general>Lippincott Williams & Wilkins</general><scope>IQODW</scope><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>7X8</scope></search><sort><creationdate>2005</creationdate><title>Noninvasive detection of steno-occlusive disease of the supra-aortic arteries with three-dimensional contrast-enhanced magnetic resonance angiography: A prospective, intra-individual comparative analysis with digital subtraction angiography</title><author>WILLINEK, Winfried A ; VON FALKENHAUSEN, Marcus ; BORN, Markus ; GIESEKE, Jürgen ; HOLLER, Tobias ; KLOCKGETHER, Thomas ; TEXTOR, Hans J ; SCHILD, Hans H ; URBACH, Horst</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c324t-6a3619e995b7099803ea810f5407598af96d82c4d4470ae05aa24fca282d0eb83</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2005</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Angiography, Digital Subtraction</topic><topic>Aorta</topic><topic>Arterial Occlusive Diseases - diagnosis</topic><topic>Arterial Occlusive Diseases - diagnostic imaging</topic><topic>Biological and medical sciences</topic><topic>Cardiovascular system</topic><topic>Carotid Stenosis - diagnosis</topic><topic>Carotid Stenosis - diagnostic imaging</topic><topic>Contrast Media</topic><topic>Female</topic><topic>Humans</topic><topic>Imaging, Three-Dimensional</topic><topic>Investigative techniques, diagnostic techniques (general aspects)</topic><topic>Magnetic Resonance Angiography - methods</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Nervous system</topic><topic>Neurology</topic><topic>Prospective Studies</topic><topic>Radiodiagnosis. Nmr imagery. Nmr spectrometry</topic><topic>Sensitivity and Specificity</topic><topic>Vascular diseases and vascular malformations of the nervous system</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>WILLINEK, Winfried A</creatorcontrib><creatorcontrib>VON FALKENHAUSEN, Marcus</creatorcontrib><creatorcontrib>BORN, Markus</creatorcontrib><creatorcontrib>GIESEKE, Jürgen</creatorcontrib><creatorcontrib>HOLLER, Tobias</creatorcontrib><creatorcontrib>KLOCKGETHER, Thomas</creatorcontrib><creatorcontrib>TEXTOR, Hans J</creatorcontrib><creatorcontrib>SCHILD, Hans H</creatorcontrib><creatorcontrib>URBACH, Horst</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Stroke (1970)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>WILLINEK, Winfried A</au><au>VON FALKENHAUSEN, Marcus</au><au>BORN, Markus</au><au>GIESEKE, Jürgen</au><au>HOLLER, Tobias</au><au>KLOCKGETHER, Thomas</au><au>TEXTOR, Hans J</au><au>SCHILD, Hans H</au><au>URBACH, Horst</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Noninvasive detection of steno-occlusive disease of the supra-aortic arteries with three-dimensional contrast-enhanced magnetic resonance angiography: A prospective, intra-individual comparative analysis with digital subtraction angiography</atitle><jtitle>Stroke (1970)</jtitle><addtitle>Stroke</addtitle><date>2005</date><risdate>2005</risdate><volume>36</volume><issue>1</issue><spage>38</spage><epage>43</epage><pages>38-43</pages><issn>0039-2499</issn><eissn>1524-4628</eissn><coden>SJCCA7</coden><abstract>Concomitant disease of the supra-aortic arteries can influence the outcome of surgical treatment of carotid artery stenosis. However, sensitivity and specificity data of noninvasive contrast-enhanced 3-dimensional (3D) magnetic resonance angiography (CE MRA) for the detection of steno-occlusive disease of the entire supra-aortic arteries including the circle of Willis remain unclear. We aimed to intra-individually compare high-spatial-resolution CE 3D MRA and digital subtraction angiography (DSA) for the assessment of steno-occlusive vascular disease of the supra-aortic arteries.
CE MRA and DSA of the supra-aortic arteries were prospectively performed in 50 consecutive patients. Intra-individual comparison of CE MRA and DSA was available in 833 arteries. High-spatial-resolution CE MRA comprised a measured voxel size of 0.81 mm x 0.81 mm x 1 mm (0.66 mm3). Steno-occlusive vascular disease of the 833 arteries was assessed independently by 2 radiologists according to the NASCET criteria.
CE MRA had a sensitivity of 100% (73/73), a specificity of 99.3% (760/765), a positive predictive value of 93.6% (73/78), and a negative predictive value of 100% (760/760) by using a 70% to 99% threshold of arterial diameter stenosis. For detection of occlusion, sensitivity, specificity, PPV, and NPV value of CE MRA were 100%, respectively.
Noninvasive high-spatial-resolution CE MRA is suited to replace diagnostic DSA for the detection of steno-occlusive disease of the supra-aortic arteries.</abstract><cop>Hagerstown, MD</cop><pub>Lippincott Williams & Wilkins</pub><pmid>15569881</pmid><doi>10.1161/01.STR.0000149616.41312.00</doi><tpages>6</tpages></addata></record> |
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| source | MEDLINE; American Heart Association Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Alma/SFX Local Collection; Journals@Ovid Complete |
| subjects | Adult Aged Angiography, Digital Subtraction Aorta Arterial Occlusive Diseases - diagnosis Arterial Occlusive Diseases - diagnostic imaging Biological and medical sciences Cardiovascular system Carotid Stenosis - diagnosis Carotid Stenosis - diagnostic imaging Contrast Media Female Humans Imaging, Three-Dimensional Investigative techniques, diagnostic techniques (general aspects) Magnetic Resonance Angiography - methods Male Medical sciences Middle Aged Nervous system Neurology Prospective Studies Radiodiagnosis. Nmr imagery. Nmr spectrometry Sensitivity and Specificity Vascular diseases and vascular malformations of the nervous system |
| title | Noninvasive detection of steno-occlusive disease of the supra-aortic arteries with three-dimensional contrast-enhanced magnetic resonance angiography: A prospective, intra-individual comparative analysis with digital subtraction angiography |
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