Cerebral CT angiography in the diagnosis of acute subarachnoid hemorrhage
Purpose: To evaluate the usefulness of CT angiography (CTA) in the detection of intracranial aneurysms in patients with acute subarachnoid hemorrhage (SAH). Material and Methods: In 53 patients with nontraumatic SAH a helical contrast-enhanced CTA was performed. CTA data were reconstructed with maxi...
Gespeichert in:
| Veröffentlicht in: | Acta radiologica (1987) 1997-09, Vol.38 (5), p.791-796 |
|---|---|
| Hauptverfasser: | , , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 796 |
|---|---|
| container_issue | 5 |
| container_start_page | 791 |
| container_title | Acta radiologica (1987) |
| container_volume | 38 |
| creator | Lenhart, Markus Bretschneider, T. Gmeinwieser, J. Ullrich, O.-W. Schlaier, J. Feuerbach, S. |
| description | Purpose: To evaluate the usefulness of CT angiography (CTA) in the detection of intracranial aneurysms in patients with acute subarachnoid hemorrhage (SAH).
Material and Methods: In 53 patients with nontraumatic SAH a helical contrast-enhanced CTA was performed. CTA data were reconstructed with maximum intensity projection (MIP). Each patient underwent selective arteriography of the cerebral vessels (as the gold standard). CTA (axial images and MIP reconstructions) and arteriography were evaluated separately and their diagnostic information was compared.
Results: In 14 of the 53 patients neither CTA nor angiography showed a vascular malformation. In the remaining 39 patients, angiography demonstrated a total of 51 aneurysms ranging in size from 3 mm to 16 mm. CTA missed one of these aneurysms, which was located at the internal carotid artery. 3-D CT reconstruction was slightly superior to arteriography in the demonstration of the neck, shape and direction of the aneurysms. Partial thrombosis of 3 aneurysms was demonstrated only by CTA.
Conclusion: Although CTA cannot replace cerebral arteriography in the diagnostic work-up of acute SAH, it proved to be helpful in demonstrating the topographic anatomy of cerebral aneurysms and surrounding structures. |
| doi_str_mv | 10.1080/02841859709172412 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_79345176</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sage_id>10.1080_02841859709172412</sage_id><sourcerecordid>79345176</sourcerecordid><originalsourceid>FETCH-LOGICAL-c348t-85566a9de53cc1974ecbd5421ef7b0789d3a2970e9ca22c4e2fd4002dc97d7b83</originalsourceid><addsrcrecordid>eNqNkE1LxDAQhoMo6_rxAzwIOYi3apImmwZPsvgFghc9l2ky3WZpmzVpD_57u-ziRRBPc3ifd4Z5CLng7Iazgt0yUUheKKOZ4VpILg7InC8Yy5hU6pDMt3k2AfyYnKS0ZowLrfiMzEyeC5GLOXlZYsQqQkuX7xT6lQ-rCJvmi_qeDg1S52HVh-QTDTUFOw5I01hBBNv0wTvaYBdibGCFZ-Sohjbh-X6eko_Hh_flc_b69vSyvH_NbC6LISuUWizAOFS5tdxoibZySgqOta6YLozLQUwPobEghJUoaicZE84a7XRV5Kfkerd3E8PniGkoO58sti30GMZUapNLxfViAvkOtDGkFLEuN9F3EL9KzsqtvvKXvqlzuV8-Vh26n8be15Rf7XNIFto6Qm99-sFEwbgxbMJudliaxJTrMMZ-UvLn3btdwfd1iB00CO3QWIj_an8DOpyWQg</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>79345176</pqid></control><display><type>article</type><title>Cerebral CT angiography in the diagnosis of acute subarachnoid hemorrhage</title><source>MEDLINE</source><source>Taylor & Francis Journals Complete</source><creator>Lenhart, Markus ; Bretschneider, T. ; Gmeinwieser, J. ; Ullrich, O.-W. ; Schlaier, J. ; Feuerbach, S.</creator><creatorcontrib>Lenhart, Markus ; Bretschneider, T. ; Gmeinwieser, J. ; Ullrich, O.-W. ; Schlaier, J. ; Feuerbach, S.</creatorcontrib><description>Purpose: To evaluate the usefulness of CT angiography (CTA) in the detection of intracranial aneurysms in patients with acute subarachnoid hemorrhage (SAH).
Material and Methods: In 53 patients with nontraumatic SAH a helical contrast-enhanced CTA was performed. CTA data were reconstructed with maximum intensity projection (MIP). Each patient underwent selective arteriography of the cerebral vessels (as the gold standard). CTA (axial images and MIP reconstructions) and arteriography were evaluated separately and their diagnostic information was compared.
Results: In 14 of the 53 patients neither CTA nor angiography showed a vascular malformation. In the remaining 39 patients, angiography demonstrated a total of 51 aneurysms ranging in size from 3 mm to 16 mm. CTA missed one of these aneurysms, which was located at the internal carotid artery. 3-D CT reconstruction was slightly superior to arteriography in the demonstration of the neck, shape and direction of the aneurysms. Partial thrombosis of 3 aneurysms was demonstrated only by CTA.
Conclusion: Although CTA cannot replace cerebral arteriography in the diagnostic work-up of acute SAH, it proved to be helpful in demonstrating the topographic anatomy of cerebral aneurysms and surrounding structures.</description><identifier>ISSN: 0284-1851</identifier><identifier>EISSN: 1600-0455</identifier><identifier>DOI: 10.1080/02841859709172412</identifier><identifier>PMID: 9332232</identifier><identifier>CODEN: ACRAE3</identifier><language>eng</language><publisher>London, England: Informa UK Ltd</publisher><subject>Acute Disease ; Adult ; Aged ; Aneurysm, Ruptured - complications ; Aneurysm, Ruptured - diagnostic imaging ; Angiography, Digital Subtraction - instrumentation ; Angiography, Digital Subtraction - methods ; Biological and medical sciences ; Brain - diagnostic imaging ; Cerebral Angiography - instrumentation ; Cerebral Angiography - methods ; Evaluation Studies as Topic ; Female ; Humans ; Intracranial Aneurysm - complications ; Intracranial Aneurysm - diagnostic imaging ; Investigative techniques, diagnostic techniques (general aspects) ; Male ; Medical sciences ; Middle Aged ; Nervous system ; Prospective Studies ; Radiodiagnosis. Nmr imagery. Nmr spectrometry ; Rupture, Spontaneous ; Subarachnoid Hemorrhage - diagnostic imaging ; Subarachnoid Hemorrhage - etiology ; Tomography, X-Ray Computed - instrumentation ; Tomography, X-Ray Computed - methods</subject><ispartof>Acta radiologica (1987), 1997-09, Vol.38 (5), p.791-796</ispartof><rights>1997 Informa UK Ltd All rights reserved: reproduction in whole or part not permitted 1997</rights><rights>Acta Radiologica</rights><rights>1997 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c348t-85566a9de53cc1974ecbd5421ef7b0789d3a2970e9ca22c4e2fd4002dc97d7b83</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.tandfonline.com/doi/pdf/10.1080/02841859709172412$$EPDF$$P50$$Ginformahealthcare$$H</linktopdf><linktohtml>$$Uhttps://www.tandfonline.com/doi/full/10.1080/02841859709172412$$EHTML$$P50$$Ginformahealthcare$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,61194,61375</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=2801990$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/9332232$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Lenhart, Markus</creatorcontrib><creatorcontrib>Bretschneider, T.</creatorcontrib><creatorcontrib>Gmeinwieser, J.</creatorcontrib><creatorcontrib>Ullrich, O.-W.</creatorcontrib><creatorcontrib>Schlaier, J.</creatorcontrib><creatorcontrib>Feuerbach, S.</creatorcontrib><title>Cerebral CT angiography in the diagnosis of acute subarachnoid hemorrhage</title><title>Acta radiologica (1987)</title><addtitle>Acta Radiol</addtitle><description>Purpose: To evaluate the usefulness of CT angiography (CTA) in the detection of intracranial aneurysms in patients with acute subarachnoid hemorrhage (SAH).
Material and Methods: In 53 patients with nontraumatic SAH a helical contrast-enhanced CTA was performed. CTA data were reconstructed with maximum intensity projection (MIP). Each patient underwent selective arteriography of the cerebral vessels (as the gold standard). CTA (axial images and MIP reconstructions) and arteriography were evaluated separately and their diagnostic information was compared.
Results: In 14 of the 53 patients neither CTA nor angiography showed a vascular malformation. In the remaining 39 patients, angiography demonstrated a total of 51 aneurysms ranging in size from 3 mm to 16 mm. CTA missed one of these aneurysms, which was located at the internal carotid artery. 3-D CT reconstruction was slightly superior to arteriography in the demonstration of the neck, shape and direction of the aneurysms. Partial thrombosis of 3 aneurysms was demonstrated only by CTA.
Conclusion: Although CTA cannot replace cerebral arteriography in the diagnostic work-up of acute SAH, it proved to be helpful in demonstrating the topographic anatomy of cerebral aneurysms and surrounding structures.</description><subject>Acute Disease</subject><subject>Adult</subject><subject>Aged</subject><subject>Aneurysm, Ruptured - complications</subject><subject>Aneurysm, Ruptured - diagnostic imaging</subject><subject>Angiography, Digital Subtraction - instrumentation</subject><subject>Angiography, Digital Subtraction - methods</subject><subject>Biological and medical sciences</subject><subject>Brain - diagnostic imaging</subject><subject>Cerebral Angiography - instrumentation</subject><subject>Cerebral Angiography - methods</subject><subject>Evaluation Studies as Topic</subject><subject>Female</subject><subject>Humans</subject><subject>Intracranial Aneurysm - complications</subject><subject>Intracranial Aneurysm - diagnostic imaging</subject><subject>Investigative techniques, diagnostic techniques (general aspects)</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Nervous system</subject><subject>Prospective Studies</subject><subject>Radiodiagnosis. Nmr imagery. Nmr spectrometry</subject><subject>Rupture, Spontaneous</subject><subject>Subarachnoid Hemorrhage - diagnostic imaging</subject><subject>Subarachnoid Hemorrhage - etiology</subject><subject>Tomography, X-Ray Computed - instrumentation</subject><subject>Tomography, X-Ray Computed - methods</subject><issn>0284-1851</issn><issn>1600-0455</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1997</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkE1LxDAQhoMo6_rxAzwIOYi3apImmwZPsvgFghc9l2ky3WZpmzVpD_57u-ziRRBPc3ifd4Z5CLng7Iazgt0yUUheKKOZ4VpILg7InC8Yy5hU6pDMt3k2AfyYnKS0ZowLrfiMzEyeC5GLOXlZYsQqQkuX7xT6lQ-rCJvmi_qeDg1S52HVh-QTDTUFOw5I01hBBNv0wTvaYBdibGCFZ-Sohjbh-X6eko_Hh_flc_b69vSyvH_NbC6LISuUWizAOFS5tdxoibZySgqOta6YLozLQUwPobEghJUoaicZE84a7XRV5Kfkerd3E8PniGkoO58sti30GMZUapNLxfViAvkOtDGkFLEuN9F3EL9KzsqtvvKXvqlzuV8-Vh26n8be15Rf7XNIFto6Qm99-sFEwbgxbMJudliaxJTrMMZ-UvLn3btdwfd1iB00CO3QWIj_an8DOpyWQg</recordid><startdate>19970901</startdate><enddate>19970901</enddate><creator>Lenhart, Markus</creator><creator>Bretschneider, T.</creator><creator>Gmeinwieser, J.</creator><creator>Ullrich, O.-W.</creator><creator>Schlaier, J.</creator><creator>Feuerbach, S.</creator><general>Informa UK Ltd</general><general>SAGE Publications</general><general>Taylor & Francis</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>19970901</creationdate><title>Cerebral CT angiography in the diagnosis of acute subarachnoid hemorrhage</title><author>Lenhart, Markus ; Bretschneider, T. ; Gmeinwieser, J. ; Ullrich, O.-W. ; Schlaier, J. ; Feuerbach, S.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c348t-85566a9de53cc1974ecbd5421ef7b0789d3a2970e9ca22c4e2fd4002dc97d7b83</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1997</creationdate><topic>Acute Disease</topic><topic>Adult</topic><topic>Aged</topic><topic>Aneurysm, Ruptured - complications</topic><topic>Aneurysm, Ruptured - diagnostic imaging</topic><topic>Angiography, Digital Subtraction - instrumentation</topic><topic>Angiography, Digital Subtraction - methods</topic><topic>Biological and medical sciences</topic><topic>Brain - diagnostic imaging</topic><topic>Cerebral Angiography - instrumentation</topic><topic>Cerebral Angiography - methods</topic><topic>Evaluation Studies as Topic</topic><topic>Female</topic><topic>Humans</topic><topic>Intracranial Aneurysm - complications</topic><topic>Intracranial Aneurysm - diagnostic imaging</topic><topic>Investigative techniques, diagnostic techniques (general aspects)</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Nervous system</topic><topic>Prospective Studies</topic><topic>Radiodiagnosis. Nmr imagery. Nmr spectrometry</topic><topic>Rupture, Spontaneous</topic><topic>Subarachnoid Hemorrhage - diagnostic imaging</topic><topic>Subarachnoid Hemorrhage - etiology</topic><topic>Tomography, X-Ray Computed - instrumentation</topic><topic>Tomography, X-Ray Computed - methods</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Lenhart, Markus</creatorcontrib><creatorcontrib>Bretschneider, T.</creatorcontrib><creatorcontrib>Gmeinwieser, J.</creatorcontrib><creatorcontrib>Ullrich, O.-W.</creatorcontrib><creatorcontrib>Schlaier, J.</creatorcontrib><creatorcontrib>Feuerbach, S.</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>Acta radiologica (1987)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Lenhart, Markus</au><au>Bretschneider, T.</au><au>Gmeinwieser, J.</au><au>Ullrich, O.-W.</au><au>Schlaier, J.</au><au>Feuerbach, S.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Cerebral CT angiography in the diagnosis of acute subarachnoid hemorrhage</atitle><jtitle>Acta radiologica (1987)</jtitle><addtitle>Acta Radiol</addtitle><date>1997-09-01</date><risdate>1997</risdate><volume>38</volume><issue>5</issue><spage>791</spage><epage>796</epage><pages>791-796</pages><issn>0284-1851</issn><eissn>1600-0455</eissn><coden>ACRAE3</coden><abstract>Purpose: To evaluate the usefulness of CT angiography (CTA) in the detection of intracranial aneurysms in patients with acute subarachnoid hemorrhage (SAH).
Material and Methods: In 53 patients with nontraumatic SAH a helical contrast-enhanced CTA was performed. CTA data were reconstructed with maximum intensity projection (MIP). Each patient underwent selective arteriography of the cerebral vessels (as the gold standard). CTA (axial images and MIP reconstructions) and arteriography were evaluated separately and their diagnostic information was compared.
Results: In 14 of the 53 patients neither CTA nor angiography showed a vascular malformation. In the remaining 39 patients, angiography demonstrated a total of 51 aneurysms ranging in size from 3 mm to 16 mm. CTA missed one of these aneurysms, which was located at the internal carotid artery. 3-D CT reconstruction was slightly superior to arteriography in the demonstration of the neck, shape and direction of the aneurysms. Partial thrombosis of 3 aneurysms was demonstrated only by CTA.
Conclusion: Although CTA cannot replace cerebral arteriography in the diagnostic work-up of acute SAH, it proved to be helpful in demonstrating the topographic anatomy of cerebral aneurysms and surrounding structures.</abstract><cop>London, England</cop><pub>Informa UK Ltd</pub><pmid>9332232</pmid><doi>10.1080/02841859709172412</doi><tpages>6</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0284-1851 |
| ispartof | Acta radiologica (1987), 1997-09, Vol.38 (5), p.791-796 |
| issn | 0284-1851 1600-0455 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_79345176 |
| source | MEDLINE; Taylor & Francis Journals Complete |
| subjects | Acute Disease Adult Aged Aneurysm, Ruptured - complications Aneurysm, Ruptured - diagnostic imaging Angiography, Digital Subtraction - instrumentation Angiography, Digital Subtraction - methods Biological and medical sciences Brain - diagnostic imaging Cerebral Angiography - instrumentation Cerebral Angiography - methods Evaluation Studies as Topic Female Humans Intracranial Aneurysm - complications Intracranial Aneurysm - diagnostic imaging Investigative techniques, diagnostic techniques (general aspects) Male Medical sciences Middle Aged Nervous system Prospective Studies Radiodiagnosis. Nmr imagery. Nmr spectrometry Rupture, Spontaneous Subarachnoid Hemorrhage - diagnostic imaging Subarachnoid Hemorrhage - etiology Tomography, X-Ray Computed - instrumentation Tomography, X-Ray Computed - methods |
| title | Cerebral CT angiography in the diagnosis of acute subarachnoid hemorrhage |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-29T03%3A33%3A07IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Cerebral%20CT%20angiography%20in%20the%20diagnosis%20of%20acute%20subarachnoid%20hemorrhage&rft.jtitle=Acta%20radiologica%20(1987)&rft.au=Lenhart,%20Markus&rft.date=1997-09-01&rft.volume=38&rft.issue=5&rft.spage=791&rft.epage=796&rft.pages=791-796&rft.issn=0284-1851&rft.eissn=1600-0455&rft.coden=ACRAE3&rft_id=info:doi/10.1080/02841859709172412&rft_dat=%3Cproquest_cross%3E79345176%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=79345176&rft_id=info:pmid/9332232&rft_sage_id=10.1080_02841859709172412&rfr_iscdi=true |