Highly accelerated compressed sensing time-of-flight magnetic resonance angiography may be reliable for diagnosing head and neck arterial steno-occlusive disease: a comparative study with digital subtraction angiography
Introduction We aimed to investigate the utility of compressed sensing time-of-flight magnetic resonance angiography (CS TOF-MRA) for diagnosing intracranial and cervical arterial stenosis by using digital subtraction angiography (DSA) as the reference standard. Methods Thirty-seven patients with he...
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description | Introduction
We aimed to investigate the utility of compressed sensing time-of-flight magnetic resonance angiography (CS TOF-MRA) for diagnosing intracranial and cervical arterial stenosis by using digital subtraction angiography (DSA) as the reference standard.
Methods
Thirty-seven patients with head and neck arterial stenoses who underwent CS TOF-MRA and DSA were retrospectively enrolled. The reconstructed resolution of CS TOF-MRA was 0.4 × 0.4 × 0.4 mm
3
. The scan time was 5 min and 2 s. The image quality of CS TOF-MRA was independently ranked by two neuroradiologists in 1031 arterial segments. The luminal stenosis grades on CS TOF-MRA and DSA were analyzed in 61 arterial segments and were compared using the Wilcoxon signed-rank test. The ability of CS TOF-MRA to predict moderate to severe stenosis or occlusion was analyzed.
Results
The image quality of most arterial segments (95.2%) on CS TOF-MRA was excellent. Arterial segments with low image quality were mainly the V3–4 segments of the vertebral artery. The majority of arterial stenoses (62.3%) were located in the cervical internal carotid artery. The luminal stenosis grades of CS TOF-MRA were concordant with that of DSA in 50 of 61 segments (
p
= 0.366). CS TOF-MRA had a sensitivity of 84.4% and a specificity of 88.5% for predicting moderate to severe stenosis. For detecting occlusion lesions, it had a sensitivity of 100% and a specificity of 94.1%.
Conclusion
CS TOF-MRA provides adequate image quality within a reasonable acquisition time and is a reliable tool for diagnosing head and neck arterial steno-occlusive disease.
Key Points
• CS TOF-MRA provides a relatively large coverage (16 cm), high resolution (0.4 × 0.4 × 0.4 mm
3
) and good image quality of head and neck arteries within 5 min and 2 s.
• The diagnostic accuracy of CS TOF-MRA in the assessment of moderate to severe stenosis and occlusion was comparable with that of DSA.
• Arterial segments with low image quality were mainly the V3 and V4 segments of the vertebral artery. |
doi_str_mv | 10.1007/s00330-020-06682-3 |
format | Article |
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We aimed to investigate the utility of compressed sensing time-of-flight magnetic resonance angiography (CS TOF-MRA) for diagnosing intracranial and cervical arterial stenosis by using digital subtraction angiography (DSA) as the reference standard.
Methods
Thirty-seven patients with head and neck arterial stenoses who underwent CS TOF-MRA and DSA were retrospectively enrolled. The reconstructed resolution of CS TOF-MRA was 0.4 × 0.4 × 0.4 mm
3
. The scan time was 5 min and 2 s. The image quality of CS TOF-MRA was independently ranked by two neuroradiologists in 1031 arterial segments. The luminal stenosis grades on CS TOF-MRA and DSA were analyzed in 61 arterial segments and were compared using the Wilcoxon signed-rank test. The ability of CS TOF-MRA to predict moderate to severe stenosis or occlusion was analyzed.
Results
The image quality of most arterial segments (95.2%) on CS TOF-MRA was excellent. Arterial segments with low image quality were mainly the V3–4 segments of the vertebral artery. The majority of arterial stenoses (62.3%) were located in the cervical internal carotid artery. The luminal stenosis grades of CS TOF-MRA were concordant with that of DSA in 50 of 61 segments (
p
= 0.366). CS TOF-MRA had a sensitivity of 84.4% and a specificity of 88.5% for predicting moderate to severe stenosis. For detecting occlusion lesions, it had a sensitivity of 100% and a specificity of 94.1%.
Conclusion
CS TOF-MRA provides adequate image quality within a reasonable acquisition time and is a reliable tool for diagnosing head and neck arterial steno-occlusive disease.
Key Points
• CS TOF-MRA provides a relatively large coverage (16 cm), high resolution (0.4 × 0.4 × 0.4 mm
3
) and good image quality of head and neck arteries within 5 min and 2 s.
• The diagnostic accuracy of CS TOF-MRA in the assessment of moderate to severe stenosis and occlusion was comparable with that of DSA.
• Arterial segments with low image quality were mainly the V3 and V4 segments of the vertebral artery.</description><identifier>ISSN: 0938-7994</identifier><identifier>EISSN: 1432-1084</identifier><identifier>DOI: 10.1007/s00330-020-06682-3</identifier><identifier>PMID: 32064562</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Angiography ; Arteries ; Carotid artery ; Comparative studies ; Diagnostic Radiology ; Diagnostic systems ; Head and Neck ; Image acquisition ; Image quality ; Imaging ; Internal Medicine ; Interventional Radiology ; Life Sciences & Biomedicine ; Magnetic resonance ; Medical diagnosis ; Medical imaging ; Medicine ; Medicine & Public Health ; Neck ; Neuroradiology ; Occlusion ; Quality ; Radiology ; Radiology, Nuclear Medicine & Medical Imaging ; Rank tests ; Resonance ; Science & Technology ; Segments ; Sensitivity ; Stenosis ; Time compression ; Ultrasound ; Veins & arteries ; Vertebrae</subject><ispartof>European radiology, 2020-06, Vol.30 (6), p.3059-3065</ispartof><rights>European Society of Radiology 2020</rights><rights>European Society of Radiology 2020.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>true</woscitedreferencessubscribed><woscitedreferencescount>18</woscitedreferencescount><woscitedreferencesoriginalsourcerecordid>wos000516234800002</woscitedreferencesoriginalsourcerecordid><citedby>FETCH-LOGICAL-c375t-856c27ade80c4f1bdb5ef2349d10eac4ca891555e2423be4d87c3a50afd62c873</citedby><cites>FETCH-LOGICAL-c375t-856c27ade80c4f1bdb5ef2349d10eac4ca891555e2423be4d87c3a50afd62c873</cites><orcidid>0000-0002-5438-8050 ; 0000-0002-8165-0640 ; 0000-0001-5281-8857</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/s00330-020-06682-3$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00330-020-06682-3$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>315,782,786,27931,27932,28255,41495,42564,51326</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32064562$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Zhang, Xuan</creatorcontrib><creatorcontrib>Cao, Yue Zhou</creatorcontrib><creatorcontrib>Mu, Xi Hu</creatorcontrib><creatorcontrib>Sun, Yi</creatorcontrib><creatorcontrib>Schmidt, Michaela</creatorcontrib><creatorcontrib>Forman, Christoph</creatorcontrib><creatorcontrib>Speier, Peter</creatorcontrib><creatorcontrib>Lu, Shan Shan</creatorcontrib><creatorcontrib>Hong, Xun Ning</creatorcontrib><title>Highly accelerated compressed sensing time-of-flight magnetic resonance angiography may be reliable for diagnosing head and neck arterial steno-occlusive disease: a comparative study with digital subtraction angiography</title><title>European radiology</title><addtitle>Eur Radiol</addtitle><addtitle>EUR RADIOL</addtitle><addtitle>Eur Radiol</addtitle><description>Introduction
We aimed to investigate the utility of compressed sensing time-of-flight magnetic resonance angiography (CS TOF-MRA) for diagnosing intracranial and cervical arterial stenosis by using digital subtraction angiography (DSA) as the reference standard.
Methods
Thirty-seven patients with head and neck arterial stenoses who underwent CS TOF-MRA and DSA were retrospectively enrolled. The reconstructed resolution of CS TOF-MRA was 0.4 × 0.4 × 0.4 mm
3
. The scan time was 5 min and 2 s. The image quality of CS TOF-MRA was independently ranked by two neuroradiologists in 1031 arterial segments. The luminal stenosis grades on CS TOF-MRA and DSA were analyzed in 61 arterial segments and were compared using the Wilcoxon signed-rank test. The ability of CS TOF-MRA to predict moderate to severe stenosis or occlusion was analyzed.
Results
The image quality of most arterial segments (95.2%) on CS TOF-MRA was excellent. Arterial segments with low image quality were mainly the V3–4 segments of the vertebral artery. The majority of arterial stenoses (62.3%) were located in the cervical internal carotid artery. The luminal stenosis grades of CS TOF-MRA were concordant with that of DSA in 50 of 61 segments (
p
= 0.366). CS TOF-MRA had a sensitivity of 84.4% and a specificity of 88.5% for predicting moderate to severe stenosis. For detecting occlusion lesions, it had a sensitivity of 100% and a specificity of 94.1%.
Conclusion
CS TOF-MRA provides adequate image quality within a reasonable acquisition time and is a reliable tool for diagnosing head and neck arterial steno-occlusive disease.
Key Points
• CS TOF-MRA provides a relatively large coverage (16 cm), high resolution (0.4 × 0.4 × 0.4 mm
3
) and good image quality of head and neck arteries within 5 min and 2 s.
• The diagnostic accuracy of CS TOF-MRA in the assessment of moderate to severe stenosis and occlusion was comparable with that of DSA.
• Arterial segments with low image quality were mainly the V3 and V4 segments of the vertebral artery.</description><subject>Angiography</subject><subject>Arteries</subject><subject>Carotid artery</subject><subject>Comparative studies</subject><subject>Diagnostic Radiology</subject><subject>Diagnostic systems</subject><subject>Head and Neck</subject><subject>Image acquisition</subject><subject>Image quality</subject><subject>Imaging</subject><subject>Internal Medicine</subject><subject>Interventional Radiology</subject><subject>Life Sciences & Biomedicine</subject><subject>Magnetic resonance</subject><subject>Medical diagnosis</subject><subject>Medical imaging</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Neck</subject><subject>Neuroradiology</subject><subject>Occlusion</subject><subject>Quality</subject><subject>Radiology</subject><subject>Radiology, Nuclear Medicine & Medical Imaging</subject><subject>Rank tests</subject><subject>Resonance</subject><subject>Science & Technology</subject><subject>Segments</subject><subject>Sensitivity</subject><subject>Stenosis</subject><subject>Time compression</subject><subject>Ultrasound</subject><subject>Veins & arteries</subject><subject>Vertebrae</subject><issn>0938-7994</issn><issn>1432-1084</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>AOWDO</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNqNks2KFDEUhQtRnHH0BVxIwI0gpfmtH3fSqCMMuNF1cSt1qzpjVdImKYd-Vl_G293jKC7ERUjI_c7l5J4UxVPBXwnO69eJc6V4ySWtqmpkqe4V50IrWQre6PvFOW9VU9Ztq8-KRyldc85boeuHxZmSvNKmkufFj0s3bec9A2txxggZB2bDsouYEh0T-uT8xLJbsAxjOc6EZ7bA5DE7ywgLHrxFBn5yYYqw2-6pvGc9UnF20M_IxhDZ4EgTjs22CAPxA_NovzKIGaODmaWMPpTB2nlN7juSIiEkfMPg6AjI3OE65XXYsxuXt0RMLh-Ua58j2OyC_9PH4-LBCHPCJ7f7RfHl_bvPm8vy6tOHj5u3V6VVtcllYyoraxiw4VaPoh96g6NUuh0ER7DaQtMKYwxKLVWPemhqq8BwGIdK2qZWF8WLU99dDN9WTLlbXKJxzuAxrKmTylSVMK1WhD7_C70Oa_TkrpOaMtHa1IYoeaJsDClFHLtddAvEfSd4d4i-O0XfUfTdMfru0PrZbeu1X3C4k_zKmoDmBNxgH8ZkHVJudxh9DiOI0g2duNzQYA_z3ITVZ5K-_H8p0epEJyL8hPH3I__h_ycO0uCM</recordid><startdate>20200601</startdate><enddate>20200601</enddate><creator>Zhang, Xuan</creator><creator>Cao, Yue Zhou</creator><creator>Mu, Xi Hu</creator><creator>Sun, Yi</creator><creator>Schmidt, Michaela</creator><creator>Forman, Christoph</creator><creator>Speier, Peter</creator><creator>Lu, Shan Shan</creator><creator>Hong, Xun Ning</creator><general>Springer Berlin Heidelberg</general><general>Springer Nature</general><general>Springer Nature B.V</general><scope>AOWDO</scope><scope>BLEPL</scope><scope>DTL</scope><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><orcidid>https://orcid.org/0000-0002-5438-8050</orcidid><orcidid>https://orcid.org/0000-0002-8165-0640</orcidid><orcidid>https://orcid.org/0000-0001-5281-8857</orcidid></search><sort><creationdate>20200601</creationdate><title>Highly accelerated compressed sensing time-of-flight magnetic resonance angiography may be reliable for diagnosing head and neck arterial steno-occlusive disease: a comparative study with digital subtraction angiography</title><author>Zhang, Xuan ; Cao, Yue Zhou ; Mu, Xi Hu ; Sun, Yi ; Schmidt, Michaela ; Forman, Christoph ; Speier, Peter ; Lu, Shan Shan ; Hong, Xun Ning</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c375t-856c27ade80c4f1bdb5ef2349d10eac4ca891555e2423be4d87c3a50afd62c873</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Angiography</topic><topic>Arteries</topic><topic>Carotid artery</topic><topic>Comparative studies</topic><topic>Diagnostic Radiology</topic><topic>Diagnostic systems</topic><topic>Head and Neck</topic><topic>Image acquisition</topic><topic>Image quality</topic><topic>Imaging</topic><topic>Internal Medicine</topic><topic>Interventional Radiology</topic><topic>Life Sciences & Biomedicine</topic><topic>Magnetic resonance</topic><topic>Medical diagnosis</topic><topic>Medical imaging</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Neck</topic><topic>Neuroradiology</topic><topic>Occlusion</topic><topic>Quality</topic><topic>Radiology</topic><topic>Radiology, Nuclear Medicine & Medical Imaging</topic><topic>Rank tests</topic><topic>Resonance</topic><topic>Science & Technology</topic><topic>Segments</topic><topic>Sensitivity</topic><topic>Stenosis</topic><topic>Time compression</topic><topic>Ultrasound</topic><topic>Veins & arteries</topic><topic>Vertebrae</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Zhang, Xuan</creatorcontrib><creatorcontrib>Cao, Yue Zhou</creatorcontrib><creatorcontrib>Mu, Xi Hu</creatorcontrib><creatorcontrib>Sun, Yi</creatorcontrib><creatorcontrib>Schmidt, Michaela</creatorcontrib><creatorcontrib>Forman, Christoph</creatorcontrib><creatorcontrib>Speier, Peter</creatorcontrib><creatorcontrib>Lu, Shan Shan</creatorcontrib><creatorcontrib>Hong, Xun Ning</creatorcontrib><collection>Web of Science - Science Citation Index Expanded - 2020</collection><collection>Web of Science Core Collection</collection><collection>Science Citation Index Expanded</collection><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 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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>Zhang, Xuan</au><au>Cao, Yue Zhou</au><au>Mu, Xi Hu</au><au>Sun, Yi</au><au>Schmidt, Michaela</au><au>Forman, Christoph</au><au>Speier, Peter</au><au>Lu, Shan Shan</au><au>Hong, Xun Ning</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Highly accelerated compressed sensing time-of-flight magnetic resonance angiography may be reliable for diagnosing head and neck arterial steno-occlusive disease: a comparative study with digital subtraction angiography</atitle><jtitle>European radiology</jtitle><stitle>Eur Radiol</stitle><stitle>EUR RADIOL</stitle><addtitle>Eur Radiol</addtitle><date>2020-06-01</date><risdate>2020</risdate><volume>30</volume><issue>6</issue><spage>3059</spage><epage>3065</epage><pages>3059-3065</pages><issn>0938-7994</issn><eissn>1432-1084</eissn><abstract>Introduction
We aimed to investigate the utility of compressed sensing time-of-flight magnetic resonance angiography (CS TOF-MRA) for diagnosing intracranial and cervical arterial stenosis by using digital subtraction angiography (DSA) as the reference standard.
Methods
Thirty-seven patients with head and neck arterial stenoses who underwent CS TOF-MRA and DSA were retrospectively enrolled. The reconstructed resolution of CS TOF-MRA was 0.4 × 0.4 × 0.4 mm
3
. The scan time was 5 min and 2 s. The image quality of CS TOF-MRA was independently ranked by two neuroradiologists in 1031 arterial segments. The luminal stenosis grades on CS TOF-MRA and DSA were analyzed in 61 arterial segments and were compared using the Wilcoxon signed-rank test. The ability of CS TOF-MRA to predict moderate to severe stenosis or occlusion was analyzed.
Results
The image quality of most arterial segments (95.2%) on CS TOF-MRA was excellent. Arterial segments with low image quality were mainly the V3–4 segments of the vertebral artery. The majority of arterial stenoses (62.3%) were located in the cervical internal carotid artery. The luminal stenosis grades of CS TOF-MRA were concordant with that of DSA in 50 of 61 segments (
p
= 0.366). CS TOF-MRA had a sensitivity of 84.4% and a specificity of 88.5% for predicting moderate to severe stenosis. For detecting occlusion lesions, it had a sensitivity of 100% and a specificity of 94.1%.
Conclusion
CS TOF-MRA provides adequate image quality within a reasonable acquisition time and is a reliable tool for diagnosing head and neck arterial steno-occlusive disease.
Key Points
• CS TOF-MRA provides a relatively large coverage (16 cm), high resolution (0.4 × 0.4 × 0.4 mm
3
) and good image quality of head and neck arteries within 5 min and 2 s.
• The diagnostic accuracy of CS TOF-MRA in the assessment of moderate to severe stenosis and occlusion was comparable with that of DSA.
• Arterial segments with low image quality were mainly the V3 and V4 segments of the vertebral artery.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>32064562</pmid><doi>10.1007/s00330-020-06682-3</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0002-5438-8050</orcidid><orcidid>https://orcid.org/0000-0002-8165-0640</orcidid><orcidid>https://orcid.org/0000-0001-5281-8857</orcidid></addata></record> |
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source | SpringerNature Journals; Web of Science - Science Citation Index Expanded - 2020<img src="https://exlibris-pub.s3.amazonaws.com/fromwos-v2.jpg" /> |
subjects | Angiography Arteries Carotid artery Comparative studies Diagnostic Radiology Diagnostic systems Head and Neck Image acquisition Image quality Imaging Internal Medicine Interventional Radiology Life Sciences & Biomedicine Magnetic resonance Medical diagnosis Medical imaging Medicine Medicine & Public Health Neck Neuroradiology Occlusion Quality Radiology Radiology, Nuclear Medicine & Medical Imaging Rank tests Resonance Science & Technology Segments Sensitivity Stenosis Time compression Ultrasound Veins & arteries Vertebrae |
title | Highly accelerated compressed sensing time-of-flight magnetic resonance angiography may be reliable for diagnosing head and neck arterial steno-occlusive disease: a comparative study with digital subtraction angiography |
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