Whole body magnetic resonance angiography and computed tomography angiography in the vascular mapping of head and neck: an intraindividual comparison
The aim of the study was to compare the detectability of neck vessels with contrast enhanced magnetic resonance angiography (MRA) in the setting of a whole-body MRA and multislice computed tomography angiography (CTA) for preoperative vascular mapping of head and neck. In 20 patients MRA was perform...
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| Veröffentlicht in: | Head & face medicine 2014-05, Vol.10 (1), p.16-16, Article 16 |
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| creator | Kramer, Manuel Schwab, Siegfried A Nkenke, Emeka Eller, Achim Kammerer, Ferdinand May, Matthias Baigger, João F Uder, Michael Lell, Michael |
| description | The aim of the study was to compare the detectability of neck vessels with contrast enhanced magnetic resonance angiography (MRA) in the setting of a whole-body MRA and multislice computed tomography angiography (CTA) for preoperative vascular mapping of head and neck.
In 20 patients MRA was performed prior to microvascular reconstruction of the mandible with osteomyocutaneous flaps. CTA of the neck served as the method of reference.1.5 T contrast enhanced magnetic resonance angiograms were acquired to visualize the vascular structures of the neck in the setting of a whole-body MRA examination. 64-slice spiral computed tomography was performed with a dual-phase protocol, using the arterial phase images for 3D CTA reconstruction. Maximum intensity projection was employed to visualize MRA and CTA data. To retrieve differences in the detectability of vessel branches between MRA and CTA, a McNemar test was performed.
All angiograms were of diagnostic quality. There were no statistically significant differences between MRA and CTA for the detection of branches of the external carotid artery that are relevant host vessels for microsurgery (p = 0.118). CTA was superior to MRA if all the external carotid artery branches were included (p |
| doi_str_mv | 10.1186/1746-160x-10-16 |
| format | Article |
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In 20 patients MRA was performed prior to microvascular reconstruction of the mandible with osteomyocutaneous flaps. CTA of the neck served as the method of reference.1.5 T contrast enhanced magnetic resonance angiograms were acquired to visualize the vascular structures of the neck in the setting of a whole-body MRA examination. 64-slice spiral computed tomography was performed with a dual-phase protocol, using the arterial phase images for 3D CTA reconstruction. Maximum intensity projection was employed to visualize MRA and CTA data. To retrieve differences in the detectability of vessel branches between MRA and CTA, a McNemar test was performed.
All angiograms were of diagnostic quality. There were no statistically significant differences between MRA and CTA for the detection of branches of the external carotid artery that are relevant host vessels for microsurgery (p = 0.118). CTA was superior to MRA if all the external carotid artery branches were included (p < 0.001).
MRA is a reliable alternative to CTA in vascular mapping of the cervical vasculature for planning of microvascular reconstruction of the mandible. In the setting of whole-body MRA it could serve as a radiation free one-stop-shop tool for preoperative assessment of the arterial system, potentially covering both, the donor and host site in one single examination.</description><identifier>ISSN: 1746-160X</identifier><identifier>EISSN: 1746-160X</identifier><identifier>DOI: 10.1186/1746-160x-10-16</identifier><identifier>PMID: 24884580</identifier><language>eng</language><publisher>England: BioMed Central Ltd</publisher><subject>Adult ; Aged ; Carcinoma, Squamous Cell - pathology ; Carcinoma, Squamous Cell - surgery ; Dentistry ; Female ; Head - blood supply ; Head and Neck Neoplasms - pathology ; Head and Neck Neoplasms - surgery ; Humans ; Magnetic Resonance Angiography - methods ; Male ; Middle Aged ; Multidetector Computed Tomography ; Neck - blood supply ; Prospective Studies ; Squamous Cell Carcinoma of Head and Neck</subject><ispartof>Head & face medicine, 2014-05, Vol.10 (1), p.16-16, Article 16</ispartof><rights>COPYRIGHT 2014 BioMed Central Ltd.</rights><rights>2014 Kramer et al.; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.</rights><rights>Copyright © 2014 Kramer et al.; licensee BioMed Central Ltd. 2014 Kramer et al.; licensee BioMed Central Ltd.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c554t-e2e970b33b3fe89cd862606e7694d8dd8efe91057c843271e669106c1f4715c33</citedby><cites>FETCH-LOGICAL-c554t-e2e970b33b3fe89cd862606e7694d8dd8efe91057c843271e669106c1f4715c33</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4028100/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4028100/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,864,885,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24884580$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kramer, Manuel</creatorcontrib><creatorcontrib>Schwab, Siegfried A</creatorcontrib><creatorcontrib>Nkenke, Emeka</creatorcontrib><creatorcontrib>Eller, Achim</creatorcontrib><creatorcontrib>Kammerer, Ferdinand</creatorcontrib><creatorcontrib>May, Matthias</creatorcontrib><creatorcontrib>Baigger, João F</creatorcontrib><creatorcontrib>Uder, Michael</creatorcontrib><creatorcontrib>Lell, Michael</creatorcontrib><title>Whole body magnetic resonance angiography and computed tomography angiography in the vascular mapping of head and neck: an intraindividual comparison</title><title>Head & face medicine</title><addtitle>Head Face Med</addtitle><description>The aim of the study was to compare the detectability of neck vessels with contrast enhanced magnetic resonance angiography (MRA) in the setting of a whole-body MRA and multislice computed tomography angiography (CTA) for preoperative vascular mapping of head and neck.
In 20 patients MRA was performed prior to microvascular reconstruction of the mandible with osteomyocutaneous flaps. CTA of the neck served as the method of reference.1.5 T contrast enhanced magnetic resonance angiograms were acquired to visualize the vascular structures of the neck in the setting of a whole-body MRA examination. 64-slice spiral computed tomography was performed with a dual-phase protocol, using the arterial phase images for 3D CTA reconstruction. Maximum intensity projection was employed to visualize MRA and CTA data. To retrieve differences in the detectability of vessel branches between MRA and CTA, a McNemar test was performed.
All angiograms were of diagnostic quality. There were no statistically significant differences between MRA and CTA for the detection of branches of the external carotid artery that are relevant host vessels for microsurgery (p = 0.118). CTA was superior to MRA if all the external carotid artery branches were included (p < 0.001).
MRA is a reliable alternative to CTA in vascular mapping of the cervical vasculature for planning of microvascular reconstruction of the mandible. In the setting of whole-body MRA it could serve as a radiation free one-stop-shop tool for preoperative assessment of the arterial system, potentially covering both, the donor and host site in one single examination.</description><subject>Adult</subject><subject>Aged</subject><subject>Carcinoma, Squamous Cell - pathology</subject><subject>Carcinoma, Squamous Cell - surgery</subject><subject>Dentistry</subject><subject>Female</subject><subject>Head - blood supply</subject><subject>Head and Neck Neoplasms - pathology</subject><subject>Head and Neck Neoplasms - surgery</subject><subject>Humans</subject><subject>Magnetic Resonance Angiography - methods</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Multidetector Computed Tomography</subject><subject>Neck - blood supply</subject><subject>Prospective Studies</subject><subject>Squamous Cell Carcinoma of Head and Neck</subject><issn>1746-160X</issn><issn>1746-160X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><recordid>eNptkk2P1SAUhhujccbRtTtD4sZNZ4ACpS5MJhO_kkncaHRHuHDaMrZQob3x_hD_r_TOx50xhsU5HJ7zHiBvUbwk-JQQKc5IzURJBP5dEpzjo-L4tvLj8b38qHiW0hXGjHNKnhZHlEnJuMTHxZ_vfRgAbYLdoVF3HmZnUIQUvPYGkPadC13UU7_LuUUmjNMyg0VzGA_1A-M8mntAW53MMuiYJafJ-Q6FFvWg7V7Dg_n5NmcZnqN23rqts4se9uI6ujz7efGk1UOCFzfxpPj24f3Xi0_l5ZePny_OL0vDOZtLoNDUeFNVm6oF2RgrBRVYQC0aZqW1ElpoCOa1kayiNQEh8lYY0rKacFNVJ8W7a91p2YxgDaw3GtQU3ajjTgXt1MMT73rVha1imEqCcRZ4cyMQw68F0qxGlwwMg_YQlqQIr2jDcEXXWa__Qa_CEn1-Xqao4I2UhB6oTg-gnG9DnmtWUXXOGRaMYsYydfofKi8LozPBQ-ty_UHD2XWDiSGlCO3dGwlWq5PU6hW1emVfEbnj1f2vueNvrVP9BRQGxaw</recordid><startdate>20140512</startdate><enddate>20140512</enddate><creator>Kramer, Manuel</creator><creator>Schwab, Siegfried A</creator><creator>Nkenke, Emeka</creator><creator>Eller, Achim</creator><creator>Kammerer, Ferdinand</creator><creator>May, Matthias</creator><creator>Baigger, João F</creator><creator>Uder, Michael</creator><creator>Lell, Michael</creator><general>BioMed Central Ltd</general><general>BioMed Central</general><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>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20140512</creationdate><title>Whole body magnetic resonance angiography and computed tomography angiography in the vascular mapping of head and neck: an intraindividual comparison</title><author>Kramer, Manuel ; Schwab, Siegfried A ; Nkenke, Emeka ; Eller, Achim ; Kammerer, Ferdinand ; May, Matthias ; Baigger, João F ; Uder, Michael ; Lell, Michael</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c554t-e2e970b33b3fe89cd862606e7694d8dd8efe91057c843271e669106c1f4715c33</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Carcinoma, Squamous Cell - pathology</topic><topic>Carcinoma, Squamous Cell - surgery</topic><topic>Dentistry</topic><topic>Female</topic><topic>Head - blood supply</topic><topic>Head and Neck Neoplasms - pathology</topic><topic>Head and Neck Neoplasms - surgery</topic><topic>Humans</topic><topic>Magnetic Resonance Angiography - methods</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Multidetector Computed Tomography</topic><topic>Neck - blood supply</topic><topic>Prospective Studies</topic><topic>Squamous Cell Carcinoma of Head and Neck</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kramer, Manuel</creatorcontrib><creatorcontrib>Schwab, Siegfried A</creatorcontrib><creatorcontrib>Nkenke, Emeka</creatorcontrib><creatorcontrib>Eller, Achim</creatorcontrib><creatorcontrib>Kammerer, Ferdinand</creatorcontrib><creatorcontrib>May, Matthias</creatorcontrib><creatorcontrib>Baigger, João F</creatorcontrib><creatorcontrib>Uder, Michael</creatorcontrib><creatorcontrib>Lell, Michael</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</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>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Publicly Available Content Database</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><collection>PubMed Central (Full Participant titles)</collection><jtitle>Head & face medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kramer, Manuel</au><au>Schwab, Siegfried A</au><au>Nkenke, Emeka</au><au>Eller, Achim</au><au>Kammerer, Ferdinand</au><au>May, Matthias</au><au>Baigger, João F</au><au>Uder, Michael</au><au>Lell, Michael</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Whole body magnetic resonance angiography and computed tomography angiography in the vascular mapping of head and neck: an intraindividual comparison</atitle><jtitle>Head & face medicine</jtitle><addtitle>Head Face Med</addtitle><date>2014-05-12</date><risdate>2014</risdate><volume>10</volume><issue>1</issue><spage>16</spage><epage>16</epage><pages>16-16</pages><artnum>16</artnum><issn>1746-160X</issn><eissn>1746-160X</eissn><abstract>The aim of the study was to compare the detectability of neck vessels with contrast enhanced magnetic resonance angiography (MRA) in the setting of a whole-body MRA and multislice computed tomography angiography (CTA) for preoperative vascular mapping of head and neck.
In 20 patients MRA was performed prior to microvascular reconstruction of the mandible with osteomyocutaneous flaps. CTA of the neck served as the method of reference.1.5 T contrast enhanced magnetic resonance angiograms were acquired to visualize the vascular structures of the neck in the setting of a whole-body MRA examination. 64-slice spiral computed tomography was performed with a dual-phase protocol, using the arterial phase images for 3D CTA reconstruction. Maximum intensity projection was employed to visualize MRA and CTA data. To retrieve differences in the detectability of vessel branches between MRA and CTA, a McNemar test was performed.
All angiograms were of diagnostic quality. There were no statistically significant differences between MRA and CTA for the detection of branches of the external carotid artery that are relevant host vessels for microsurgery (p = 0.118). CTA was superior to MRA if all the external carotid artery branches were included (p < 0.001).
MRA is a reliable alternative to CTA in vascular mapping of the cervical vasculature for planning of microvascular reconstruction of the mandible. In the setting of whole-body MRA it could serve as a radiation free one-stop-shop tool for preoperative assessment of the arterial system, potentially covering both, the donor and host site in one single examination.</abstract><cop>England</cop><pub>BioMed Central Ltd</pub><pmid>24884580</pmid><doi>10.1186/1746-160x-10-16</doi><tpages>1</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Adult Aged Carcinoma, Squamous Cell - pathology Carcinoma, Squamous Cell - surgery Dentistry Female Head - blood supply Head and Neck Neoplasms - pathology Head and Neck Neoplasms - surgery Humans Magnetic Resonance Angiography - methods Male Middle Aged Multidetector Computed Tomography Neck - blood supply Prospective Studies Squamous Cell Carcinoma of Head and Neck |
| title | Whole body magnetic resonance angiography and computed tomography angiography in the vascular mapping of head and neck: an intraindividual comparison |
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