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Neuroradiology

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01-08-2016 | Diagnostic Neuroradiology

Diagnostic performance of CT and MRI on the detection of symptomatic intracranial dural arteriovenous fistula: a meta-analysis with indirect comparison

Authors: Yen-Heng Lin, Hsien-Ho Lin, Hon-Man Liu, Chung-Wei Lee, Ya-Fang Chen

Published in: Neuroradiology | Issue 8/2016

Abstract

Introduction

This study aims to review the diagnostic performance of computed tomography (CT) and magnetic resonance imaging (MRI) in symptomatic dural arteriovenous fistula (DAVF).

Methods

EMBASE, PubMed, and Cochrane Library were searched until April 2015 for studies which compared CT, MRI, or both with angiography for the detection of DAVF. The diagnostic performances of MRI and CT were indirectly compared using modality as a covariate in the analysis.

Results

Thirteen studies met our inclusion criteria. MRI had a sensitivity of 0.90 (95 % confidence interval (CI) = 0.83–0.94) and specificity of 0.94 (95 % CI = 0.90–0.96). CT had a sensitivity of 0.80 (95 % CI = 0.62–0.90) and specificity of 0.87 (95 % CI = 0.74–0.94). MRI showed better diagnostic performance than CT (p = 0.02). Contrast medium use and time-resolved MR angiography did not improve MRI diagnostic performance (p = 0.31 and 0.44, respectively).

Conclusion

Both CT and MRI had good diagnostic performance. MRI was better than CT on the detection of symptomatic intracranial dural arteriovenous fistula in the indirect comparison.

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Newton TH, Cronqvist S (1969) Involvement of dural arteries in intracranial arteriovenous malformations. Radiology 93(5):1071–1078. doi:10.1148/93.5.1071 CrossRefPubMed

Cognard C, Gobin YP, Pierot L, Bailly AL, Houdart E, Casasco A, Chiras J, Merland JJ (1995) Cerebral dural arteriovenous fistulas: clinical and angiographic correlation with a revised classification of venous drainage. Radiology 194(3):671–680. doi:10.1148/radiology.194.3.7862961 CrossRefPubMed

Chaichana KL, Coon AL, Tamargo RJ, Huang J (2012) Dural arteriovenous fistulas: epidemiology and clinical presentation. Neurosurg Clin N Am 23(1):7–13. doi:10.1016/j.nec.2011.09.001 CrossRefPubMed

Cha KC, Yeon JY, Kim GH, Jeon P, Kim JS, Hong SC (2013) Clinical and angiographic results of patients with dural arteriovenous fistula. J Clin Neurosci 20(4):536–542. doi:10.1016/j.jocn.2012.02.053 CrossRefPubMed

Kaufmann TJ, Huston J 3rd, Mandrekar JN, Schleck CD, Thielen KR, Kallmes DF (2007) Complications of diagnostic cerebral angiography: evaluation of 19,826 consecutive patients. Radiology 243(3):812–819. doi:10.1148/radiol.2433060536 CrossRefPubMed

Tsai LK, Jeng JS, Wang HJ, Yip PK, Liu HM (2004) Diagnosis of intracranial dural arteriovenous fistulas by carotid duplex sonography. J Ultrasound Med : Off J Am Inst Ultrasound Med 23(6):785–791

Tsai LK, Liu HM, Lu CJ, Jeng JS, Yip PK (2005) Carotid duplex sonography in the follow-up of intracranial dural arteriovenous fistulae. AJNR Am J Neuroradiol 26(3):625–629. doi:10.1159/000118374 PubMed

Tsai L-K, Jeng J-S, Yip P-K (2008) Ultrasonography in intracranial dural arteriovenous fistula. J Med Ultrasound 16(1):57–64. doi:10.1016/s0929-6441(08)60006-5 CrossRef

Shin EJ, Lalwani AK, Dowd CF (2000) Role of angiography in the evaluation of patients with pulsatile tinnitus. Laryngoscope 110(11):1916–1920. doi:10.1097/00005537-200011000-00028 CrossRefPubMed

10.

Mossa-Basha M, Chen J, Gandhi D (2012) Imaging of cerebral arteriovenous malformations and dural arteriovenous fistulas. Neurosurg Clin N Am 23(1):27–42. doi:10.1016/j.nec.2011.09.007 CrossRefPubMed

11.

Moher D, Liberati A, Tetzlaff J, Altman DG (2009) Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. Ann Intern Med 151(4):264–269. doi:10.1371/journal.pmed.1000097, w264CrossRefPubMed

12.

Liberati A, Altman DG, Tetzlaff J, Mulrow C, Gøtzsche PC, Ioannidis JPA, Clarke M, Devereaux PJ, Kleijnen J, Moher D (2009) The PRISMA statement for reporting systematic reviews and meta-analyses of studies that evaluate healthcare interventions: explanation and elaboration. BMJ 339:b2700. doi:10.1136/bmj.b2700

13.

Whiting PF, Rutjes AW, Westwood ME, Mallett S, Deeks JJ, Reitsma JB, Leeflang MM, Sterne JA, Bossuyt PM (2011) QUADAS-2: a revised tool for the quality assessment of diagnostic accuracy studies. Ann Intern Med 155(8):529–536. doi:10.7326/0003-4819-155-8-201110180-00009 CrossRefPubMed

14.

Reitsma JB, Glas AS, Rutjes AW, Scholten RJ, Bossuyt PM, Zwinderman AH (2005) Bivariate analysis of sensitivity and specificity produces informative summary measures in diagnostic reviews. J Clin Epidemiol 58(10):982–990. doi:10.1016/j.jclinepi.2005.02.022 CrossRefPubMed

15.

Dietz RR, Davis WL, Harnsberger HR, Jacobs JM, Blatter DD (1994) MR imaging and MR angiography in the evaluation of pulsatile tinnitus. AJNR Am J Neuroradiol 15(5):879–889PubMed

16.

Hirai T, Korogi Y, Hamatake S, Ikushima I, Sugahara T, Sigematsu Y, Higashida Y, Takahashi M (1998) Three-dimensional FISP imaging in the evaluation of carotid cavernous fistula: comparison with contrast-enhanced CT and spin-echo MR. Am J Neuroradiol 19(2):253–259PubMed

17.

Noguchi K, Melhem ER, Kanazawa T, Kubo M, Kuwayama N, Seto H (2004) Intracranial dural arteriovenous fistulas: evaluation with combined 3D time-of-flight MR angiography and MR DIGITAL SUBTRACTION ANGIOGRAPHY. Am J Roentgenol 182(1):183–190. doi:10.2214/ajr.182.1.1820183 CrossRef

18.

Farb RI, Agid R, Willinsky RA, Johnstone DM, Terbrugge KG (2009) Cranial dural arteriovenous fistula: diagnosis and classification with time-resolved MR angiography at 3T. AJNR Am J Neuroradiol 30(8):1546–1551. doi:10.3174/ajnr.A1646 CrossRefPubMed

19.

Pekkola J, Kangasniemi M (2011) Posterior fossa dural arteriovenous fistulas: diagnosis and follow-up with time-resolved imaging of contrast kinetics (TRICKS) at 1.5T. Acta Radiol 52(4):442–447. doi:10.1258/ar.2011.100433 CrossRefPubMed

20.

Bink A, Berkefeld J, Wagner M, You SJ, Ackermann H, Lorenz MW, Senft C, du Mesnil de Rochemont R (2012) Detection and grading of dAVF: prospects and limitations of 3T MRI. Eur Radiol 22(2):429–438. doi:10.1007/s00330-011-2268-2 CrossRefPubMed

21.

Shweel M, Hamdy B (2013) Diagnostic utility of magnetic resonance imaging and magnetic resonance angiography in the radiological evaluation of pulsatile tinnitus. Am J Otolaryngol - Head Neck Med Surg 34(6):710–717. doi:10.1016/j.amjoto.2013.08.001

22.

Kim E, Kim JH, Choi BS, Jung C, Lee DH (2014) MRI and MR angiography findings to differentiate jugular venous reflux from cavernous dural arteriovenous fistula. Am J Roentgenol 202(4):839–846CrossRef

23.

Deuschl C, Goricke S, Gramsch C, Ozkan N, Lehnerdt G, Kastrup O, Ringelstein A, Wanke I, Forsting M, Schlamann M (2015) Value of DSA in the diagnostic workup of pulsatile tinnitus. PLoS ONE 10(2):e0117814. doi:10.1371/journal.pone.0117814

24.

Lee CW, Huang A, Wang YH, Yang CY, Chen YF, Liu HM (2010) Intracranial dural arteriovenous fistulas: diagnosis and evaluation with 64-detector row CT angiography. Radiology 256(1):219–228. doi:10.1148/radiol.10091835 CrossRefPubMed

25.

Narvid J, Do HM, Blevins NH, Fischbein NJ (2011) CT angiography as a screening tool for dural arteriovenous fistula in patients with pulsatile tinnitus: feasibility and test characteristics. AJNR Am J Neuroradiol 32(3):446–453. doi:10.3174/ajnr.A2328 CrossRefPubMed

26.

Zhao PF, Pamier A, Xian JF, Liang XH, Yan F, Du W, Lu H, Wang ZC (2013) Role of computed tomographic angiography in the evaluations of dural arteriovenous fistulas with pulsatile tinnitus as initial symptom. Zhonghua Yi Xue Za Zhi 93(33):2622–2626PubMed

27.

Jang J, Schmitt P, Kim BY, Choi HS, Jung SL, Ahn KJ, Kim I, Paek M, Kim BS (2014) Non-contrast-enhanced 4D MR angiography with STAR spin labeling and variable flip angle sampling: a feasibility study for the assessment of dural arteriovenous fistula. Neuroradiology 56(4):305–314. doi:10.1007/s00234-014-1336-0 CrossRefPubMed

28.

Josephson CB, White PM, Krishan A, Al-Shahi Salman R (2014) Computed tomography angiography or magnetic resonance angiography for detection of intracranial vascular malformations in patients with intracerebral haemorrhage. Cochrane Database Syst Rev 9:Cd009372. doi:10.1002/14651858.CD009372.pub2 PubMed

29.

Kobayashi A, Al-Shahi Salman R (2014) Prognosis and treatment of intracranial dural arteriovenous fistulae: a systematic review and meta-analysis. Int J Stroke : Off J Int Stroke Soc 9(6):670–677. doi:10.1111/ijs.12337 CrossRef

30.

Ma J, Li H, You C, Huang S, Ma L, Ieong C (2012) Accuracy of computed tomography angiography in detecting the underlying vascular abnormalities for spontaneous intracerebral hemorrhage: a comparative study and meta-analysis. Neurol India 60(3):299–303. doi:10.4103/0028-3886.98515 CrossRefPubMed

31.

Madani G, Connor SE (2009) Imaging in pulsatile tinnitus. Clin Radiol 64(3):319–328. doi:10.1016/j.crad.2008.08.014 CrossRefPubMed

32.

Sismanis A (2011) Pulsatile tinnitus: contemporary assessment and management. Curr Opin Otolaryngol Head Neck Surg 19(5):348–357. doi:10.1097/MOO.0b013e3283493fd8 CrossRefPubMed

33.

Aggarwal R, Lloyd S (2012) Pulsatile tinnitus. Otorhinolaryngologist 5(1):7–14

Title: Diagnostic performance of CT and MRI on the detection of symptomatic intracranial dural arteriovenous fistula: a meta-analysis with indirect comparison
Authors: Yen-Heng Lin
Hsien-Ho Lin
Hon-Man Liu
Chung-Wei Lee
Ya-Fang Chen
Publication date: 01-08-2016
Publisher: Springer Berlin Heidelberg
Published in: Neuroradiology / Issue 8/2016
Print ISSN: 0028-3940
Electronic ISSN: 1432-1920
DOI: https://doi.org/10.1007/s00234-016-1696-8

At a glance: The STEP trials

Springer Medicine

Diagnostic performance of CT and MRI on the detection of symptomatic intracranial dural arteriovenous fistula: a meta-analysis with indirect comparison

Abstract

Introduction

Methods

Results

Conclusion

At a glance: The STEP trials

Springer Medicine

Abstract

Introduction

Methods

Results

Conclusion

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