Top

Neuroradiology

Published in:

01-07-2013 | Diagnostic Neuroradiology

Whole-brain CT digital subtraction angiography of cerebral dural arteriovenous fistula using 320-detector row CT

Authors: Hirokazu Fujiwara, Suketaka Momoshima, Takenori Akiyama, Sachio Kuribayashi

Published in: Neuroradiology | Issue 7/2013

Abstract

Introduction

The purpose of this study was to evaluate the usefulness of CT digital subtraction angiography (CTDSA) by using 320-detector row CT in the diagnosis and classification of cerebral dural arteriovenous fistula (dAVF) and comparing it with DSA as the standard reference.

Methods

A total of 29 CTDSA/DSA from 25 patients with dAVF were retrospectively evaluated by two neuroradiologists. The presence, Cognard classification, and feeding arteries of dAVFs on CTDSA were assessed according to DSA.

Results

DSA depicted 33 dAVFs in 28 cases. By consensus reading, CTDSA correctly detected 32 dAVFs in 27 cases and properly graded 31 lesions. The intermodality agreement for the presence and classification of dAVFs was excellent (kappa = 0.955 and 0.921, respectively). CTDSA detected 77 of 109 feeding arteries (70.6 %) in 25 cases. The intermodality agreement for the feeding arteries was good (kappa = 0.713).

Conclusion

Although CTDSA is limited in temporal and spatial resolution in comparison with DSA, it is an effective non-invasive tool for the detection and classification of dAVF.

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 194:671–680PubMed

Borden JA, Wu JK, Shucart WA (1995) A proposed classification for spinal and cranial dural arteriovenous fistulous malformations and implications for treatment. J Neurosurg 82:166–179PubMedCrossRef

van Rooij WJ, Sluzewski M, Beute GN (2007) Dural arteriovenous fistulas with cortical venous drainage: incidence, clinical presentation, and treatment. AJNR Am J Neuroradiol 28(4):651–655PubMed

Kaufmann TJ, Huston J, Mandrekar JN, Schleck CD, Thielen KR, Kallmes DF (2007) Complications of diagnostic cerebral angiography: evaluation of 19,826 consecutive patients. Radiology 243:812–819PubMedCrossRef

Willinsky RA, Taylor SM, TerBrugge K, Farb RI, Tomlinson G, Montanera W (2003) Neurologic complications of cerebral angiography: prospective analysis of 2,899 procedures and review of the literature. Radiology 227:522–528PubMedCrossRef

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

Meckel S, Maier M, Ruiz DSM, Yilmaz H, Scheffler K, Radue E-W, Wetzel SG (2007) MR angiography of dural arteriovenous fistulas: diagnosis and follow-up after treatment using a time-resolved 3D contrast-enhanced technique. AJNR Am J Neuroradiol 28:877–884PubMed

Uchino A, Nomiyama K, Takase Y, Nakazono T, Tominaga Y, Imaizumi T, Kudo S (2007) Retrograde flow in the dural sinuses detected by three-dimensional time-of-flight MR angiography. Neuroradiology 49:211–215PubMedCrossRef

Siebert E, Bohner G, Dewey M, Masuhr F, Hoffmann KT, Mews J, Engelken F, Bauknecht HC, Diekmann S, Klingebiel R (2009) 320-slice CT neuroimaging: initial clinical experience and image quality evaluation. Br J Radiol 82:561–570PubMedCrossRef

10.

Klingebiel R, Siebert E, Diekmann S, Wiener E, Masuhr F, Wagner M, Bauknecht H-C, Dewey M, Bohner G (2009) 4-D imaging in cerebrovascular disorders by using 320-slice CT: feasibility and preliminary clinical experience. Acad Radiol 16:123–129PubMedCrossRef

11.

Soga S, Ersoy H, Mitsouras D, Schultz K, Whitmore AG, Powers SL, Steigner ML, Signorelli J, Prior RF, Rybicki FJ, Pomahac B (2010) Surgical planning for composite tissue allotransplantation of the face using 320-detector row computed tomography. J Comput Assist Tomogr 34:766–769PubMedCrossRef

12.

Willems PWA, Taeshineetanakul P, Schenk B, Brouwer PA, Terbrugge KG, Krings T (2012) The use of 4D-CTA in the diagnostic work-up of brain arteriovenous malformations. Neuroradiology 54:123–131PubMedCrossRef

13.

Manninen A-L, Isokangas J-M, Karttunen A, Siniluoto T, Nieminen MT (2012) A comparison of radiation exposure between diagnostic CTA and DSA examinations of cerebral and cervicocerebral vessels. AJNR Am J Neuroradiol 33:2038–2042PubMedCrossRef

14.

Willems PWA, Brouwer PA, Barfett JJ, TerBrugge KG, Krings T (2011) Detection and classification of cranial dural arteriovenous fistulas using 4D-CT angiography: initial experience. AJNR Am J Neuroradiol 32:49–53PubMed

15.

Brouwer PA, Bosman T, van Walderveen MAA, Krings T, Leroux AA, Willems PWA (2010) Dynamic 320-section CT angiography in cranial arteriovenous shunting lesions. AJNR Am J Neuroradiol 31:767–770PubMedCrossRef

16.

Beijer TR, van Dijk EJ, de Vries J, Vermeer SE, Prokop M, Meijer FJA (2013) 4D-CT angiography differentiating arteriovenous fistula subtypes. Clin Neurol Neurosurg. doi:10.1016/j.clineuro.2012.12.015 PubMed

17.

Imai F, Ogura Y, Kiya N, Zhou J, Ninomiya T, Katada K, Sano H, Kanno T (1996) Synthesized surface anatomy scanning (SSAS) for surgical planning of brain metastasis at the sensorimotor region: initial experience with 5 patients. Acta Neurochir (Wien) 138:290–293CrossRef

18.

Tsuchiya K, Katase S, Yoshino A, Hachiya J, Shiokawa Y (2002) MR-angiogram-added surface anatomy scanning of superficial cerebral arteriovenous malformations. Eur Radiol 12:2330–2334PubMedCrossRef

19.

Nishimura S, Hirai T, Sasao A, Kitajima M, Morioka M, Kai Y, Omori Y, Okuda T, Murakami R, Fukuoka H, Awai K, Kuratsu J-I, Yamashita Y (2010) Evaluation of dural arteriovenous fistulas with 4D contrast-enhanced MR angiography at 3 T. AJNR Am J Neuroradiol 31:80–85PubMedCrossRef

20.

Hori M, Aoki S, Oishi H, Nakanishi A, Shimoji K, Kamagata K, Houshito H, Kuwatsuru R, Arai H (2011) Utility of time-resolved three-dimensional magnetic resonance digital subtraction angiography without contrast material for assessment of intracranial dural arterio-venous fistula. Acta Radiol 52:808–812PubMedCrossRef

Title: Whole-brain CT digital subtraction angiography of cerebral dural arteriovenous fistula using 320-detector row CT
Authors: Hirokazu Fujiwara
Suketaka Momoshima
Takenori Akiyama
Sachio Kuribayashi
Publication date: 01-07-2013
Publisher: Springer Berlin Heidelberg
Published in: Neuroradiology / Issue 7/2013
Print ISSN: 0028-3940
Electronic ISSN: 1432-1920
DOI: https://doi.org/10.1007/s00234-013-1181-6

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Whole-brain CT digital subtraction angiography of cerebral dural arteriovenous fistula using 320-detector row CT

Abstract

Introduction

Methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Introduction

Methods

Results

Conclusion

Please log in to get access to this content

Other articles of this Issue 7/2013

Tissue at risk in acute stroke patients treated beyond 8 h after symptom onset

Impact of a new metal artefact reduction algorithm in the noninvasive follow-up of intracranial clips, coils, and stents with flat-panel angiographic CTA: initial results

Detection of irreversible changes in susceptibility-weighted images after whole-brain irradiation of children

Susceptibility weighted imaging depicts retinal hemorrhages in abusive head trauma

Diffeomorphic Anatomical Registration Through Exponentiated Lie Algebra provides reduced effect of scanner for cortex volumetry with atlas-based method in healthy subjects

MRI of intracranial vertebral artery dissection: evaluation of intramural haematoma using a black blood, variable-flip-angle 3D turbo spin-echo sequence