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Published in: The Journal of Headache and Pain 1/2019

Open Access 01-12-2019 | Migraine | Methodology

Ultra-high field MR angiography in human migraine models: a 3.0 T/7.0 T comparison study

Authors: Casper Emil Christensen, Samaira Younis, Ulrich Lindberg, Vincent Oltman Boer, Patrick de Koning, Esben Thade Petersen, Olaf Bjarne Paulson, Henrik Bo Wiberg Larsson, Faisal Mohammad Amin, Messoud Ashina

Published in: The Journal of Headache and Pain | Issue 1/2019

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Abstract

Background

Sildenafil and calcitonin gene-related peptide both dilate the intradural segments of the middle meningeal artery measured with 3.0 tesla (T) MR angiography. Here we hypothesized that an increase in field strength to 7.0 T and concomitant enhanced voxel resolution would lower variance in measurements of dilation in the intradural middle meningeal artery.

Methods

Five subjects completed two sessions at respectively 3.0 T and 7.0 T. Each session comprised MR angiography scans once before and twice after administration of sildenafil, calcitonin gene-related peptide or placebo in a three-way, crossover, double-blind, placebo-controlled design.

Results

Standard deviations of arterial circumference revealed no difference between 3.0 T and 7.0 T measurements (p = 0.379). We found a decrease in standard deviation from our original angiography analysis software (QMra) to a newer (LAVA) software package (p < 0.001). Furthermore, we found that the dilation after sildenafil and calcitonin gene-related peptide were comparable between 3.0 T and 7.0 T.

Conclusions

Our findings suggest no gain from the increase in voxel resolution but cemented dilatory findings from earlier. The implemented software update improved variance in circumference measurements in the intradural middle meningeal artery, which should be exploited in future studies.

Trial registration

The study is part of a parent study, which is registered at ClinicalTrials.gov (NCT03143465).
Literature
1.
go back to reference Asghar MS, Hansen AE, Amin FM et al (2011) Evidence for a vascular factor in migraine. Ann Neurol 69:635–645CrossRef Asghar MS, Hansen AE, Amin FM et al (2011) Evidence for a vascular factor in migraine. Ann Neurol 69:635–645CrossRef
2.
go back to reference Amin FM, Asghar MS, Hougaard A et al (2013) Magnetic resonance angiography of intracranial and extracranial arteries in patients with spontaneous migraine without aura: a cross-sectional study. Lancet Neurol 12:454–461CrossRef Amin FM, Asghar MS, Hougaard A et al (2013) Magnetic resonance angiography of intracranial and extracranial arteries in patients with spontaneous migraine without aura: a cross-sectional study. Lancet Neurol 12:454–461CrossRef
3.
go back to reference Amin FM, Hougaard A, Schytz HW et al (2014) Investigation of the pathophysiological mechanisms of migraine attacks induced by pituitary adenylate cyclase-activating polypeptide-38. Brain 137:779–794CrossRef Amin FM, Hougaard A, Schytz HW et al (2014) Investigation of the pathophysiological mechanisms of migraine attacks induced by pituitary adenylate cyclase-activating polypeptide-38. Brain 137:779–794CrossRef
4.
go back to reference Khan S, Amin FM, Christensen CE et al (2019) Meningeal contribution to migraine pain: a magnetic resonance angiography study. Brain 142:93–102CrossRef Khan S, Amin FM, Christensen CE et al (2019) Meningeal contribution to migraine pain: a magnetic resonance angiography study. Brain 142:93–102CrossRef
5.
go back to reference Arngrim N, Schytz HW, Britze J et al (2016) Migraine induced by hypoxia: an MRI spectroscopy and angiography study. Brain 139:723–737CrossRef Arngrim N, Schytz HW, Britze J et al (2016) Migraine induced by hypoxia: an MRI spectroscopy and angiography study. Brain 139:723–737CrossRef
6.
go back to reference Olesen J, Burstein R, Ashina M, Tfelt-Hansen P (2009) Origin of pain in migraine: evidence for peripheral sensitisation. Lancet Neurol 8:679–690CrossRef Olesen J, Burstein R, Ashina M, Tfelt-Hansen P (2009) Origin of pain in migraine: evidence for peripheral sensitisation. Lancet Neurol 8:679–690CrossRef
7.
go back to reference Christensen CE, Amin FM, Younis S et al (2019) Sildenafil and calcitonin gene-related peptide dilate intradural arteries: a 3T MR angiography study in healthy volunteers. Cephalalgia 39:264–273CrossRef Christensen CE, Amin FM, Younis S et al (2019) Sildenafil and calcitonin gene-related peptide dilate intradural arteries: a 3T MR angiography study in healthy volunteers. Cephalalgia 39:264–273CrossRef
8.
go back to reference Kornieieva M, Hadidy A, Zhuravlova I (2015) Variability of the middle meningeal artery subject to the shape of skull. J Neurol Surg B Skull Base 76:451–458CrossRef Kornieieva M, Hadidy A, Zhuravlova I (2015) Variability of the middle meningeal artery subject to the shape of skull. J Neurol Surg B Skull Base 76:451–458CrossRef
9.
go back to reference Snaar JEM, Teeuwisse WM, Versluis MJ et al (2011) Improvements in high-field localized MRS of the medial temporal lobe in humans using new deformable high-dielectric materials. NMR Biomed 24:873–879CrossRef Snaar JEM, Teeuwisse WM, Versluis MJ et al (2011) Improvements in high-field localized MRS of the medial temporal lobe in humans using new deformable high-dielectric materials. NMR Biomed 24:873–879CrossRef
10.
go back to reference de Koning PJH, Schaap JA, Janssen JP, Westenberg JJM, van der Geest RJ, Reiber JHC (2003) Automated segmentation and analysis of vascular structures in magnetic resonance angiographic images. Magn Reson Med 50:1189–1198CrossRef de Koning PJH, Schaap JA, Janssen JP, Westenberg JJM, van der Geest RJ, Reiber JHC (2003) Automated segmentation and analysis of vascular structures in magnetic resonance angiographic images. Magn Reson Med 50:1189–1198CrossRef
11.
go back to reference van ‘t Klooster R, de Koning PJH, Dehnavi RA et al (2012) Automatic lumen and outer wall segmentation of the carotid artery using deformable three-dimensional models in MR angiography and vessel wall images. J Magn Reson Imaging 35:156–165CrossRef van ‘t Klooster R, de Koning PJH, Dehnavi RA et al (2012) Automatic lumen and outer wall segmentation of the carotid artery using deformable three-dimensional models in MR angiography and vessel wall images. J Magn Reson Imaging 35:156–165CrossRef
12.
go back to reference Martin Bland J, Altman D (1986) Statistical methods for assessing agreement between two methods of CLINICAL MEASUREMENT. Lancet 327:307–310CrossRef Martin Bland J, Altman D (1986) Statistical methods for assessing agreement between two methods of CLINICAL MEASUREMENT. Lancet 327:307–310CrossRef
13.
go back to reference Jackson G, Benjamin N, Jackson N, Allen MJ (1999) Effects of sildenafil citrate on human hemodynamics. Am J Cardiol 83:13–20CrossRef Jackson G, Benjamin N, Jackson N, Allen MJ (1999) Effects of sildenafil citrate on human hemodynamics. Am J Cardiol 83:13–20CrossRef
14.
go back to reference Brain SD, Grant AD (2004) Vascular actions of calcitonin gene-related peptide and Adrenomedullin. Physiol Rev 84:903–934CrossRef Brain SD, Grant AD (2004) Vascular actions of calcitonin gene-related peptide and Adrenomedullin. Physiol Rev 84:903–934CrossRef
15.
go back to reference Amin FM, Lundholm E, Hougaard A et al (2014) Measurement precision and biological variation of cranial arteries using automated analysis of 3 T magnetic resonance angiography. J Headache Pain 15:25CrossRef Amin FM, Lundholm E, Hougaard A et al (2014) Measurement precision and biological variation of cranial arteries using automated analysis of 3 T magnetic resonance angiography. J Headache Pain 15:25CrossRef
Metadata
Title
Ultra-high field MR angiography in human migraine models: a 3.0 T/7.0 T comparison study
Authors
Casper Emil Christensen
Samaira Younis
Ulrich Lindberg
Vincent Oltman Boer
Patrick de Koning
Esben Thade Petersen
Olaf Bjarne Paulson
Henrik Bo Wiberg Larsson
Faisal Mohammad Amin
Messoud Ashina
Publication date
01-12-2019
Publisher
Springer Milan
Published in
The Journal of Headache and Pain / Issue 1/2019
Print ISSN: 1129-2369
Electronic ISSN: 1129-2377
DOI
https://doi.org/10.1186/s10194-019-0996-x

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