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Benefit of Advanced 3D DSA and MRI/CT Fusion in Neurovascular Pathology

Digital subtraction angiography provides excellent spatial and temporal resolution; however, it lacks the capability to depict the nonvascular anatomy of the brain and spinal cord. A review of the institutional database identified five patients in whom a new integrated fusion workflow of cross-secti...

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Detalles Bibliográficos
Autores principales: Dobrocky, Tomas, Matzinger, Marco, Piechowiak, Eike I, Kaesmacher, Johannes, Pilgram-Pastor, Sara, Goldberg, Johannes, Bervini, David, Klail, Tomas, Pereira, Vitor Mendes, Z’Graggen, Werner, Raabe, Andreas, Mordasini, Pasquale, Gralla, Jan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Berlin Heidelberg 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10449735/
https://www.ncbi.nlm.nih.gov/pubmed/36745215
http://dx.doi.org/10.1007/s00062-022-01260-0
Descripción
Sumario:Digital subtraction angiography provides excellent spatial and temporal resolution; however, it lacks the capability to depict the nonvascular anatomy of the brain and spinal cord. A review of the institutional database identified five patients in whom a new integrated fusion workflow of cross-sectional imaging and 3D rotational angiography (3DRA) provided important diagnostic information and assisted in treatment planning. These included two acutely ruptured brain arteriovenous malformations (AVM), a small superficial brainstem AVM after radiosurgery, a thalamic microaneurysm, and a spine AVM, and fusion was crucial for diagnosis and influenced further treatment. Fusion of 3DRA and cross-sectional imaging may help to gain a deeper understanding of neurovascular diseases. This is advantageous for planning and providing treatment and, most importantly, may harbor the potential to minimize complication rates. Integrating image fusion in the work-up of cerebrovascular diseases is likely to have a major impact on the neurovascular field in the future. VIDEO ONLINE: The online version of this article contains 3 videos. The article and the videos are online available (10.1007/s00062-022-01260-0). The videos can be found in the article back matter as “Electronic Supplementary Material”.