Arterial-spin labeling MRI identifies residual cerebral arteriovenous malformation following stereotactic radiosurgery treatment

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Max Wintermark ◽  
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Kazunari Koike ◽  
Satoshi Takahashi ◽  
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Yoshifumi Higashino ◽  
Makoto Isozaki ◽  
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Shunya Hanakita ◽  
Masahiro Shin ◽  
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Mariko Kawashima ◽  
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Toru Serizawa ◽  
Yoshinori Higuchi ◽  
Osamu Nagano ◽  
Shuji Kominami ◽  
Tatsuo Hirai ◽  
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Tatsuya Yamamoto ◽  
Hiroki Shioura ◽  
Toshiaki Kodera ◽  
...  

We present a longitudinal series of arterial spin-labeling magnetic resonance imaging (ASL-MRI) in a patient with cerebral arteriovenous malformations (AVMs) treated by stereotactic radiosurgery (SRS). Pretreatment ASL-MRI showed high signal intensity in both the nidus and draining veins, and the latter signal abnormality gradually moved proximally by 14 months after SRS. At 24 months, the signal abnormalities finally disappeared, indicating complete obliteration of the nidus. The hemodynamic changes in the AVM were clearly visualized in the longitudinal ASL-MRI series, thus this non-invasive MR method may be useful not only for detecting AVMs but also for assessment of their response after SRS.


2017 ◽  
Vol 46 (6) ◽  
pp. 1718-1727 ◽  
Author(s):  
Onur Ozyurt ◽  
Alp Dincer ◽  
Mehmet Erdem Yildiz ◽  
Selcuk Peker ◽  
Meltem Yilmaz ◽  
...  

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