Three-dimensional spiral CT angiography in the detection of cerebral aneurysm

1998 ◽  
Vol 39 (3) ◽  
pp. 233-238 ◽  
Author(s):  
M. Strayle-Batra ◽  
M. Skalej ◽  
A. K. Wakhloo ◽  
U. Ernemann ◽  
R. Klier ◽  
...  
1998 ◽  
Vol 39 (3) ◽  
pp. 233-238 ◽  
Author(s):  
M. Strayle-Batra ◽  
M. Skalej ◽  
A. K. Wakhloo ◽  
U. Ernemann ◽  
R. Klier ◽  
...  

Purpose: The value of CT angiography in the detection and evaluation of aneurysms was compared to digital subtraction angiography (DSA) Material and Methods: Seventeen patients with acute subarachnoid hemorrhage (SAH) or with known or suspected aneurysm were investigated by means of spiral CT angiography, which included 3D reconstruction. These findings were compared with those at DSA Results: In 16 patients, 20 aneurysms were found; the remaining patient had an ectatic vessel that simulated an aneurysm. Seventeen of the angiographically proved aneurysms were detected at CT angiography (sensitivity 85%). One further aneurysm was identified retrospectively as the result of greater experience in the method. All the aneurysms that escaped detection at CT were 3 mm in size. All the vessels of the circle of Willis, except for the posterior communicating artery, were properly evaluated at CT angiography. Difficulties were encountered in assessing the posterior communicating artery and the extradural segment of the internal carotid artery owing to their close spatial relationship to the bony structures of the skull base and the cavernous sinus Conclusion: CT angiography is a low-risk technique with a low level of invasiveness that is useful in following up known aneurysms. The 3D reconstruction yields further topographic information that helps in the planning of endovascular or surgical intervention. The facility for rotating the reconstructed vessels and displaying them from different angles is of particular value in cases difficult to assess at angiography


Radiology ◽  
1993 ◽  
Vol 186 (1) ◽  
pp. 147-152 ◽  
Author(s):  
G D Rubin ◽  
M D Dake ◽  
S A Napel ◽  
C H McDonnell ◽  
R B Jeffrey

1997 ◽  
Vol 52 (3) ◽  
pp. 227-230 ◽  
Author(s):  
S.J. Howling ◽  
H. Gordon ◽  
T. McArthur ◽  
A. Hatfield ◽  
W.R. Lees

2020 ◽  
Vol 2020 ◽  
pp. 1-5
Author(s):  
Yan Feng ◽  
Sheng Jie Shu

Objective. To evaluate the diagnostic value of low-dose 256-slice CT angiography (CTA), MR angiography (MRA), and three dimensional-digital subtraction angiography (3D-DSA) in cerebral aneurysms. Methods. CTA, MRA, and 3D-DSA were performed in all enrolled patients to explore the diagnostic significance of the three different examinations. Results. There were 92 aneurysms confirmed during DSA and surgery in 79 patients. The diagnostic coincidence rates of DSA, CTA, and MRA were 96.7%, 89.1%, and 86%, respectively. The diagnostic coincidence rates of CTA and MRA were lower than those of DSA. The detection rate of CTA for aneurysms less than 3 mm in diameter was higher than that of MRA. Conclusion. CTA, DSA, and MRA have their own advantages and disadvantages in the diagnosis of cerebral aneurysms. They all have the diagnostic value for aneurysms.


1994 ◽  
Vol 15 (2) ◽  
pp. 133-138 ◽  
Author(s):  
Charles P. Semba ◽  
Geoffrey D. Rubin ◽  
Michael D. Dake

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