MRA Versus DSA for Follow-Up of Coiled Intracranial Aneurysms: A Meta-Analysis

被引：72

作者：

van Amerongen, M. J. ^{[1
]}

Boogaarts, H. D. ^{[1
]}

de Vries, J. ^{[1
]}

Verbeek, A. L. M. ^{[2
]}

Meijer, F. J. A. ^{[3
]}

Prokop, M. ^{[3
]}

Bartels, R. H. M. A. ^{[1
]}

机构：

[1] Radboud Univ Nijmegen, Dept Neurosurg, Med Ctr, NL-6500 HB Nijmegen, Netherlands

[2] Radboud Univ Nijmegen, Dept Epidemiol & Biostat, Med Ctr, NL-6500 HB Nijmegen, Netherlands

[3] Radboud Univ Nijmegen, Dept Radiol Neuroradiol, Med Ctr, NL-6500 HB Nijmegen, Netherlands

来源：

AMERICAN JOURNAL OF NEURORADIOLOGY | 2014年 / 35卷 / 09期

关键词：

TIME-OF-FLIGHT; GUGLIELMI DETACHABLE COILS; DIGITAL-SUBTRACTION-ANGIOGRAPHY; MAGNETIC-RESONANCE ANGIOGRAPHY; CONTRAST-ENHANCED MRA; ENDOVASCULAR TREATMENT; CEREBRAL ANEURYSMS; INITIAL-EXPERIENCE; SACCULAR ANEURYSMS; UNRUPTURED ANEURYSMS;

D O I：

10.3174/ajnr.A3700

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

MR angiography is proposed as a safer and less expensive alternative to the reference standard, DSA, in the follow-up of intracranial aneurysms treated with endovascular coil occlusion. We performed a systematic review and meta-analysis to evaluate the accuracy of TOF-MRA and contrast-enhanced MRA in detecting residual flow in the follow-up of coiled intracranial aneurysms. Literature was reviewed through the PubMed, Cochrane, and EMBASE data bases. In comparison with DSA, the sensitivity of TOF-MRA was 86% (95% CI: 82-89%), with a specificity of 84% (95% CI: 81-88%), for the detection of any recurrent flow. For contrast-enhanced MRA, the sensitivity and specificity were 86% (95% CI: 82-89%) and 89% (95% CI: 85-92%), respectively. Both TOF-MRA and contrast-enhanced MRA are shown to be highly accurate for detection of any recanalization in intracranial aneurysms treated with endovascular coil occlusion.

引用

页码：1655 / 1661

页数：7

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