Postoperative multidetector computed tomography angiography after aneurysm clipping - Comparison with digital subtraction angiography

被引:23
作者
Lee, JH
Kim, SJ
Cha, JY
Kim, HJ
Lee, DH
Choi, CG
Lee, HK
Suh, DC
Ahn, JS
机构
[1] Univ Ulsan, Asan Med Ctr, Dept Radiol, Coll Med, Seoul, South Korea
[2] Univ Ulsan, Asan Med Ctr, Dept Neurosurg, Coll Med, Seoul, South Korea
关键词
aneurysm; intracranial; computed tomography; post-operative; three-dimensional;
D O I
10.1097/01.rct.0000147980.83333.d1
中图分类号
R8 [特种医学]; R445 [影像诊断学];
学科分类号
1002 ; 100207 ; 1009 ;
摘要
Objectives: To evaluate the usefulness of multidetector computed tomography angiography (MDCTA) as a noninvasive diagnostic modality for the detection of aneurysm remnants after clipping of intracranial aneurysms. Methods: Thirty-eight patients who had aneurysm clipping and had undergone MDCTA and digital subtraction angiography (DSA) were enrolled in this study. In 16 of the 38 patients, MDCTA was performed with 16-channel MDCTA, in 20 patients with 4-channel MDCTA, and in 2 with both. Two neuroradiologists evaluated the image quality of MDCTA with a 3-point rating scale and the presence of the residual aneurysm sac with a 5-point rating scale. Receiver operating characteristic analysis was used to measure the diagnostic performance of MDCTA. Results: Forty-nine surgically clipped aneurysms were evaluated in this study. The overall diagnostic accuracy of MDCTA was 88.1% (95% confidence interval: 0.761-0.954). The ability of 16-channel MDCTA to discriminate between surgical clips and parent vessels was superior to that of 4-channel MDCTA (P = 0.005). Conclusion: Multidetector computed tomography angiography is a valuable noninvasive diagnostic modality for the assessment of aneurysm remnants in patients after aneurysm clipping.
引用
收藏
页码:20 / 25
页数:6
相关论文
共 12 条
[1]   EARLY EXPERIENCE WITH SPIRAL CT IN THE DIAGNOSIS OF INTRACRANIAL ANEURYSMS [J].
DORSCH, NWC ;
YOUNG, N ;
KINGSTON, RJ ;
COMPTON, JS .
NEUROSURGERY, 1995, 36 (01) :230-236
[2]   NATURAL-HISTORY OF POSTOPERATIVE ANEURYSM RESTS [J].
FEUERBERG, I ;
LINDQUIST, C ;
LINDQVIST, M ;
STEINER, L .
JOURNAL OF NEUROSURGERY, 1987, 66 (01) :30-34
[3]  
HANLEY GJ, 1990, STROKE, V21, P209
[4]   3-DIMENSIONAL COMPUTED TOMOGRAPHIC ANGIOGRAPHY IN THE PREOPERATIVE EVALUATION OF CEREBROVASCULAR LESIONS [J].
HARBAUGH, RE ;
SCHLUSSELBERG, DS ;
JEFFERY, R ;
HAYDEN, S ;
CROMWELL, LD ;
PLUTA, D ;
ENGLISH, RA .
NEUROSURGERY, 1995, 36 (02) :320-326
[5]   THE INTERNATIONAL-COOPERATIVE-STUDY-ON-THE-TIMING-OF-ANEURYSM-SURGERY .1. OVERALL MANAGEMENT RESULTS [J].
KASSELL, NF ;
TORNER, JC ;
HALEY, EC ;
JANE, JA ;
ADAMS, HP ;
KONGABLE, GL .
JOURNAL OF NEUROSURGERY, 1990, 73 (01) :18-36
[6]  
KASSELL NF, 1994, J NEUROSURG, V80, P953
[7]   Titanium aneurysm clips .3. Clinical application in 16 patients with subarachnoid hemorrhage [J].
Lawton, MT ;
Heiserman, JE ;
Prendergast, VC ;
Zabramski, JM ;
Spetzler, RF .
NEUROSURGERY, 1996, 38 (06) :1170-1175
[8]   REGROWTH OF ANEURYSM SACS FROM RESIDUAL NECK FOLLOWING ANEURYSM CLIPPING [J].
LIN, T ;
FOX, AJ ;
DRAKE, CG .
JOURNAL OF NEUROSURGERY, 1989, 70 (04) :556-560
[9]   EVALUATION OF CEREBRAL ANEURYSMS WITH HELICAL CT - CORRELATION WITH CONVENTIONAL ANGIOGRAPHY AND MR-ANGIOGRAPHY [J].
SCHWARTZ, RB ;
TICE, HM ;
HOOTEN, SM ;
HSU, LG ;
STIEG, PE .
RADIOLOGY, 1994, 192 (03) :717-722
[10]   Aneurysmal remnants after microsurgical clipping: Classification and results from a prospective angiographic study (in a consecutive series of 305 operated intracranial aneurysms) [J].
Sindou, R ;
Acevedo, JC ;
Turjman, F .
ACTA NEUROCHIRURGICA, 1998, 140 (11) :1153-1159