| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
|
|
|
|||||||
|
|||||||||
| ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Neuroradiology |
1 From the Department of Neuroradiology, Groupe hospitalier Pitié-Salpêtrière, Bâtiment Babinski, 47–83 Blvd de l’Hôpital, 75651 Paris Cedex 13, France. Received October 9, 2001; revision requested December 20; final revision received February 6, 2003; accepted March 19. Address correspondence to B.R. (e-mail: bruno.randoux@caramail.com).
PURPOSE: To prospectively compare dynamic three-dimensional (3D) gadolinium-enhanced magnetic resonance (MR) angiography and digital subtraction angiography (DSA) for the detection of ostial stenosis of the craniocervical vessels.
MATERIALS AND METHODS: Thirty-three patients with carotid stenosis of more than 50% at sonography prospectively underwent both MR angiography and DSA. The overall quality of each DSA and MR angiographic study was analyzed. For each craniocervical vessel (brachiocephalic, common carotid, subclavian, and vertebral arteries) (n = 231), ostial stenosis was graded as follows: normal, mild (<50%), moderate to severe (>50%), or occlusion. MR angiographic and DSA results were compared by means of the Spearman rank correlation coefficient (Rs).
RESULTS: The overall diagnostic quality of MR angiography was excellent or adequate. Three studies were inadequate because of a poor signal-to-noise ratio (13 of 231 arteries) or a coverage error (five of 231 arteries). Findings at MR angiography and DSA agreed on the degree of stenosis (Rs = 0.82, P < .001). No cases of stenosis of more than 50% were missed at MR angiography. However, some discrepancies were noted between vertebral arteries and the other craniocervical vessels. The sensitivity and specificity for stenosis of more than 50% in other craniocervical vessels were 100% and 98%, respectively. The sensitivity and specificity for stenosis of more than 50% in the vertebral arteries were 100% and 85%, respectively. Findings at MR angiography tended to result in overestimation of the degree of ostial stenosis, especially in vertebral arteries (10 [15%] of 66 arteries).
CONCLUSION: MR angiography is useful to rule out ostial stenosis of the craniocervical vessels. MR angiography is an adequate diagnostic tool for ostial stenosis, except in the vertebral artery.
© RSNA, 2003
Index terms: Angiography, comparative studies, 90.1222 • Blood vessels, MR, 90.12942 • Blood vessels, stenosis or obstruction, 90.72 • Magnetic resonance (MR), vascular studies, 90.12942 • Vertebral arteries, MR, 90.12942 • Vertebral arteries, stenosis or obstruction, 901.72
This article has been cited by other articles:
|
|
 |
|
  L. Marquardt, W. Kuker, A. Chandratheva, O. Geraghty, and P. M. Rothwell Incidence and prognosis of >=50% symptomatic vertebral or basilar artery stenosis: prospective population-based study Brain, April 1, 2009; 132(4): 982 - 988. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 A. Tomasian, N. Salamon, D. G. Lohan, M. Jalili, J. P. Villablanca, and J. P. Finn Supraaortic Arteries: Contrast Material Dose Reduction at 3.0-T High-Spatial-Resolution MR Angiography--Feasibility Study Radiology, December 1, 2008; 249(3): 980 - 990. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 S. M. Debrey, H. Yu, J. K. Lynch, K.-O. Lovblad, V. L. Wright, S.-J. D. Janket, and A. E. Baird Diagnostic Accuracy of Magnetic Resonance Angiography for Internal Carotid Artery Disease: A Systematic Review and Meta-Analysis Stroke, August 1, 2008; 39(8): 2237 - 2248. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 B. Y. Huang and M. Castillo Radiological Reasoning: Extracranial Causes of Unilateral Decreased Brain Perfusion Am. J. Roentgenol., December 1, 2007; 189(6_Supplement): S49 - S54. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 C. M. Kramer, M. J. Budoff, Z. A. Fayad, V. A. Ferrari, C. Goldman, J. R. Lesser, E. T. Martin, S. Rajagopalan, J. P. Reilly, G. P. Rodgers, et al. ACCF/AHA 2007 Clinical Competence Statement on vascular imaging with computed tomography and magnetic resonance Vascular Medicine, November 1, 2007; 12(4): 359 - 378. [PDF]
|
|
|
|
 |
|
 S Khan, G C Cloud, S Kerry, and H S Markus Imaging of vertebral artery stenosis: a systematic review J. Neurol. Neurosurg. Psychiatry, November 1, 2007; 78(11): 1218 - 1225. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
D. G. Lohan, F. Barkhordarian, R. Saleh, M. Krishnam, N. Salamon, S. G. Ruehm, and J. P. Finn MR Angiography at 3 T for Assessment of the External Carotid Artery System Am. J. Roentgenol., November 1, 2007; 189(5): 1088 - 1094. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 C. M. Kramer, M. J. Budoff, Z. A. Fayad, V. A. Ferrari, C. Goldman, J. R. Lesser, E. T. Martin, S. Rajagopalan, J. P. Reilly, G. P. Rodgers, et al. ACCF/AHA 2007 Clinical Competence Statement on Vascular Imaging With Computed Tomography and Magnetic Resonance: A Report of the American College of Cardiology Foundation/American Heart Association/American College of Physicians Task Force on Clinical Competence and Training Developed in Collaboration With the Society of Atherosclerosis Imaging and Prevention, the Society for Cardiovascular Angiography and Interventions, the Society of Cardiovascular Computed Tomography, the Society for Cardiovascular Magnetic Resonance, and the Society for Vascular Medicine and Biology J. Am. Coll. Cardiol., September 11, 2007; 50(11): 1097 - 1114. [Full Text] [PDF]
|
|
|
|
|
|
K. Nael, J. P. Villablanca, W. B. Pope, T. O. McNamara, G. Laub, and J. P. Finn Supraaortic Arteries: Contrast-enhanced MR Angiography at 3.0 T--Highly Accelerated Parallel Acquisition for Improved Spatial Resolution over an Extended Field of View Radiology, February 1, 2007; 242(2): 600 - 609. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
E. G. Grant, S. M. El-Saden, B. L. Madrazo, J. D. Baker, and M. A. Kliewer Innominate Artery Occlusive Disease: Sonographic Findings Am. J. Roentgenol., February 1, 2006; 186(2): 394 - 400. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
N. Sheehy, S. MacNally, C. S. Smith, G. Boyle, P. Madhavan, and J. F. M. Meaney Contrast-Enhanced MR Angiography of Subclavian Steal Syndrome: Value of the 2D Time-of-Flight "Localizer" Sign Am. J. Roentgenol., October 1, 2005; 185(4): 1069 - 1073. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
C. Wu, J. Zhang, C. J. Ladner, J. S. Babb, P. J. Lamparello, and G. A. Krinsky Subclavian Steal Syndrome: Diagnosis with Perfusion Metrics from Contrast-enhanced MR Angiographic Bolus-timing Examination--Initial Experience Radiology, June 1, 2005; 235(3): 927 - 933. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 J. U. Harrer, T. Wessels, S. Poerwowidjojo, W. Moller-Hartmann, and C. Klotzsch Three-Dimensional Color-Coded Duplex Sonography for Assessment of the Vertebral Artery Origin and Vertebral Artery Stenoses J. Ultrasound Med., August 1, 2004; 23(8): 1049 - 1056. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
G. Krinsky Evaluation of Arch Vessels: Breath-hold versus Non-Breath-hold Techniques [letter] Radiology, July 1, 2004; 232(1): 303 - 304. [Full Text] [PDF]
|
|
