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    Temporal evolution of susceptibility artifacts from coiled aneurysms on MR angiography: an in vivo canine study

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    Authors
    Spilberg, Gabriela
    Carniato, Sarena L.
    King, R. M.
    van der Bom, Imramsjah M. J.
    Mehra, Manik
    Walvick, Ronn P.
    Wakhloo, Ajay K.
    Gounis, Matthew J.
    UMass Chan Affiliations
    New England Center for Stroke Research
    Department of Radiology
    Document Type
    Journal Article
    Publication Date
    2012-04-01
    Keywords
    Neurology
    Radiology
    
    Metadata
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    Link to Full Text
    https://doi.org/10.3174/ajnr.A2831
    Abstract
    BACKGROUND AND PURPOSE: Intracranial aneurysms treated by coiling have a risk for recurrence, requiring surveillance imaging. MRA has emerged as an attractive technique for postcoiling aneurysm imaging. Previous research has evaluated MR imaging artifacts of the coil mass in vitro. Our aim in this study was to evaluate MR imaging artifacts of coiled aneurysms in vivo with time. MATERIALS AND METHODS: Four sidewall aneurysms were created in each of 4 dogs. Aneurysms were embolized receiving only 1 type of coils. After embolization, the animals were transferred to MR imaging, which included axial 3D TOF MRA (TEs, 3.5, 5, and 6.9 ms), phase-contrast MRA, and coronal CE-MRA. MR imaging studies were repeated at 1, 4, 6, 8, 14, and 28 weeks. We calculated an OEF: OEF = V(A)/V(CM), where the numerator represents the volume of the MR imaging artifacts and the denominator is the true volume of the coil mass measured by 3D RA. RESULTS: OEFs were largest immediately after embolization and showed a gradual decay until approximately 4 weeks, when there was stabilization of the size of the artifacts. By 4 weeks, there was mild coil compaction (average coil mass volume decrease of 7.8%); however, the OEFs decreased by 25% after 4 weeks (P < .001). CONCLUSIONS: MR imaging susceptibility artifacts change with time, being maximal in the postembolization setting and decaying until 4 weeks. The clinical implications of this study are that baseline MRA for comparison with future imaging should be acquired at a minimum of 1 week after the procedure.
    Source
    AJNR Am J Neuroradiol. 2012 Apr;33(4):655-60. Epub 2011 Dec 22. Link to article on publisher's site
    DOI
    10.3174/ajnr.A2831
    Permanent Link to this Item
    http://hdl.handle.net/20.500.14038/48188
    PubMed ID
    22194374
    Related Resources
    Link to Article in PubMed
    ae974a485f413a2113503eed53cd6c53
    10.3174/ajnr.A2831
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