PMID- 23196422
OWN - NLM
STAT- MEDLINE
DCOM- 20130903
LR  - 20211021
IS  - 1437-2320 (Electronic)
IS  - 0344-5607 (Linking)
VI  - 36
IP  - 2
DP  - 2013 Apr
TI  - Application of 4D-CTA using 320-row area detector computed tomography on spinal 
      arteriovenous fistulae: initial experience.
PG  - 289-96; discussion 296
LID - 10.1007/s10143-012-0440-z [doi]
AB  - Time-resolved computed tomography angiography (4D-CTA) using a 320-row area 
      detector CT scanner has recently been applied in the evaluation of cranial 
      vascular disorders. However, application of 4D-CTA to spinal vascular disorder 
      evaluation has never before been described. The authors herein report their 
      initial experience of 4D-CTA in the evaluation of spinal arteriovenous fistulas 
      (AVFs) and compare this novel modality with other imaging modalities. Four 
      consecutive patients with spinal AVF underwent time-resolved contrast-enhanced 
      magnetic resonance angiography (trMRA), 4D-CTA, and selective catheter 
      angiography (CA). In 4D-CTA, volume data was transformed into 3D volume-rendered 
      images and maximum intensity projection. These images were also evaluated by 
      time-resolved serial phases. Then, images of each modality were compared, 
      focusing on the detection of perimedullary draining veins and the prediction of 
      AVF location and drainage flow direction. All modalities successfully detected 
      perimedullary draining veins in all cases. Location of the AVF was detected in 
      all cases by CA. trMRA and 4D-CTA detected the AVF in three out of the four 
      cases. With regard to flow direction, while 4D-CTA successfully depicted 
      ascending or descending drainage flow in the spinal canal, CA failed to detect 
      the flow direction in one case while trMRA failed in two cases. In the case with 
      epidural AVF, 4D-CTA was the only technique to detect the flow direction of 
      perimedullary drainage. Although this is only an initial experience of the 
      application of 4D-CTA to spinal vascular diseases, 4D-CTA was capable of 
      detecting the dynamic vascular flow of spinal AVFs. The authors believe that 
      4D-CTA can be a useful option in the evaluation of spinal AVFs.
FAU - Yamaguchi, Satoshi
AU  - Yamaguchi S
AD  - Department of Neusorugery, Graduate School of Biomedical Sciences, Hiroshima 
      University, 1-2-3 Kasumi, Minami-ku, Hiroshima, Hiroshima 7348551, Japan. 
      satoya@hiroshima-u.ac.jp
FAU - Takeda, Masaaki
AU  - Takeda M
FAU - Mitsuhara, Takafumi
AU  - Mitsuhara T
FAU - Kajihara, Shiro
AU  - Kajihara S
FAU - Mukada, Kazutoshi
AU  - Mukada K
FAU - Eguchi, Kuniki
AU  - Eguchi K
FAU - Kajihara, Yosuke
AU  - Kajihara Y
FAU - Takemoto, Kohei
AU  - Takemoto K
FAU - Sugiyama, Kazuhiko
AU  - Sugiyama K
FAU - Kurisu, Kaoru
AU  - Kurisu K
LA  - eng
PT  - Journal Article
DEP - 20121130
PL  - Germany
TA  - Neurosurg Rev
JT  - Neurosurgical review
JID - 7908181
SB  - IM
MH  - Aged
MH  - Arteriovenous Fistula/*diagnosis
MH  - Catheters
MH  - Cerebral Angiography/adverse effects/*methods
MH  - Dura Mater/pathology
MH  - Female
MH  - Humans
MH  - Image Processing, Computer-Assisted
MH  - Magnetic Resonance Angiography
MH  - Magnetic Resonance Imaging
MH  - Male
MH  - Middle Aged
MH  - Radiation Dosage
MH  - Spinal Cord/blood supply/pathology
MH  - Spinal Diseases/*diagnosis
MH  - Tomography, X-Ray Computed/adverse effects/*methods
EDAT- 2012/12/01 06:00
MHDA- 2013/09/04 06:00
CRDT- 2012/12/01 06:00
PHST- 2012/01/05 00:00 [received]
PHST- 2012/07/29 00:00 [accepted]
PHST- 2012/06/11 00:00 [revised]
PHST- 2012/12/01 06:00 [entrez]
PHST- 2012/12/01 06:00 [pubmed]
PHST- 2013/09/04 06:00 [medline]
AID - 10.1007/s10143-012-0440-z [doi]
PST - ppublish
SO  - Neurosurg Rev. 2013 Apr;36(2):289-96; discussion 296. doi: 
      10.1007/s10143-012-0440-z. Epub 2012 Nov 30.