Three-dimensional Dynamic MR Digital Subtraction Angiography Using Sensitivity Encoding for the Evaluation of Intracranial Arteriovenous Malformations: a Preliminary Study

Overview

Journal AJNR Am J Neuroradiol

Specialty Neurology

Date 2005 Jun 16

PMID 15956525

Citations 18

Authors

Jean-Yves Gauvrit

Xavier Leclerc

Catherine Oppenheim

Thierry Munier

Denis Trystram

Henda Rachdi

Francois Nataf

Jean-Pierre Pruvo

Jean-Francois Meder

Affiliations

Soon will be listed here.

Abstract

Background And Purpose: Our aim was to develop 3D dynamic MR digital subtraction angiography with high temporal resolution without sacrificing spatial resolution by using sensitivity encoding for the evaluation of cerebral arteriovenous malformations.

Methods: Nineteen patients with 19 angiographically proven arteriovenous malformations (16 supratentorial and 3 infratentorial) were assessed by conventional catheter angiography and 3D dynamic MR digital subtraction angiography. A 3D contrast-enhanced gradient-echo sequence with sensitivity encoding based on a parallel imaging technique was performed and acquired 20 dynamic images, repeated 18 times every 1.7 seconds. Three-dimensional dynamic MR digital subtraction angiograms were analyzed independently by two radiologists in a blinded fashion with regard to arteriovenous malformation nidus and venous drainage. Conventional catheter angiography was used as reference.

Results: All MR imaging examinations were assessable. Interobserver agreement was excellent for the detection of nidus and for the evaluation of nidus size (kappa = 1 and 0.875, respectively) but moderate for the visualization of the venous drainage (kappa = 0.56). All nidi detected on conventional catheter angiography were clearly depicted on 3D dynamic MR digital subtraction angiography. The evaluation of the size of the nidus by both techniques was similar. On 3D dynamic MR angiograms, veins were correctly analyzed in 17 of 19 arteriovenous malformations.

Conclusion: Our preliminary study demonstrates that 3D dynamic MR digital subtraction angiography using sensitivity encoding with a high spatial resolution is appropriate for the assessment of arteriovenous malformations.

Citing Articles

Reporting of angiographic studies in patients diagnosed with a cerebral arteriovenous malformation: a systematic review.

Das S, Kasher P, Waqar M, Parry-Jones A, Patel H F1000Res. 2025; 12:1252.

PMID: 39931157 PMC: 11809685. DOI: 10.12688/f1000research.139256.3.

Using temporal and structural data to reconstruct 3D cerebral vasculature from a pair of 2D digital subtraction angiography sequences.

Frisken S, Haouchine N, Du R, Golby A Comput Med Imaging Graph. 2022; 99:102076.

PMID: 35636377 PMC: 10801782. DOI: 10.1016/j.compmedimag.2022.102076.

Time-of-Arrival Parametric Maps and Virtual Bolus Images Derived From Contrast-Enhanced Time-Resolved Radial Magnetic Resonance Angiography Improve the Display of Brain Arteriovenous Malformation Vascular Anatomy.

Schubert T, Wu Y, Johnson K, Wieben O, Maksimovic J, Mistretta C Invest Radiol. 2016; 51(11):706-713.

PMID: 27760058 PMC: 5119764. DOI: 10.1097/RLI.0000000000000288.

Cerebral vascular malformations: Time-resolved CT angiography compared to DSA.

Shiva Shankar J, Lum C, Chakraborty S, Dos Santos M Neuroradiol J. 2015; 28(3):310-5.

PMID: 26246101 PMC: 4757281. DOI: 10.1177/1971400915589682.

Recent advances in 3D time-resolved contrast-enhanced MR angiography.

Riederer S, Haider C, Borisch E, Weavers P, Young P J Magn Reson Imaging. 2015; 42(1):3-22.

PMID: 26032598 PMC: 4478169. DOI: 10.1002/jmri.24880.

References

Warren D, Hoggard N, Walton L, Radatz M, Kemeny A, Forster D . Cerebral arteriovenous malformations: comparison of novel magnetic resonance angiographic techniques and conventional catheter angiography. Neurosurgery. 2001; 48(5):973-82; discussion 982-3. View

Kesava , Turski . Magnetic resonance angiography of vascular malformations . Magn Reson Imaging Clin N Am. 1998; 6(4):811-33. View

Sodickson D, Manning W . Simultaneous acquisition of spatial harmonics (SMASH): fast imaging with radiofrequency coil arrays. Magn Reson Med. 1997; 38(4):591-603. DOI: 10.1002/mrm.1910380414. View

Wetzel S, Haselhorst R, Bilecen D, Lyrer P, Seifritz E, Bongartz G . Preliminary experience with dynamic MR projection angiography in the evaluation of cervicocranial steno-occlusive disease. Eur Radiol. 2001; 11(2):295-302. DOI: 10.1007/s003300000618. View

Noguchi K, Melhem E, Kanazawa T, Kubo M, Kuwayama N, Seto H . Intracranial dural arteriovenous fistulas: evaluation with combined 3D time-of-flight MR angiography and MR digital subtraction angiography. AJR Am J Roentgenol. 2003; 182(1):183-90. DOI: 10.2214/ajr.182.1.1820183. View

Coley S, Romanowski C, Hodgson T, Griffiths P . Dural arteriovenous fistulae: noninvasive diagnosis with dynamic MR digital subtraction angiography. AJNR Am J Neuroradiol. 2002; 23(3):404-7. PMC: 7975316. View

Leclerc X, Khalil C, Silvera S, Gauvrit J, Bracard S, Meder J . [Imaging of non-traumatic intracerebral hematoma]. J Neuroradiol. 2004; 30(5):303-16. View

Chen Q, Quijano C, Mai V, Krishnamoorthy S, Li W, Storey P . On improving temporal and spatial resolution of 3D contrast-enhanced body MR angiography with parallel imaging. Radiology. 2004; 231(3):893-9. DOI: 10.1148/radiol.2313021113. View

Gaa J, Weidauer S, Requardt M, Kiefer B, Lanfermann H, Zanella F . Comparison of intracranial 3D-ToF-MRA with and without parallel acquisition techniques at 1.5T and 3.0T: preliminary results. Acta Radiol. 2004; 45(3):327-32. DOI: 10.1080/02841850410004229. View

10.

Klisch J, Strecker R, Hennig J, Schumacher M . Time-resolved projection MRA: clinical application in intracranial vascular malformations. Neuroradiology. 2000; 42(2):104-7. DOI: 10.1007/s002340050024. View

11.

Duran M, Schoenberg S, Yuh W, Knopp M, van Kaick G, Essig M . Cerebral arteriovenous malformations: morphologic evaluation by ultrashort 3D gadolinium-enhanced MR angiography. Eur Radiol. 2002; 12(12):2957-64. DOI: 10.1007/s00330-002-1418-y. View

12.

Maki J, Prince M, Londy F, Chenevert T . The effects of time varying intravascular signal intensity and k-space acquisition order on three-dimensional MR angiography image quality. J Magn Reson Imaging. 1996; 6(4):642-51. DOI: 10.1002/jmri.1880060413. View

13.

Wetzel S, Bilecen D, Lyrer P, Bongartz G, Seifritz E, Radue E . Cerebral dural arteriovenous fistulas: detection by dynamic MR projection angiography. AJR Am J Roentgenol. 2000; 174(5):1293-5. DOI: 10.2214/ajr.174.5.1741293. View

14.

Hennig J, Scheffler K, Laubenberger J, Strecker R . Time-resolved projection angiography after bolus injection of contrast agent. Magn Reson Med. 1997; 37(3):341-5. DOI: 10.1002/mrm.1910370306. View

15.

Griffiths P, Hoggard N, Warren D, Wilkinson I, Anderson B, Romanowski C . Brain arteriovenous malformations: assessment with dynamic MR digital subtraction angiography. AJNR Am J Neuroradiol. 2000; 21(10):1892-9. PMC: 7974298. View

16.

Sanelli P, Mifsud M, Stieg P . Role of CT angiography in guiding management decisions of newly diagnosed and residual arteriovenous malformations. AJR Am J Roentgenol. 2004; 183(4):1123-6. DOI: 10.2214/ajr.183.4.1831123. View

17.

Barger A, Block W, Toropov Y, Grist T, Mistretta C . Time-resolved contrast-enhanced imaging with isotropic resolution and broad coverage using an undersampled 3D projection trajectory. Magn Reson Med. 2002; 48(2):297-305. DOI: 10.1002/mrm.10212. View

18.

Farb R, McGregor C, Kim J, Laliberte M, Derbyshire J, Willinsky R . Intracranial arteriovenous malformations: real-time auto-triggered elliptic centric-ordered 3D gadolinium-enhanced MR angiography--initial assessment. Radiology. 2001; 220(1):244-51. DOI: 10.1148/radiology.220.1.r01jn15244. View

19.

Pruessmann K, Weiger M, Boesiger P . Sensitivity encoded cardiac MRI. J Cardiovasc Magn Reson. 2001; 3(1):1-9. DOI: 10.1081/jcmr-100000143. View

20.

Pruessmann K, Weiger M, Scheidegger M, Boesiger P . SENSE: sensitivity encoding for fast MRI. Magn Reson Med. 1999; 42(5):952-62. View