Intracranial aneurysms: Diagnostic accuracy of MR angiography with evaluation of maximum intensity projection and source images

被引：69

作者：

Korogi, Y

Takahashi, M

Mabuchi, N

Nakagawa, T

Fujiwara, S

Horikawa, Y

Miki, H

OUchi, T

Shiga, H

Shiokawa, Y

Watabe, T

Furuse, M

机构：

[1] SOSEIKAI GEN HOSP,DEPT RADIOL,KYOTO,JAPAN

[2] SHINSAPPORO NEUROSURG HOSP,DEPT NEUROSURG,SAPPORO,HOKKAIDO,JAPAN

[3] KOHNAN HOSP,DEPT NEUROSURG,SENDAI,MIYAGI,JAPAN

[4] KYOTO PREFECTURAL UNIV MED,DEPT NEUROSURG,KYOTO 602,JAPAN

[5] EHIME UNIV,SCH MED,DEPT RADIOL,MATSUYAMA,EHIME 790,JAPAN

[6] KAMEDA MED CTR,DEPT RADIOL,CHIBA,JAPAN

[7] KEIO UNIV,SCH MED,DEPT DIAGNOST RADIOL,TOKYO,JAPAN

[8] KYORIN UNIV,SCH MED,DEPT NEUROSURG,MITAKA,TOKYO 181,JAPAN

[9] SAITAMA MED SCH,DEPT RADIOL,MOROYAMA,SAITAMA 35004,JAPAN

[10] NAKATSUGAWA MUNICIPAL GEN HOSP,DEPT NEUROSURG,NAKATSUGAWA,JAPAN

来源：

RADIOLOGY | 1996年 / 199卷 / 01期

关键词：

aneurysm; intracranial; brain; MR; cerebral blood vessels; magnetic resonance (MR); comparative studies; time of flight; vascular studies;

D O I：

10.1148/radiology.199.1.8633146

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：

PURPOSE: To determine whether evaluation of source images from magnetic resonance (MR) angiography in addition to maximum-intensity projection (MIP) images improves the detection of aneurysms. MATERIALS AND METHODS: Conventional and MR angiography were performed in 193 patients with various intracranial vascular lesions or normal findings. Images were evaluated in a blinded manner. Two readings were performed 6 weeks apart by evaluating MIP images with and without source images. Results were evaluated with receiver operating characteristic analysis. RESULTS: Sensitivity for the detection of aneurysms increased slightly when source images were included. The detection rate of internal carotid artery aneurysms was most improved with the addition of source images. No statistically significant differences in performance were found between the readings with MIP images alone and with source images. CONCLUSION: Sensitivity may improve with combined reading of nonselective MIP and source images.

引用

页码：199 / 207

页数：9

共 20 条

[1] INTRACRANIAL ANEURYSMS - DEPICTION ON MR ANGIOGRAMS WITH A MULTIFEATURE-EXTRACTION, RAY-TRACING POSTPROCESSING ALGORITHM
ATLAS, SW
LISTERUD, J
CHUNG, W
FLAMM, ES
[J]. RADIOLOGY, 1994, 192 (01) : 129 - 139
[2] ATLAS SW, 1994, RADIOLOGY, V193, P1
[3] IMPROVED TIME-OF-FLIGHT MR ANGIOGRAPHY OF THE BRAIN WITH MAGNETIZATION TRANSFER CONTRAST
EDELMAN, RR
AHN, SS
CHIEN, D
WEI, L
GOLDMANN, A
MANTELLO, M
KRAMER, J
KLEEFIELD, J
[J]. RADIOLOGY, 1992, 184 (02) : 395 - 399
[4] Fleiss J. L., 1981, STAT METHODS RATES P, P598
[5] SUBARACHNOID HEMORRHAGE IN MIDDLE FINLAND - INCIDENCE, EARLY PROGNOSIS AND INDICATIONS FOR NEUROSURGICAL TREATMENT
FOGELHOLM, R
[J]. STROKE, 1981, 12 (03) : 296 - 301
[6] PRACTICAL ISSUES OF EXPERIMENTAL ROC ANALYSIS - SELECTION OF CONTROLS
GUR, D
KING, JL
ROCKETTE, HE
BRITTON, CA
THAETE, FL
HOY, RJ
[J]. INVESTIGATIVE RADIOLOGY, 1990, 25 (05) : 583 - 586
[7] THE MEANING AND USE OF THE AREA UNDER A RECEIVER OPERATING CHARACTERISTIC (ROC) CURVE
HANLEY, JA
MCNEIL, BJ
[J]. RADIOLOGY, 1982, 143 (01) : 29 - 36
[8] HEINZ ER, 1993, AM J NEURORADIOL, V14, P974
[9] HUSTON J, 1994, AM J NEURORADIOL, V15, P1607
[10] INTRACRANIAL ANEURYSMS - DIAGNOSTIC-ACCURACY OF 3-DIMENSIONAL, FOURIER-TRANSFORM, TIME-OF-FLIGHT MR-ANGIOGRAPHY
KOROGI, Y
TAKAHASHI, M
MABUCHI, N
MIKI, H
FUJIWARA, S
HORIKAWA, Y
NAKAGAWA, T
OUCHI, T
WATABE, T
SHIGA, H
FURUSE, M
[J]. RADIOLOGY, 1994, 193 (01) : 181 - 186

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