Diagnosis of Unruptured Intracranial Aneurysms : 3T MR Angiography versus 64-channel Multi-detector Row CT Angiography
スポンサーリンク
概要
- 論文の詳細を見る
Background and Purpose: We compared 3-dimensional time-of-flight magnetic resonance angiography (3D TOF MRA) using a 3-tesla (T) MR unit with 64-channel multi-detector row computed tomographic angiography (64-MDCTA) for detection and characterization of angiographically proven unruptured intracranial aneurysms. Methods: Thirty-eight patients with 47 aneurysms and 8 patients without aneurysms underwent 3T, 3D TOF MRA; 64-MDCTA; and intra-arterial angiography. As a first study, 3 radiologists blinded to pertinent clinical information independently reviewed MRA and CTA images. We evaluated diagnostic accuracy using an alternative free-response receiver operating characteristic (AFROC) analysis and evaluated the sensitivity and specificity of each technique. Next, 2 radiologists used volume-rendering images generated from MRA or CTA data to evaluate the morphology of the 47 aneurysms detected, and MRA and CTA results were compared. Three-dimensional digital angiography (DA) images were used as the standard of reference. Results: On the AFROC analysis, the value of the mean area under the AFROC curve (A1) was 0.91 for both modalities. Mean sensitivity of 89% and specificity of 76% for MRA were not significantly different from sensitivity of 87% and specificity of 79% for CTA. Therefore, when used to evaluate aneurysmal morphology, both modalities appear satisfactory for determining these vascular anomalies. Conclusion: Three-tesla, 3D TOF MRA and 64-MDCTA are excellent modalities with high diagnostic accuracy for evaluating unruptured intracranial aneurysms and no significant difference between them in diagnostic performance.
- 日本磁気共鳴医学会の論文
- 2008-12-01
著者
-
Mochizuki T
Division Of Anti-aging And Genomics Ehime Proteo-medicine Research Center
-
Mochizuki T
Department Of Radiology Ehime University School Of Medicine Shitsukawa
-
Miki Tetsuro
愛媛大学 病態情報内科学
-
KIKUCHI Keiichi
Department of Radiology, Ehime University Graduate School of Medicine
-
MIKI Hitoshi
Department of Radiology, Ehime University Graduate School of Medicine
-
Sadamoto Kazuhiko
Department of Neurosurgery, Washokai Sadamoto Hospital
-
Mochizuki Teruhito
Department of Diagnostic and Therapeutic Radiology, Ehime University Graduate School of Medicine
-
Mochizuki Teruhito
Department Of Radiology Ehime University School Of Medicine Shitsukawa
-
HIRATSUKA Yoshiyasu
Department of Radiology, Ehime University School of Medicine Shitsukawa
-
KIRIYAMA Ikuko
Department of Radiology, Ehime University School of Medicine Shitsukawa
-
TAKAHASHI Shizue
Department of Radiology, Ehime National Hospital
-
MATSUBARA Ichiro
Department of Neurosurgery, Washo-kai Sadamoto Hospital
-
Miki Hitoshi
Department Of Radiology Ehime University Graduate School Of Medicine
-
Kiriyama Ikuko
Department Of Radiology Ehime University School Of Medicine Shitsukawa
-
Miki Hitoshi
Department Of Cardiology Ehime Prefectural Imabari Hospital
-
Miki Tetsuro
愛媛大学 医学部老年医学
-
Miki Tetsuro
Department Of Radiology Ehime University School Of Medicine Shitsukawa
-
Mochizuki Teruhito
Department Of Cardiology Matsuyama Red Cross Hospital
-
Kikuchi Keiichi
Department Of Radiology Ehime University Graduate School Of Medicine
-
Kikuchi Keiichi
Department Of Diagnostic And Therapeutic Radiology Ehime University Graduate School Of Medicine
-
Takahashi Shizue
Department Of Radiology Ehime National Hospital
-
Matsubara Ichiro
Department Of Energy Conversion Osaka National Research Institute
-
Matsubara Ichiro
Department Of Neurosurgery Washo-kai Sadamoto Hospital
-
Sadamoto Kazuhiko
Department Of Neurosurgery Washo-kai Sadamoto Hospital
-
Sadamoto Kazuhiko
Department Of Internal Medicine Washokai Sadamoto Hospital
-
Miyazaki T
Department Of Pathology Ehime University School Of Medicine
-
Miyazaki Tatsuhiko
Department Of Radiology Ehime University School Of Medicine
-
Hiratsuka Yoshiyasu
Department Of Radiology Ehime University School Of Medicine Shitsukawa
-
Matayoshi Tetsutaro
Division Of Hypertension And Nephrology National Cardiovascular Center
-
Kikuchi Keiichi
Department Of Radiology Ehime University School Of Medicine
-
Miki Hitoshi
Department Of Radiology Ehime University School Of Medicine
-
Matsuoka Hiroshi
Department Of Cardiology Prefectural Ehime Imabari Hospital
-
Matsubara Ichiro
Department Of Electrical And Electronic Engineering Chuo University
-
Sadamoto Kazuhiko
Department Of Bone And Joint Surgery Ehime University Graduate School Of Medicine
-
Mochizuki Teruhito
Department Of Pathology Ehime University School Of Medicine
関連論文
- Association of the Functional Variant in the 3-Hydroxy-3-Methylglutaryl-Coenzyme A Reductase Gene With Low-Density Lipoprotein-Cholesterol in Japanese
- Detection of Myocardial Ischemia Using 64-Slice MDCT : Comparison With Stress/Rest Myocardial Scintigraphy
- Accumulation of common polymorphisms is associated with development of hypertension : a 12-year follow-up from the Ohasama study
- Association of SLC6A9 Gene Variants with Human Essential Hypertension
- Asymptomatic Cerebral Microbleeds Seen in Healthy Subjects Have a Strong Association With Asymptomatic Lacunar Infarction(Stroke)
- Abnormal nocturnal blood pressure profile is associated with mild cognitive impairment in the elderly : the J-SHIPP study
- Serum Gamma-Glutamyl Transferase Levels are Associated with Metabolic Syndrome in Community-Dwelling Individuals
- Association of monocyte chemoattractant protein 1 gene polymorphism with susceptibility to nonfamilial idiopathic dilated cardiomyopathy
- Alcohol Consumption Is Associated with Decreased Insulin Resistance Independent of Body Mass Index in Japanese Community-Dwelling Men
- Silent cerebral microbleeds associated with arterial stiffness in an apparently healthy subject
- FRS-068 Class Differences in the Effects of BP-lowering Drugs on Central Blood Pressure : The J-SHIPP Study(FRS14,New Aspects for Hypertension (H),Featured Research Session (English),The 73rd Annual Scientific Meeting of The Japanese Circulation Society)
- High Prevalence of Prehypertension Is Associated with the Increased Body Mass Index in Community-Dwelling Japanese
- Association between Serum Gamma-Glutamyl Transferase Level and Prehypertension among Community-Dwelling Men
- An Association between Body Mass Index and Estimated Glomerular Filtration Rate
- Effects of Obesity and Smoking on Mental Stress-Induced Blood Pressure and Augmentation Index Responses in Normotensive Young Males : The J-SHIPP Study
- PJ-431 Silent cerebral microbleeds : prevalence and associations with carotid arterial parameters in comparison with lacunar infarction and leukoaraiosis(Cerebrovascular circulation/Stroke(02)(H),Poster Session(Japanese),The 72nd Annual Scientific Meeting
- FRS-024 Impact of Synergistic Polymorphisms in Adrenergic Receptor Related Genes and Cardiovascular Events in Patients with Dilated Cardiomyopathy(FRS5,Novel Biomarkers in Heart Failure (M),Featured Research Session (English),The 73rd Annual Scientific Me
- PJ-913 Radial strain as a possible parameter of the extent of the delayed-enhacement in patients with hypertrophic cardiomyopathy(MRI / MRA(04)(I),Poster Session(Japanese),The 72nd Annual Scientific Meeting of the Japanese Circulation Society)
- OJ-119 Synergistic Polymorphisms of Angiotensin Converting Enzyme and Endothelial Nitric Oxide Synthase and Cardiovascular Events in Patients with Hypertrophic Cardiomyopathy(Cardiomyopathy, basic / clinical(02)(M),Oral Presentation (Japanese),The 72nd An
- OE-037 Combined Analysis of Polymorphisms in Inflammation-Related Genes and Their Effects on Atrial fibrillation in Patients with Dilated Cardiomyopathy(Arrhythmia, diagnosis/Pathophysiology/EPS(01)(A),Oral Presentation(English),The 72nd Annual Scientific
- A985G Polymorphism of the Endothelin-2 Gene and Atrial Fibrillation in Patients With Hypertrophic Cardiomyopathy
- PE-212 T-182C Polymorphism of the Norepinephrine Transporter (SLC6A2) Gene and Cardiovascular Events in Patients with Dilated Cardiomyopathy(Cardiomyopathy, basic/clinical-3, The 71st Annual Scientific Meeting of the Japanese Circulation Society)
- OJ-053 Angiotensin-Converting Enzyme Insertion/Deletion Polymorphism Affects Left Ventricular Pressure Gradient Response to Cibenzoline in Patients with Hypertrophic Obstructive Cardiomyopathy(Cardiomyopathy, basic/clinical-2, The 71st Annual Scientific M
- OJ-052 Association between Endothelin-2 A985G Polymorphism and Atrial Fibrillation in Patients with Hypertrophic Cardiomyopathy(Cardiomyopathy, basic/clinical-2, The 71st Annual Scientific Meeting of the Japanese Circulation Society)
- FRS-085 Association between G674A Polymorphism of the Connexin 40.1 Gene and Atrial Fibrillation in Patients with Dilated Cardiomyopathy(Arrhythmia (clinical) ; Pathophysiology of Atrial Fibrillation, The 71st Annual Scientific Meeting of the Japanese Cir
- Myocardial Perfusion Imaging Using Adenosine Triphosphate Stress Multi-Slice Spiral Computed Tomography : Alternative to Stress Myocardial Perfusion Scintigraphy
- Methyl-CpG binding protein 2 gene (MECP2) variations in Japanese patients with Rett syndrome : pathological mutations and polymorphisms
- Relationship between Metabolic Syndrome and Trp64Arg Polymorphism of the β3-Adrenergic Receptor Gene in a General Sample : The Shigaraki Study
- PJ-689 Relationship between a Metabolic Syndrome and the Polymorphism of the Beta3 Adrenergic Receptor Gene in a General Sample (S-town study)(Diabetes/Obesity/Metabolic syndrome-13 (H) PJ116,Poster Session (Japanese),The 70th Anniversary Annual Scientifi
- Assessment of Myocardial Ischemia by Adenosine 5-triphosphate Stress Multi-slice Computed Tomography : Alternative to Stress Myocardial Perfusion Scintigraphy(Recent Advance in Cardiovascular Imaging Technique (X-ray/CT/MRI/DSA) (I), The 69th Annual Scien
- Diagnosis of Unruptured Intracranial Aneurysms : 3T MR Angiography versus 64-channel Multi-detector Row CT Angiography
- Sensitivity of an Eight-element Phased Array Coil in 3 Tesla MR Imaging : A Basic Analysis
- Subcutaneous fibrolipoma in the back
- Extraskeletal Osteosarcoma in the Thigh : A Case Report
- Impact of Multi-detector Row Computed Tomography on the Tactics of Cardiovascular Surgery : From Qualitative Evaluation to Quantitative Assessment
- Dual-Source Computed Tomography for Visualization of the Abnormal Motion of the Aortic Cusp After Re-Replacement of the Mitral Valve
- PJ-616 Late Myocardial Enhancement at 64-Multislice Computed Tomography Compared with Magnetic Resonance Imaging(PJ103,CT/MRI (Myocardium) 2 (I),Poster Session (Japanese),The 73rd Annual Scientific Meeting of The Japanese Circulation Society)
- PJ-249 Assessment of Myocardial Ischemia in Acute Coronary Syndrome Using 64-slice MDCT : Comparison with Myocardial Perfusion Scintigraphy at Rest(PJ042,ACS/AMI (Clinical/Diagnosis) 1 (IHD),Poster Session (Japanese),The 73rd Annual Scientific Meeting of
- PJ-063 Assessment of Myocardial Ischemia in Acute Coronary Syndrome Using 64-slice MDCT Myocardial Imaging(PJ011,CT/MRI (Myocardium) 4 (I),Poster Session (Japanese),The 73rd Annual Scientific Meeting of The Japanese Circulation Society)
- PE-415 Quantification of Myocardial Strain of Left Ventricle Using Myocardial Tagging at 3.0T(PE070,CT/MRI (Myocardium) (I),Poster Session (English),The 73rd Annual Scientific Meeting of the Japanese Circulation Society)
- DPE-054 Standardized Coronary 64-slice CT Angiography Using the Diluted Contrast Medium : Single Center Study(DPE09,CT/MRI (Coronary/Vascular) (I),Digital Poster Session (English),The 73rd Annual Scientific Meeting of The Japanese Circulation Society)
- Analysis of microvascularity after reperfused acute myocardial infarction using the maximum slope method of contrast-enhanced magnetic resonance imaging
- PE-219 Visualization of the Left Ventricular Endocardial Surface by Virtual Cardioscopy Using ECG-gated Multi-slice Computed Tomography(CT/DSA-05, The 71st Annual Scientific Meeting of the Japanese Circulation Society)
- Identification of Hypertension-Susceptibility Genes and Pathways by a Systemic Multiple Candidate Gene Approach : The Millennium Genome Project for Hypertension
- Effect of Acute and Long-Term Aerobic Exercise on Arterial Stiffness in the Elderly
- Image Fusion of Coronary Tree and Regional Cardiac Function Image Using Multislice Computed Tomography
- TWO DINUCLEOTIDE REPEAT POLYMORPHISMS AT THE D8S1442 AND D8S1443 LOCI
- Thallium-201 scintigraphy in bone and soft-tissue tumors : a comparison of dynamic, early and delayed scans
- OJ-189 Detection of Myocardial Ischemia Using Contrast-enhanced 64-slice MDCT: Comparison with Stress/rest Myocardial Scintigraphy(CT/DSA(03)(I),Oral Presentation (Japanese),The 72nd Annual Scientific Meeting of the Japanese Circulation Society)
- OJ-188 Quantification of Myocardial Perfusion by Contrast-enhanced 64-slice MDCT : Characterization of Ischemic Myocardium(CT/DSA(03)(I),Oral Presentation (Japanese),The 72nd Annual Scientific Meeting of the Japanese Circulation Society)
- Clinical Importance of Microvascular Obstruction on Contrast-Enhanced MRI in Reperfused Acute Myocardial Infarction
- PJ-472 Characterization on Myocardial Perfusion in Hypertrophic Cardiomyopathy Assessed by 64-slice Coronary MDCT Angiography(CT/DSA-10, The 71st Annual Scientific Meeting of the Japanese Circulation Society)
- PJ-248 Evaluation of Myocardial Viability with Late Enhancement Pattern on Contrast-enhanced MRI in Reperfused Acute Myocardial Infarction(MRI/MRA-4 (I) PJ42,Poster Session (Japanese),The 70th Anniversary Annual Scientific Meeting of the Japanese Circulat
- Heterogeneity of posterior limbic perfusion in very early Alzheimer's disease
- Assessment of left ventricular wall motion using 16-channel multislice computed tomography : comparison with left ventriculography
- Quantification of Regional Myocardial Blood Flow Using First-Pass Multidetector-Row Computed Tomography and Adenosine Triphosphate in Coronary Artery Disease
- PJ-831 Quantification of Regional Myocardial Blood Flow using First-Pass Multidetector-row Computed Tomography and Adenosine Triphosphate in Coronary Artery Disease(CT / DSA(11)(I),Poster Session(Japanese),The 72nd Annual Scientific Meeting of the Japanes
- 5 Current Status and Future Direction of Multi Detector-row Computed Tomography for the Integrated Management of Coronary Artery Disease(Symposium 14 (SY-14) (I) New Horizon of CT, MR and PET in Diagnostic Cardiac Imaging,Special Program,The 72nd Annual S
- LINKAGE AND HAPLOTYPE ANALYSIS OF FAMILIAL EARLY-ONSET ALZHEIMER DISEASE IN JAPANESE POPULATION
- Endothelial Nitric Oxide Synthase Polymorphism (Glu298Asp) on Cardiovascular Events for Patients with Hypertrophic Cardiomyopathy(Myocardial Disease, Cardiomyopathy and Myocarditis (M), The 69th Annual Scientific Meeting of the Japanese Circulation Societ
- Cardiac imaging using 256-detector row four-dimensional CT : preliminary clinical report
- Measurement of Radiation Dose in Cerebral CT Perfusion Study
- Increased Expression of Angiotensin Converting Enzyme 2 in Conjunction with Reduction of Neointima by Angiotensin II Type 1 Receptor Blockade
- Case of pneumococcal meningoencephalitis with periodic synchronous discharge patterns on electroencephalogram
- Migraine Is Associated with Enhanced Arterial Stiffness
- Interaction between Serotonin 2A Receptor and Endothelin-1 Variants in Association with Hypertension in Japanese
- Quantitative assessment of regional left ventricular wall thickness and thickening using 16 multidetector-row computed tomography : comparison with cine magnetic resonance imaging
- PJ-530 Advantages of 3.0T MRI Cardiac Imaging(MRI/MRA-4, The 71st Annual Scientific Meeting of the Japanese Circulation Society)
- Effect of Genetic Polymorphism of OATP-C (SLCO1B1) on Lipid-Lowering Response to HMG-CoA Reductase Inhibitors
- PJ-516 Sex Differences in the Relationship between G-protein Beta3 Subunit Gene C825T Polymorphism and Cardiovascular Events in Patients with Dilated Cardiomyopathy(Heart failure, clinical(18)(M),Poster Session(Japanese),The 72nd Annual Scientific Meeting
- Utility of Low Dose Exercise on ATP-loaded Myocardial Perfusion Scitigraphy(Nuclear Cardiology 8 (I), The 69th Annual Scientific Meeting of the Japanese Circulation Society)
- Evaluation of Pulmonary Venous Stenoses by Multi-slice Computed Tomography in Children with Congenital Heart Disease(X-ray/CT/MRI/DSA 1 (I), The 69th Annual Scientific Meeting of the Japanese Circulation Society)
- Assessment of Left Ventricular Wall Motion Using 16-channel Multi-detector Row Computed Tomography A Comparison with Left Ventriculography(X-ray/CT/MRI/DSA 5 (I), The 69th Annual Scientific Meeting of the Japanese Circulation Society)
- Analysis of Perfusion Mismatch between CT and MRI in Acute Myocardial Infarction(X-ray/CT/MRI/DSA 5 (I), The 69th Annual Scientific Meeting of the Japanese Circulation Society)
- Image Fusion of Coronary Tree and Left Ventricular Function Using 16-MSCT(Recent Advance in Cardiovascular Imaging Technique (X-ray/CT/MRI/DSA) (I), The 69th Annual Scientific Meeting of the Japanese Circulation Society)
- Classic Rett syndrome in a boy with R133C mutation of MECP2
- Association of Dopamine β-Hydroxylase Polymorphism with Hypertension through Interaction with Fasting Plasma Glucose in Japanese
- Association of a GNAS1 Gene Variant with Hypertension and Diabetes Mellitus
- PJ-350 Assessment Of The Myocardial Perfusion Using MDCT(CT/DSA-09, The 71st Annual Scientific Meeting of the Japanese Circulation Society)
- PE-144 Cardiac Functional Analysis with "One-beat Whole Heart Imaging" Using the 2nd Spec 256-MSCT(Cardiac function, basic/clinical-2, The 71st Annual Scientific Meeting of the Japanese Circulation Society)
- OJ-127 Coronary CT Angiography Using 256 MDCT(CT / DSA-04, The 71st Annual Scientific Meeting of the Japanese Circulation Society)
- OE-372 Twisting Behavior in the Heart : Quantification by Novel "Twist Map" with 3T Cardiac Magnetic Resonance Imaging(MRI/MRA-1, The 71st Annual Scientific Meeting of the Japanese Circulation Society)
- FRS-074 Cardiac Physiology in Robust "Beat by Beat" Cardiac Imaging Using the 2nd Spec 256-multislice Computed Tomography(New Cardivascular Imaging by MDCT, The 71st Annual Scientific Meeting of the Japanese Circulation Society)
- 1 Usefulness of Evaluation of Myocardial Perfusion and Viability with Myocardial Multislice Computed Tomography (MSCT)(Assessment of Myocardial Viability, The 71st Annual Scientific Meeting of the Japanese Circulation Society)
- Giant Congenital Coronary Artery Fistula to Left Brachial Vein Clearly Detected by Multidetector Computed Tomography(Case Report)
- FRS-041 One-beat Whole Heart Imaging Using the 2nd Spec 256-Multislice CT : First Clinical Data(New Cardiovascular Imagings-1 (I) FRS9,Featured Research Session,The 70th Anniversary Annual Scientific Meeting of the Japanese Circulation Society)
- A Genome-Wide Association Study of Hypertension-Related Phenotypes in a Japanese Population
- Evaluation of tumor blood flow in musculoskeletal lesions : dynamic contrast-enhanced MR imaging and its possibility when monitoring the response to preoperative chemotherapy : work in progress
- Deficiency in Mitochondrial Aldehyde Dehydrogenase Increases the Risk for Late-Onset Alzheimer's Disease in the Japanese Population
- A study on attenuation correction using Tc-99m external TCT source in Tc-99m GSA liver SPECT
- Dynamin 2 gene is a novel susceptibility gene for late-onset Alzheimer disease in non-APOE-ε4 carriers
- Quadriceps sarcopenia and visceral obesity are risk factors for postural instability in the middle-aged to elderly population
- Associations between short one-leg standing time and speed of sound of calcaneal bone in a general population : The Shimanami Health Promoting Program (J-SHIPP) study
- Effect of time standing up on orthostatic blood pressure change in the elderly : The J-SHIPP Study
- Microalbuminuria and Arterial Stiffness in a General Population : the Shimanami Health Promoting Program (J-SHIPP) Study
- A Method for Reducing Radiation Dose in Cerebral CT Perfusion Study with Variable Scan Schedule
- レビー小体型痴呆症におけるアポリポ蛋白E4型の関与
- Multi-detector Computed Tomography Detects Ischemic in Stenotic Coronary Vessels Regions and Phasic Changes During Stress and Resting Image(X-ray/CT/MRI/DSA 4 (I), The 69th Annual Scientific Meeting of the Japanese Circulation Society)
- Hypotension Associated with Prone Body Position : A Possible Overlooked Postural Hypotension
- Blood Pressure Is the Main Determinant of the Reflection Wave in Patients with Type 2 Diabetes