AJNR. American journal of neuroradiology
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AJNR Am J Neuroradiol · Mar 2008
Identification of the normal jugular foramen and lower cranial nerve anatomy: contrast-enhanced 3D fast imaging employing steady-state acquisition MR imaging.
Conventional imaging protocols are unable to visualize the intraforaminal/canalicular segments of the lower cranial nerves (IX-XII). On the basis of previous successful demonstration of individual cranial nerves within the cavernous sinus by constructive interference in steady-state MR imaging, we describe the use of contrast-enhanced 3D fast imaging employing steady-state acquisition MR imaging to demonstrate normal in vivo intraforaminal and canalicular segments of cranial nerves IX-XII in 10 patients by using a standardized imaging protocol.
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AJNR Am J Neuroradiol · Mar 2008
Multicenter Study Clinical TrialRevascularization results in the Interventional Management of Stroke II trial.
Our aim was to detail revascularization results, including impact on outcome and mortality, in the Interventional Management of Stroke (IMS) II trial. ⋯ IMS II provides evidence that the EKOS Primo sonography microcatheter exhibits a trend toward improved recanalization of the occlusion compared with a standard microcatheter and again confirms the correlation between recanalization and reperfusion with good clinical outcome and reduced mortality.
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AJNR Am J Neuroradiol · Mar 2008
Comparative StudyDetection of aneurysms by 64-section multidetector CT angiography in patients acutely suspected of having an intracranial aneurysm and comparison with digital subtraction and 3D rotational angiography.
Four-section multisection CT angiography (MSCTA) accurately detects aneurysms at or more than 4 mm but is less accurate for those less than 4 mm. Our purpose was to determine the accuracy of 64-section MSCTA (64MSCTA) in aneurysm detection versus combined digital subtraction angiography (DSA) and 3D rotational angiography (3DRA). ⋯ In comparison with the available literature, 64MSCTA may have improved the detection of less than 4-mm aneurysms compared with 4- or 16-section CTA. However, the combination of DSA with 3DRA is currently the most sensitive technique to detect untreated aneurysms and should be considered in suspicious cases of SAH where the aneurysm is not depicted by 64MSCTA, because 64MSCTA may occasionally miss aneurysms less than 3-4 mm size.
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AJNR Am J Neuroradiol · Mar 2008
Comparative StudyWhite matter abnormalities in mild traumatic brain injury: a diffusion tensor imaging study.
Traumatic axonal injury is a primary brain abnormality in head trauma and is characterized by reduction of fractional anisotropy (FA) on diffusion tensor imaging (DTI). Our hypothesis was that patients with mild traumatic brain injury (TBI) have widespread brain white matter regions of reduced FA involving a variety of fiber bundles and show fiber disruption on fiber tracking in a minority of these regions. ⋯ Patients with mild TBI have multiple regions with reduced FA in various white matter locations and involving various fiber bundles. A minority of these fiber bundles show discontinuity on fiber tracking.
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AJNR Am J Neuroradiol · Mar 2008
Comparative StudyCSF leaks: correlation of high-resolution CT and multiplanar reformations with intraoperative endoscopic findings.
Skull base defects can result in CSF leaks, with meningitis as a potential complication. Surgeons are now routinely repairing these leaks via a nasal endoscopic approach. Accurate preoperative imaging is essential for surgical planning. A variety of imaging regimens have been employed, including axial and direct coronal CT, CT cisternography with iodinated contrast, radionuclide cisternography, and MR imaging. Now that multidetector helical CT is available, the purpose of this study was to determine how well coronal and sagittal multiplanar reformatted (MPR) images generated from a high-resolution axial dataset correlate with intraoperative findings in a group of patients with clinically proved CSF leaks. ⋯ Axial images, and coronal, sagittal, and oblique MPR images generated from high-resolution axial CT performed well preoperatively, localizing the skull base defect responsible for the CSF leak. However, active manipulation of the axial dataset at a workstation is crucial in identifying and correctly describing these lesions. When submillimeter collimation is available, measurement of the osseous defects are accurate most of the time.