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Research ArticleINTERVENTIONAL

Clinical Evaluation of Cellulose Porous Beads for the Therapeutic Embolization of Meningiomas

Y. Kai, J.-I. Hamada, M. Morioka, S. Yano, H. Nakamura, K. Makino, T. Mizuno, H. Takeshima and J.-I. Kuratsu
American Journal of Neuroradiology May 2006, 27 (5) 1146-1150;
Y. Kai
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J.-I. Hamada
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M. Morioka
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S. Yano
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H. Nakamura
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K. Makino
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T. Mizuno
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H. Takeshima
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J.-I. Kuratsu
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    Fig 1.

    Algorithm for patient selection.

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    Fig 2.

    Graph showing the relationship between the ratio of nonenhanced lesions on postembolization MR imaging scans the degree of devascularization of external carotid artery feeders. The regression line obtained by applying simple regression is shown (y = 0.1437x + 29.994; R2 = .0162).

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    Fig 3.

    A, Pre-embolization Gd-DTPA-enhanced T1-weighted MR imaging scan showing a well-enhanced lesion in the right medial frontal area.

    B, Three days after embolization, the enhanced MR imaging scan shows a heterogeneous nonenhanced lesion in the tumor.

    C, Seven days postembolization, the nonenhanced lesion in the tumor was not remarkably changed.

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    Fig 4.

    Bar graph showing the relationship between the ratio of supply from the external carotid artery and tumor consistency at surgery.

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    Fig 5.

    Bar graph showing the relationship between the ratio of nonenhanced lesions on postembolization MR imaging and tumor consistency at surgery. *P < .01.

Tables

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  • Summary of 203 meningioma patients who underwent preoperative embolization

    Group 1Group 2
    (N = 75)(N = 128)
    Interval between embolization and surgery (mean)1–7 days (2.1 days)8–26 days (9.9 days)
    Total blood loss (mL)897987NS
    During removal of tumor (mL)534424NS
    Blood transfusion (U)1.0–9.01.0–6.0
    Mean (U)2.92.1NS
    Tumor consistency at surgery
    Hard5031}P < .01
    Moderately hard2075
    Soft522
    Simpson grade2.601.91P < .01
    • Note:— NS indicates not significant

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American Journal of Neuroradiology: 27 (5)
American Journal of Neuroradiology
Vol. 27, Issue 5
May 2006
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Cite this article
Y. Kai, J.-I. Hamada, M. Morioka, S. Yano, H. Nakamura, K. Makino, T. Mizuno, H. Takeshima, J.-I. Kuratsu
Clinical Evaluation of Cellulose Porous Beads for the Therapeutic Embolization of Meningiomas
American Journal of Neuroradiology May 2006, 27 (5) 1146-1150;

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Clinical Evaluation of Cellulose Porous Beads for the Therapeutic Embolization of Meningiomas
Y. Kai, J.-I. Hamada, M. Morioka, S. Yano, H. Nakamura, K. Makino, T. Mizuno, H. Takeshima, J.-I. Kuratsu
American Journal of Neuroradiology May 2006, 27 (5) 1146-1150;
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  • Efficacy of endovascular intratumoral embolization for meningioma: assessment using dynamic susceptibility contrast-enhanced perfusion-weighted imaging
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  • Preoperative Onyx Embolization of Meningiomas Fed by the Ophthalmic Artery: A Case Series
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