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Research ArticleNeurointervention

Feasibility of Intravenous Flat Panel Detector CT Angiography for Intracranial Arterial Stenosis

J.S. Jeon, S.H. Sheen, G.J. Hwang, H.C. Kim and B.J. Kwon
American Journal of Neuroradiology January 2013, 34 (1) 129-134; DOI: https://doi.org/10.3174/ajnr.A3301
J.S. Jeon
aFrom the Departments of Neurosurgery (J.S.J., S.H.S., G.J.H.)
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S.H. Sheen
aFrom the Departments of Neurosurgery (J.S.J., S.H.S., G.J.H.)
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G.J. Hwang
aFrom the Departments of Neurosurgery (J.S.J., S.H.S., G.J.H.)
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H.C. Kim
bNeuroradiology (H.C.K.), Hallym University College of Medicine, Chun Cheon Sacred Heart Hospital, Chun Cheon, Korea
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B.J. Kwon
cDepartment of Neuroradiology (B.J.K.), Kwandong University College of Medicine, Myongji Hospital, Goyang, Korea.
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    Fig 1.

    Bland-Altman plot shows excellent depiction of intracranial stenosis of the horizontal segments (A), vertical segments (B), anterior circulation (C), and posterior circulation (D) by IV FDCT with DSA as the reference. Length discrepancy (IV FDCT–DSA, in millimeters) was found more often in higher stenosis but was not statistically significant (E, Spearman rank correlation test; r = − 0.12, P = .13).

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    Fig 2.

    An 81-year-old woman who underwent coil embolization of an unruptured posterior communicating artery aneurysm 1 month before was referred due to a history of progressive left hemiparesis. A and B, Good concordance was obtained for depicting stenosis at the proximal (arrows) and distal (arrowheads) M2 segment between DSA and IV FDCT. C and D, Axial maximum-intensity-projection image of IV FDCT allows a clear delineation of the vascular lumen from circumferential calcification (arrows) without superimposition of bone (arrowheads).

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    Fig 3.

    A 70-year-old woman was transferred for right-sided hemiparesis. A, Anteroposterior DSA of the left internal carotid artery shows severe stenosis (76.2%) at the left M1 segment (D-stenosis) with the beginning point of M1 (D-normal) as a reference point. B, Selective maximum-intensity-projection image of IV FDCT reveals excellent concordance of severe stenosis (76.9%) at the left M1 segment (arrows) with DSA as a reference.

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    Fig 4.

    A 55-year-old man was transferred to the emergency department for right-sided hemiparesis. A, Time-of-flight MRA reveals severe stenosis at the left M1 segment (arrow). B, Selective maximum-intensity-projection image of IV FDCT shows 40% stenosis at the left M1 segment (arrow) with excellent concordance to the DSA reference. C, Anteroposterior DSA of the left internal carotid artery illustrates 40% stenosis at the left M1 segment (arrow).

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    Table 1:

    Distribution of the stenotic vessel segments in each segment

    StenosisICAA1M1M2P1BAV4Total
    30%–49%41119627756
    50%–69%5717229547
    70%–99%4713206537
    Complete occlusion20610009
    Total1525551142217149
    • Note:—BA indicates basilar artery.

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    Table 2:

    Accuracy of IV FDCT in detecting severe stenosis (>70%) compared with DSAa

    Seen on DSANot Seen on DSATotal
    Seen on IV FDCT34236
    Not seen on IV FDCT3110113
    Total37112149
    • ↵a The numbers given are vessel segments.

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American Journal of Neuroradiology: 34 (1)
American Journal of Neuroradiology
Vol. 34, Issue 1
1 Jan 2013
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Cite this article
J.S. Jeon, S.H. Sheen, G.J. Hwang, H.C. Kim, B.J. Kwon
Feasibility of Intravenous Flat Panel Detector CT Angiography for Intracranial Arterial Stenosis
American Journal of Neuroradiology Jan 2013, 34 (1) 129-134; DOI: 10.3174/ajnr.A3301

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Feasibility of Intravenous Flat Panel Detector CT Angiography for Intracranial Arterial Stenosis
J.S. Jeon, S.H. Sheen, G.J. Hwang, H.C. Kim, B.J. Kwon
American Journal of Neuroradiology Jan 2013, 34 (1) 129-134; DOI: 10.3174/ajnr.A3301
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