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MR angiography in pediatric neurological disorders. Pediatr Radiol 1995;25(6):409-19

Date

01/01/1995

Pubmed ID

7491188

DOI

10.1007/BF02019052

Scopus ID

2-s2.0-0029132808 (requires institutional sign-in at Scopus site)   28 Citations

Abstract

MR angiography using 3D and 2D time-of-flight techniques were used to evaluate pediatric neurological disorders. MRA (arteriography) and MRV (venography) were abnormal in 63 and 45 cases, respectively. Conventional cerebral angiography was performed in 30 cases. These techniques were compared with MRI and conventional angiography. In addition, the value of MR angiography for surgical planning was subjectively evaluated. Our results showed that intracranial vessels were invariably better shown on MR angiography than on MRI. MRA and MRV were most useful in evaluating vascular distortions related to congenital brain malformations and intracranial tumors. MRA was valuable in detecting arterial narrowing but overestimated the degree of stenosis compared with conventional angiography. MRV was the technique of choice for evaluation of dural sinus and cerebral venous thrombosis and compression. MRA played little to no role in preoperative planning of vascular malformations and aneurysms. It did not appear to be accurate in assessing tumor vascularity or lesions in small arteries and arteritis.

Author List

Lee BC, Park TS, Kaufman BA

Author

Bruce A. Kaufman MD Adjunct Professor in the Neurosurgery department at Medical College of Wisconsin




MESH terms used to index this publication - Major topics in bold

Adolescent
Brain Diseases
Brain Neoplasms
Cerebral Angiography
Cerebrovascular Disorders
Child
Child, Preschool
Humans
Infant
Infant, Newborn
Intracranial Arteriovenous Malformations
Magnetic Resonance Angiography
Magnetic Resonance Imaging
Prospective Studies
Sensitivity and Specificity