机构:[1]Department of Radiology and Nuclear Medicine, Xuanwu Hospital, Capital Medical University, 45# Changchun Street, Xicheng District, Beijing, China医技科室放射科首都医科大学宣武医院[2]Beijing Key Laboratory of Magnetic Resonance Imaging and Brain Informatics, Beijing, China[3]Department of Neurosurgery, Xuanwu Hospital, Capital Medical University, Beijing, China神经科系统神经外科首都医科大学宣武医院[4]Center for Evidence-Based Medicine, Xuanwu Hospital, Capital Medical University, Beijing, China首都医科大学宣武医院循证医学中心
Objectives To evaluate whether the signal intensity ratio (rSI) of the draining vein on silent MR angiography is correlated with arteriovenous (A-V) transit time on digital subtraction angiography (DSA), thereby identifying high-flow A-V shunt in brain arteriovenous malformation (BAVM), and to analyze whether the rSI and the characteristic of draining veins on silent MRA are associated with hemorrhage presentation. Methods Eighty-one draining veins of 46 participants with BAVM (mean age 33.2 +/- 16.9 years) who underwent silent MRA and DSA were evaluated retrospectively. The correlation between the rSI of the draining vein on silent MRA and A-V transit time on DSA was examined. The AUC-ROC was obtained to evaluate the performance of the rSI in determining the presence of high-flow A-V shunt. The characteristics of draining veins with the maximum rSI (rSImax) were further compared between the hemorrhagic and non-hemorrhagic untreated BAVM. Results The rSI of each draining vein on silent MRA was significantly correlated with A-V transit time from DSA (r = -0.81, p < .001). The AUC-ROC was 0.89 for using the rSI to determine the presence of high-flow A-V shunt. A cut-off rSI value of 1.09 yielded a sensitivity of 82.4% and a specificity of 82.8%. The draining vein with rSImax and no ectasia was significantly more observed in the hemorrhagic group (p = 0.045). Conclusions The rSI of the draining vein on silent MRA is significantly correlated with A-V transit time on DSA, and it can be used as an indicator of high-flow A-V shunt in BAVM.
基金:
Beijing Municipal Administration of Hospitals' Ascent Plan [DFL20180802]; Xuanwu Hospital Science Program for Fostering Young Scholars [QNPY2020002]
第一作者机构:[1]Department of Radiology and Nuclear Medicine, Xuanwu Hospital, Capital Medical University, 45# Changchun Street, Xicheng District, Beijing, China[2]Beijing Key Laboratory of Magnetic Resonance Imaging and Brain Informatics, Beijing, China
通讯作者:
通讯机构:[1]Department of Radiology and Nuclear Medicine, Xuanwu Hospital, Capital Medical University, 45# Changchun Street, Xicheng District, Beijing, China[2]Beijing Key Laboratory of Magnetic Resonance Imaging and Brain Informatics, Beijing, China
推荐引用方式(GB/T 7714):
Wu Chun-Xue,Zang Zhen-Xiang,Hong Tao,et al.Signal intensity ratio of draining vein on silent MR angiography as an indicator of high-flow arteriovenous shunt in brain arteriovenous malformation[J].EUROPEAN RADIOLOGY.2021,31(12):9252-9261.doi:10.1007/s00330-021-08170-8.
APA:
Wu, Chun-Xue,Zang, Zhen-Xiang,Hong, Tao,Dong, Meng-Qi,Shan, Yi...&Lu, Jie.(2021).Signal intensity ratio of draining vein on silent MR angiography as an indicator of high-flow arteriovenous shunt in brain arteriovenous malformation.EUROPEAN RADIOLOGY,31,(12)
MLA:
Wu, Chun-Xue,et al."Signal intensity ratio of draining vein on silent MR angiography as an indicator of high-flow arteriovenous shunt in brain arteriovenous malformation".EUROPEAN RADIOLOGY 31..12(2021):9252-9261