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Erschienen in: Neuroradiology 11/2012

01.11.2012 | Diagnostic Neuroradiology

Application of susceptibility weighted imaging (SWI) for evaluation of draining veins of arteriovenous malformation: utility of magnitude images

verfasst von: Toshiteru Miyasaka, Toshiaki Taoka, Hiroyuki Nakagawa, Takeshi Wada, Katsutoshi Takayama, Kaoru Myochin, Masahiko Sakamoto, Tomoko Ochi, Toshiaki Akashi, Kimihiko Kichikawa

Erschienen in: Neuroradiology | Ausgabe 11/2012

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Abstract

Introduction

The current study evaluated the signal characteristics of susceptibility weighted imaging (SWI) of arteriovenous malformation (AVM), especially for draining veins. For this purpose, we identified the draining veins of the AVM on angiography and evaluated the signal on magnitude image for SWI (SWI-mag) and minimum intensity projection image (SWI-minIP).

Methods

Subjects were 14 cases with angiographically proven AVM. SWI-mag, SWI-minIP, and time-of-flight (TOF) magnetic resonance angiography were acquired. For the draining veins of the AVM identified on angiography, we analyzed signal intensity on the images listed above, and classified it into hyperintensity (hyper), mixed intensity (mixed), hypointensity (hypo), and no visualization.

Results

On the analysis of 27 angiographically proven draining veins, 19 draining veins were classified as hyper, 3 as mixed, 0 as hypo, and 6 as no visualization on SWI-mag. On TOF images, 21 draining veins were classified as hyper, 2 as mixed, 0 as hypo, and 4 as no visualization, while 6 draining veins did not show hyperintensity on TOF, and SWI-mag visualized 3 of these 6 veins as hyper.

Conclusion

SWI-mag depicted most draining veins of AVM as hyperintensity. We speculate that this is mainly due to the higher concentration of oxygenated hemoglobin (oxy-Hb) and inflow effect of the draining vein. SWI-mag seems to be useful in the analysis and follow-up for AVM as the signal on the image may reflect physiological status.
Literatur
1.
Zurück zum Zitat Ogilvy CS, Stieg PE, Awad I, Brown RD Jr, Kondziolka D, Rosenwasser R, Young WL, Hademenos G (2001) AHA Scientific Statement: recommendations for the management of intracranial arteriovenous malformations: a statement for healthcare professionals from a special writing group of the Stroke Council, American Stroke Association. Stroke 32(6):1458–1471PubMedCrossRef Ogilvy CS, Stieg PE, Awad I, Brown RD Jr, Kondziolka D, Rosenwasser R, Young WL, Hademenos G (2001) AHA Scientific Statement: recommendations for the management of intracranial arteriovenous malformations: a statement for healthcare professionals from a special writing group of the Stroke Council, American Stroke Association. Stroke 32(6):1458–1471PubMedCrossRef
2.
Zurück zum Zitat Yuki I, Kim RH, Duckwiler G, Jahan R, Tateshima S, Gonzalez N, Gorgulho A, Diaz JL, De Salles AA, Vinuela F (2010) Treatment of brain arteriovenous malformations with high-flow arteriovenous fistulas: risk and complications associated with endovascular embolization in multimodality treatment. Clinical article. J Neurosurg 113(4):715–722. doi:10.3171/2009.9.JNS081588 PubMedCrossRef Yuki I, Kim RH, Duckwiler G, Jahan R, Tateshima S, Gonzalez N, Gorgulho A, Diaz JL, De Salles AA, Vinuela F (2010) Treatment of brain arteriovenous malformations with high-flow arteriovenous fistulas: risk and complications associated with endovascular embolization in multimodality treatment. Clinical article. J Neurosurg 113(4):715–722. doi:10.​3171/​2009.​9.​JNS081588 PubMedCrossRef
4.
Zurück zum Zitat Sehgal V, Delproposto Z, Haacke EM, Tong KA, Wycliffe N, Kido DK, Xu Y, Neelavalli J, Haddar D, Reichenbach JR (2005) Clinical applications of neuroimaging with susceptibility-weighted imaging. J Magn Reson Imaging 22(4):439–450. doi:10.1002/jmri.20404 PubMedCrossRef Sehgal V, Delproposto Z, Haacke EM, Tong KA, Wycliffe N, Kido DK, Xu Y, Neelavalli J, Haddar D, Reichenbach JR (2005) Clinical applications of neuroimaging with susceptibility-weighted imaging. J Magn Reson Imaging 22(4):439–450. doi:10.​1002/​jmri.​20404 PubMedCrossRef
5.
Zurück zum Zitat Haacke EM, Mittal S, Wu Z, Neelavalli J, Cheng YC (2009) Susceptibility-weighted imaging: technical aspects and clinical applications, part 1. AJNR Am J Neuroradiol 30(1):19–30PubMedCrossRef Haacke EM, Mittal S, Wu Z, Neelavalli J, Cheng YC (2009) Susceptibility-weighted imaging: technical aspects and clinical applications, part 1. AJNR Am J Neuroradiol 30(1):19–30PubMedCrossRef
6.
Zurück zum Zitat Barnett GH, Little JR, Ebrahim ZY, Jones SC, Friel HT (1987) Cerebral circulation during arteriovenous malformation operation. Neurosurgery 20(6):836–842PubMedCrossRef Barnett GH, Little JR, Ebrahim ZY, Jones SC, Friel HT (1987) Cerebral circulation during arteriovenous malformation operation. Neurosurgery 20(6):836–842PubMedCrossRef
7.
Zurück zum Zitat George U, Jolappara M, Kesavadas C, Gupta AK (2010) Susceptibility-weighted imaging in the evaluation of brain arteriovenous malformations. Neurol India 58(4):608–614PubMedCrossRef George U, Jolappara M, Kesavadas C, Gupta AK (2010) Susceptibility-weighted imaging in the evaluation of brain arteriovenous malformations. Neurol India 58(4):608–614PubMedCrossRef
9.
Zurück zum Zitat Al-Shahi R, Bhattacharya JJ, Currie DG, Papanastassiou V, Ritchie V, Roberts RC, Sellar RJ, Warlow CP (2003) Prospective, population-based detection of intracranial vascular malformations in adults: the Scottish Intracranial Vascular Malformation Study (SIVMS). Stroke 34(5):1163–1169. doi:10.1161/01.STR.0000069018.90456.C9 PubMedCrossRef Al-Shahi R, Bhattacharya JJ, Currie DG, Papanastassiou V, Ritchie V, Roberts RC, Sellar RJ, Warlow CP (2003) Prospective, population-based detection of intracranial vascular malformations in adults: the Scottish Intracranial Vascular Malformation Study (SIVMS). Stroke 34(5):1163–1169. doi:10.​1161/​01.​STR.​0000069018.​90456.​C9 PubMedCrossRef
10.
Zurück zum Zitat Stapf C, Labovitz DL, Sciacca RR, Mast H, Mohr JP, Sacco RL (2002) Incidence of adult brain arteriovenous malformation hemorrhage in a prospective population-based stroke survey. Cerebrovasc Dis 13(1):43–46PubMedCrossRef Stapf C, Labovitz DL, Sciacca RR, Mast H, Mohr JP, Sacco RL (2002) Incidence of adult brain arteriovenous malformation hemorrhage in a prospective population-based stroke survey. Cerebrovasc Dis 13(1):43–46PubMedCrossRef
11.
Zurück zum Zitat Starke RM, Komotar RJ, Hwang BY, Fischer LE, Garrett MC, Otten ML, Connolly ES (2009) Treatment guidelines for cerebral arteriovenous malformation microsurgery. Br J Neurosurg 23(4):376–386PubMedCrossRef Starke RM, Komotar RJ, Hwang BY, Fischer LE, Garrett MC, Otten ML, Connolly ES (2009) Treatment guidelines for cerebral arteriovenous malformation microsurgery. Br J Neurosurg 23(4):376–386PubMedCrossRef
12.
Zurück zum Zitat Soderman M, Andersson T, Karlsson B, Wallace MC, Edner G (2003) Management of patients with brain arteriovenous malformations. Eur J Radiol 46(3):195–205PubMedCrossRef Soderman M, Andersson T, Karlsson B, Wallace MC, Edner G (2003) Management of patients with brain arteriovenous malformations. Eur J Radiol 46(3):195–205PubMedCrossRef
13.
Zurück zum Zitat Starke RM, Komotar RJ, Hwang BY, Fischer LE, Otten ML, Merkow MB, Garrett MC, Isaacson SR, Connolly ES Jr (2008) A comprehensive review of radiosurgery for cerebral arteriovenous malformations: outcomes, predictive factors, and grading scales. Stereotact Funct Neurosurg 86(3):191–199PubMedCrossRef Starke RM, Komotar RJ, Hwang BY, Fischer LE, Otten ML, Merkow MB, Garrett MC, Isaacson SR, Connolly ES Jr (2008) A comprehensive review of radiosurgery for cerebral arteriovenous malformations: outcomes, predictive factors, and grading scales. Stereotact Funct Neurosurg 86(3):191–199PubMedCrossRef
14.
Zurück zum Zitat Geibprasert S, Pongpech S, Jiarakongmun P, Shroff MM, Armstrong DC, Krings T (2010) Radiologic assessment of brain arteriovenous malformations: what clinicians need to know. Radiographics 30(2):483–501PubMedCrossRef Geibprasert S, Pongpech S, Jiarakongmun P, Shroff MM, Armstrong DC, Krings T (2010) Radiologic assessment of brain arteriovenous malformations: what clinicians need to know. Radiographics 30(2):483–501PubMedCrossRef
15.
Zurück zum Zitat Gupta V, Chugh M, Walia BS, Vaishya S, Jha AN (2008) Use of CT angiography for anatomic localization of arteriovenous malformation Nidal components. AJNR Am J Neuroradiol 29(10):1837–1840PubMedCrossRef Gupta V, Chugh M, Walia BS, Vaishya S, Jha AN (2008) Use of CT angiography for anatomic localization of arteriovenous malformation Nidal components. AJNR Am J Neuroradiol 29(10):1837–1840PubMedCrossRef
16.
Zurück zum Zitat Tanaka H, Numaguchi Y, Konno S, Shrier DA, Shibata DK, Patel U (1997) Initial experience with helical CT and 3D reconstruction in therapeutic planning of cerebral AVMs: comparison with 3D time-of-flight MRA and digital subtraction angiography. J Comput Assist Tomogr 21(5):811–817PubMedCrossRef Tanaka H, Numaguchi Y, Konno S, Shrier DA, Shibata DK, Patel U (1997) Initial experience with helical CT and 3D reconstruction in therapeutic planning of cerebral AVMs: comparison with 3D time-of-flight MRA and digital subtraction angiography. J Comput Assist Tomogr 21(5):811–817PubMedCrossRef
17.
Zurück zum Zitat Tsuchiya K, Katase S, Yoshino A, Hachiya J (2000) MR digital subtraction angiography of cerebral arteriovenous malformations. AJNR Am J Neuroradiol 21(4):707–711PubMed Tsuchiya K, Katase S, Yoshino A, Hachiya J (2000) MR digital subtraction angiography of cerebral arteriovenous malformations. AJNR Am J Neuroradiol 21(4):707–711PubMed
18.
Zurück zum Zitat Divani AA, Lieber BB, Wakhloo AK, Gounis MJ, Hopkins LN (2001) Determination of blood flow velocity and transit time in cerebral arteriovenous malformation using microdroplet angiography. Ann Biomed Eng 29(2):135–144PubMedCrossRef Divani AA, Lieber BB, Wakhloo AK, Gounis MJ, Hopkins LN (2001) Determination of blood flow velocity and transit time in cerebral arteriovenous malformation using microdroplet angiography. Ann Biomed Eng 29(2):135–144PubMedCrossRef
19.
Zurück zum Zitat Iwamura A, Taoka T, Fukusumi A, Sakamoto M, Miyasaka T, Ochi T, Akashi T, Okuchi K, Kichikawa K (2012) Diffuse vascular injury: convergent-type hemorrhage in the supratentorial white matter on susceptibility-weighted image in cases of severe traumatic brain damage. Neuroradiology. doi:10.1007/s00234-011-0892-9 Iwamura A, Taoka T, Fukusumi A, Sakamoto M, Miyasaka T, Ochi T, Akashi T, Okuchi K, Kichikawa K (2012) Diffuse vascular injury: convergent-type hemorrhage in the supratentorial white matter on susceptibility-weighted image in cases of severe traumatic brain damage. Neuroradiology. doi:10.​1007/​s00234-011-0892-9
Metadaten
Titel
Application of susceptibility weighted imaging (SWI) for evaluation of draining veins of arteriovenous malformation: utility of magnitude images
verfasst von
Toshiteru Miyasaka
Toshiaki Taoka
Hiroyuki Nakagawa
Takeshi Wada
Katsutoshi Takayama
Kaoru Myochin
Masahiko Sakamoto
Tomoko Ochi
Toshiaki Akashi
Kimihiko Kichikawa
Publikationsdatum
01.11.2012
Verlag
Springer-Verlag
Erschienen in
Neuroradiology / Ausgabe 11/2012
Print ISSN: 0028-3940
Elektronische ISSN: 1432-1920
DOI
https://doi.org/10.1007/s00234-012-1029-5

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