Journal article
Cone-beam CT angiography (Dyna CT) for intraoperative localization of cerebral arteriovenous malformations
Journal of neurointerventional surgery, v 8(1)
Jan 2016
PMID: 25480885
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
BackgroundArteriovenous malformations (AVMs) of the brain are commonly treated in multimodality fashion, with endovascular embolization followed by surgical extirpation being one of the most effective strategies. Modern endovascular suites enable rotational angiography, also known as cone-beam CT angiography (CBCT-A), using the full capability of modern C-arm digital angiography systems. This imaging modality offers a superior image quality to current options such as digital subtraction angiography, MRI, or CT angiography. Preoperative planning can be greatly aided by the resolution of angioarchitecture seen in CBCT-A images. Furthermore, these images can be used for intraoperative neuronavigation when integrated with widely used frameless stereotactic systems. The utility and outcome of the use of CBCT-A for preoperative planning and intraoperative localization of AVMs was evaluated.MethodsA retrospective review was performed of 16 patients in which CBCT-A was performed, including radiological review and all clinical data.ResultsCBCT-A was successfully employed in all cases including those with (n=9) and without (n=7) rupture. Complete resection confirmed by postoperative angiography was achieved in all cases.ConclusionsWe present a novel application of CBCT-A in the treatment of AVMs, both for preoperative surgical planning and an intraoperative reference during neuronavigation.
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Details
- Title
- Cone-beam CT angiography (Dyna CT) for intraoperative localization of cerebral arteriovenous malformations
- Creators
- Visish M Srinivasan - Department of Neurosurgery, Baylor College of Medicine, Houston, Texas, USASebastian Schafer - Siemens HealthcareMichael G Z Ghali - Drexel UniversityAdam Arthur - University of Tennessee Health Science CenterEdward A M Duckworth - University of Tennessee Health Science Center
- Publication Details
- Journal of neurointerventional surgery, v 8(1)
- Publisher
- British Medical Journal (BMJ)
- Resource Type
- Journal article
- Language
- English
- Web of Science ID
- WOS:000367480300018
- Scopus ID
- 2-s2.0-84954445425
- Other Identifier
- 991019312471904721
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- Collaboration types
- Industry collaboration
- Domestic collaboration
- Web of Science research areas
- Neuroimaging
- Surgery