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Research ArticleINTERVENTIONAL
Open Access

Non-Contrast-Enhanced Silent Scan MR Angiography of Intracranial Anterior Circulation Aneurysms Treated with a Low-Profile Visualized Intraluminal Support Device

N. Takano, M. Suzuki, R. Irie, M. Yamamoto, K. Teranishi, K. Yatomi, N. Hamasaki, K.K. Kumamaru, M. Hori, H. Oishi and S. Aoki
American Journal of Neuroradiology August 2017, 38 (8) 1610-1616; DOI: https://doi.org/10.3174/ajnr.A5223
N. Takano
aFrom the Department of Radiology (N.T., M.S., K.K.K., M.H., S.A.), Graduate School of Medicine, Juntendo University, Tokyo, Japan
bDepartment of Radiology (N.T., M.S., R.I., N.H., K.K.K., M.H., S.A.), Juntendo University Hospital, Tokyo, Japan
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M. Suzuki
aFrom the Department of Radiology (N.T., M.S., K.K.K., M.H., S.A.), Graduate School of Medicine, Juntendo University, Tokyo, Japan
bDepartment of Radiology (N.T., M.S., R.I., N.H., K.K.K., M.H., S.A.), Juntendo University Hospital, Tokyo, Japan
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R. Irie
bDepartment of Radiology (N.T., M.S., R.I., N.H., K.K.K., M.H., S.A.), Juntendo University Hospital, Tokyo, Japan
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M. Yamamoto
cDepartments of Neurosurgery (M.Y., K.T., K.Y., H.O.)
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K. Teranishi
cDepartments of Neurosurgery (M.Y., K.T., K.Y., H.O.)
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K. Yatomi
cDepartments of Neurosurgery (M.Y., K.T., K.Y., H.O.)
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N. Hamasaki
bDepartment of Radiology (N.T., M.S., R.I., N.H., K.K.K., M.H., S.A.), Juntendo University Hospital, Tokyo, Japan
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K.K. Kumamaru
aFrom the Department of Radiology (N.T., M.S., K.K.K., M.H., S.A.), Graduate School of Medicine, Juntendo University, Tokyo, Japan
bDepartment of Radiology (N.T., M.S., R.I., N.H., K.K.K., M.H., S.A.), Juntendo University Hospital, Tokyo, Japan
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M. Hori
aFrom the Department of Radiology (N.T., M.S., K.K.K., M.H., S.A.), Graduate School of Medicine, Juntendo University, Tokyo, Japan
bDepartment of Radiology (N.T., M.S., R.I., N.H., K.K.K., M.H., S.A.), Juntendo University Hospital, Tokyo, Japan
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H. Oishi
cDepartments of Neurosurgery (M.Y., K.T., K.Y., H.O.)
dNeuroendovascular Therapy (H.O.), Juntendo University School of Medicine, Tokyo, Japan.
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S. Aoki
aFrom the Department of Radiology (N.T., M.S., K.K.K., M.H., S.A.), Graduate School of Medicine, Juntendo University, Tokyo, Japan
bDepartment of Radiology (N.T., M.S., R.I., N.H., K.K.K., M.H., S.A.), Juntendo University Hospital, Tokyo, Japan
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    Fig 1.

    Examples of MRA scoring. The MRA scores by 2 observers were classified on a 4-point scale as follows: 1, (A); 2, (B); 3, (C); 4, (D). Outlined arrows are the stented segment.

  • Fig 2.
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    Fig 2.

    A 73-year-old woman. A, Stent-assisted coil embolization of the anterior communicating artery was performed with a LVIS Jr. stent (2.5 × 17 mm). The aneurysm remnant is indicated by the long white arrow. Short black arrows indicate stent edges. B, X-ray digital angiography reveals stent edges (short black arrows). C, Silent MRA shows minimal signal loss at the stented segment (outlined arrows). The aneurysm remnant is visible (long white arrow). D, 3D time-of-flight MRA shows complete signal losses at the stented segments (outlined arrows). The aneurysm remnant is not depicted. The scores of Silent MRA by 2 observers are 4 and 4. The scores of 3D TOF-MRA are 1 and 1.

  • Fig 3.
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    Fig 3.

    A 71-year-old man. A, Stent-assisted coil embolization of the anterior communicating artery is performed with a LVIS Jr. stent (2.5 × 17 mm). The neck remnant is indicated by the long white arrow. Short black arrows indicate stent edges. B, X-ray digital angiography shows the stent edges (short black arrows). C, Silent MRA shows minimal signal loss at the stented segment (outlined arrow). The neck remnant is depicted almost equally well as with digital subtraction angiography (long white arrow). D, 3D time-of-flight MRA shows almost complete signal loss in the stented segment (outlined arrow). The neck remnant is not depicted. The scores of Silent MRA by 2 observers are 4 and 4. The scores of 3D TOF-MRA are 1 and 1.

  • Fig 4.
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    Fig 4.

    A 45-year-old woman. A, Stent-assisted coil embolization is performed with LVIS Jr. stents (2.5 × 13 mm and 2.5 × 17 mm) for a left middle cerebral artery bifurcation. The neck or aneurysm remnant is not depicted. Short black arrows indicate stent edges. B, X-ray digital angiography indicates stent edges (short black arrows). C, Silent MRA depicts the aneurysm remnant (long white arrow). Stented segments are slightly visible, and moderate signal loss is apparent on Silent MRA (outlined arrows). D, 3D time-of-flight MRA does not depict the neck or aneurysm remnant and yields a complete signal loss at the stented segment (outlined arrows). The scores of Silent MRA by 2 observers are 3 and 2. The scores of 3D TOF-MRA are 1 and 1.

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American Journal of Neuroradiology: 38 (8)
American Journal of Neuroradiology
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1 Aug 2017
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N. Takano, M. Suzuki, R. Irie, M. Yamamoto, K. Teranishi, K. Yatomi, N. Hamasaki, K.K. Kumamaru, M. Hori, H. Oishi, S. Aoki
Non-Contrast-Enhanced Silent Scan MR Angiography of Intracranial Anterior Circulation Aneurysms Treated with a Low-Profile Visualized Intraluminal Support Device
American Journal of Neuroradiology Aug 2017, 38 (8) 1610-1616; DOI: 10.3174/ajnr.A5223

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Non-Contrast-Enhanced Silent Scan MR Angiography of Intracranial Anterior Circulation Aneurysms Treated with a Low-Profile Visualized Intraluminal Support Device
N. Takano, M. Suzuki, R. Irie, M. Yamamoto, K. Teranishi, K. Yatomi, N. Hamasaki, K.K. Kumamaru, M. Hori, H. Oishi, S. Aoki
American Journal of Neuroradiology Aug 2017, 38 (8) 1610-1616; DOI: 10.3174/ajnr.A5223
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Cited By...

  • Visualization of Intracranial Aneurysms Treated with Woven EndoBridge Devices Using Ultrashort TE MR Imaging
  • Non-contrast enhanced silent MR angiography to evaluate hemodynamics and morphology of unruptured intracranial aneurysms: a comparative computational fluid dynamics study
  • Diagnostic performance of silent magnetic resonance angiography for endovascularly-treated intracranial aneurysm follow-up: a prospective study
  • Differential Subsampling with Cartesian Ordering-MRA for Classifying Residual Treated Aneurysms
  • Diagnostic performance of silent magnetic resonance angiography for endovascularly-treated intracranial aneurysm follow-up: a prospective study
  • Validation of Zero TE-MRA in the Characterization of Cerebrovascular Diseases: A Feasibility Study
  • Usefulness of Silent MR Angiography for Intracranial Aneurysms Treated with a Flow-Diverter Device
  • Visualization of Aneurysmal Neck and Dome after Coiling with 3D Multifusion Imaging of Silent MRA and FSE-MR Cisternography
  • Pointwise Encoding Time Reduction with Radial Acquisition with Subtraction-Based MRA during the Follow-Up of Stent-Assisted Coil Embolization of Anterior Circulation Aneurysms
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More in this TOC Section

  • Safety, Efficacy, and Durability of Stent-Assisted Coiling Treatment of M2 (Insular) Segment MCA Aneurysms
  • Endovascular Management of Intracranial Dural AVFs: Transvenous Approach
  • A Meta-analysis of Combined Aspiration Catheter and Stent Retriever versus Stent Retriever Alone for Large-Vessel Occlusion Ischemic Stroke
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