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AJNR Awards, New Junior Editors, and more. Read the latest AJNR updates

Table of Contents

May 01, 2018; Volume 39,Issue 5

Perspectives

  • You have access
    Perspectives
    Steven M. Schonfeld
    American Journal of Neuroradiology May 2018, 39 (5) 797; DOI: https://doi.org/10.3174/ajnr.P0051

Review Article

  • Spine Imaging and Spine Image-Guided Interventions
    Open Access
    Vertebroplasty and Kyphoplasty for Osteoporotic Vertebral Fractures: What Are the Latest Data?
    R.V. Chandra, J. Maingard, H. Asadi, L.-A. Slater, T.-L. Mazwi, S. Marcia, J. Barr and J.A. Hirsch
    American Journal of Neuroradiology May 2018, 39 (5) 798-806; DOI: https://doi.org/10.3174/ajnr.A5458

Level 1 EBM Expedited Publication

  • EDITOR'S CHOICENeurointervention
    Open Access
    Parent Artery Reconstruction for Large or Giant Cerebral Aneurysms Using the Tubridge Flow Diverter: A Multicenter, Randomized, Controlled Clinical Trial (PARAT)
    J.-m. Liu, Y. Zhou, Y. Li, T. Li, B. Leng, P. Zhang, G. Liang, Q. Huang, P.-f. Yang, H. Shi, J. Zhang, J. Wan, W. He, C. Liang, G. Zhu, Y. Xu, B. Hong, X. Yang, W. Bai, Y. Tian, H. Zhang, Z. Li, Q. Li, R. Zhao, Y. Fang and K. Zhao for the PARAT investigators
    American Journal of Neuroradiology May 2018, 39 (5) 807-816; DOI: https://doi.org/10.3174/ajnr.A5619

    This was a prospective, multicenter, randomized trial conducted at 12 hospitals throughout China. Enrolled adults with unruptured large/giant intracranial aneurysms were randomly assigned (1:1) to receive either Enterprise stent-assisted coiling or Tubridge flow diverter implantation. The primary end point was complete occlusion at 6-month follow-up, while secondary end points included technical success, mortality, target vessel–related stroke, aneurysm bleeding, in-stent stenosis, parent artery occlusion, and the frequency of all adverse events. The results of 6-month follow-up imaging included complete occlusion rates of 75.34% versus 24.53% for the Tubridge and stent-assisted coiling groups, respectively. This trial showed a higher rate of large and giant aneurysm obliteration with the Tubridgeflow diverter over Enterprise stent-assisted coiling. However, this higher obliteration rate came at the cost of a nonsignificantly higher rate of complications.

General Contents

  • EDITOR'S CHOICEAdult Brain
    You have access
    Localized Marked Elongation of the Distal Internal Carotid Artery with or without PHACE Syndrome: Segmental Dolichoectasia of the Distal Internal Carotid Artery
    Z.Y. Jia, L.B. Zhao and D.H. Lee
    American Journal of Neuroradiology May 2018, 39 (5) 817-823; DOI: https://doi.org/10.3174/ajnr.A5573

    Intracranial dolichoectasia of the distal ICA was identified in 20 patients from 2005–2016 through a review of diagnostic cerebral angiography results. Images were reviewed to determine the vascular morphologic dispositions around the distal ICA, including dysplasia, mural calcification, vessel wall enhancement, lumen narrowing, and aneurysm formation. In this cohort, which had a strong female predominance (male/female ratio2:18), intracranial dolichoectasia had a more ipsilateral vascular morphologic disposition. Mural calcification was detected more frequently in elderly patients, whereas vessel wall enhancement was detected more frequently in younger patients. Follow-up images showed a slow progression of the lesions. The segmental nature of the striking elongation and tortuosity of the distal ICA suggest a type of congenital lesion representing either a sporadic phenomenon or an arterial change associated with PHACE syndrome.

  • FELLOWS' JOURNAL CLUBAdult Brain
    Open Access
    Brain MRI Characteristics of Patients with Anti-N-Methyl-D-Aspartate Receptor Encephalitis and Their Associations with 2-Year Clinical Outcome
    T. Zhang, Y. Duan, J. Ye, W. Xu, N. Shu, C. Wang, K. Li and Y. Liu
    American Journal of Neuroradiology May 2018, 39 (5) 824-829; DOI: https://doi.org/10.3174/ajnr.A5593

    The authors enrolled 53 patients with anti-N-methyl-D-aspartate receptor encephalitis and performed 2-year follow-up. Brain MRIs were acquired for all patients at the onset phase. The brain MR imaging manifestations were classified into 4 types—type 1: normal MR imaging findings; type 2: only hippocampal lesions; type 3: lesions not involving the hippocampus; and type 4: lesions inboth the hippocampus and other brain areas. Twenty-eight (28/53, 53%) patients had normal MR imaging findings (type 1), and the others (25/53, 47%) had abnormal MRI findings—type 2: 7 patients (13%); type 3: 7 patients (13%); and type 4: 11 patients (21%). The presence of hippocampal lesions and relapse was associated with poor outcome.

  • Adult Brain
    Open Access
    Fast and Robust Unsupervised Identification of MS Lesion Change Using the Statistical Detection of Changes Algorithm
    T.D. Nguyen, S. Zhang, A. Gupta, Y. Zhao, S.A. Gauthier and Y. Wang
    American Journal of Neuroradiology May 2018, 39 (5) 830-833; DOI: https://doi.org/10.3174/ajnr.A5594
  • Adult Brain
    You have access
    Signal Change of Acute Cortical and Juxtacortical Microinfarction on Follow-Up MRI
    M. Miyata, S. Kakeda, T. Yoneda, S. Ide, K. Watanabe, J. Moriya and Y. Korogi
    American Journal of Neuroradiology May 2018, 39 (5) 834-840; DOI: https://doi.org/10.3174/ajnr.A5606
  • EDITOR'S CHOICENeurointervention
    Open Access
    European Multicenter Study for the Evaluation of a Dual-Layer Flow-Diverting Stent for Treatment of Wide-Neck Intracranial Aneurysms: The European Flow-Redirection Intraluminal Device Study
    M. Killer-Oberpfalzer, N. Kocer, C.J. Griessenauer, H. Janssen, T. Engelhorn, M. Holtmannspötter, J.H. Buhk, T. Finkenzeller, G. Fesl, J. Trenkler, W. Reith, A. Berlis, K. Hausegger, M. Augustin, C. Islak, B. Minnich and M. Möhlenbruch
    American Journal of Neuroradiology May 2018, 39 (5) 841-847; DOI: https://doi.org/10.3174/ajnr.A5592

    Consecutive patients with intracranial aneurysms treated with the FRED between February 2012 and March 2015 were retrospectively reviewed. Complications and adverse events, transient and permanent morbidity, mortality, and occlusion rates were evaluated. A total of 579 aneurysms in 531 patients were treated with the FRED. Seven percent of patients were treated in the acute phase of aneurysm rupture. The median aneurysm size was 7.6 mm and the median neck size 4.5 mm. There was progressive occlusion witnessed with time, with complete occlusion in 18 (20%) aneurysms followed for up to 90 days, 141 (82.5%) for 180 days, 116 (91.3%) for 1 year, and 122 (95.3%) aneurysms followed for more than 1 year. This retrospective study in real-world patients demonstrated the safety and efficacy of the FRED for the treatment of intracranial aneurysms.

  • Neurointervention
    Open Access
    An Update on the Adjunctive Neurovascular Support of Wide-Neck Aneurysm Embolization and Reconstruction Trial: 1-Year Safety and Angiographic Results
    A.M. Spiotta, M.I. Chaudry, R.D. Turner, A.S. Turk, C.P. Derdeyn, J. Mocco and S. Tateshima
    American Journal of Neuroradiology May 2018, 39 (5) 848-851; DOI: https://doi.org/10.3174/ajnr.A5599
  • Neurointervention
    You have access
    Endovascular Treatment of Very Large and Giant Intracranial Aneurysms: Comparison between Reconstructive and Deconstructive Techniques—A Meta-Analysis
    F. Cagnazzo, D. Mantilla, A. Rouchaud, W. Brinjikji, P.-H. Lefevre, C. Dargazanli, G. Gascou, C. Riquelme, P. Perrini, D. di Carlo, A. Bonafe and V. Costalat
    American Journal of Neuroradiology May 2018, 39 (5) 852-858; DOI: https://doi.org/10.3174/ajnr.A5591
  • Neurointervention
    You have access
    The New Low-Profile WEB 17 System for Treatment of Intracranial Aneurysms: First Clinical Experiences
    S.B.T. van Rooij, J.P. Peluso, M. Sluzewski, H.G. Kortman and W.J. van Rooij
    American Journal of Neuroradiology May 2018, 39 (5) 859-863; DOI: https://doi.org/10.3174/ajnr.A5608
  • Neurointervention
    You have access
    Long-Term Outcomes of Patients with Stent Tips Embedded into Internal Carotid Artery Branches during Aneurysm Coiling
    S.P. Ban, O.-K. Kwon, S.U. Lee, J.S. Bang, C.W. Oh, H.J. Jeong, M.J. Cho, E.-A. Jeong and T. Kim
    American Journal of Neuroradiology May 2018, 39 (5) 864-868; DOI: https://doi.org/10.3174/ajnr.A5583
  • Neurointervention
    You have access
    Factors Influencing Confidence in Diagnostic Ratings and Retreatment Recommendations in Coiled Aneurysms
    M. Ernst, L. Kriston, M. Groth, A.M. Frölich, J. Fiehler and J.-H. Buhk
    American Journal of Neuroradiology May 2018, 39 (5) 869-874; DOI: https://doi.org/10.3174/ajnr.A5581
  • Neurointervention
    You have access
    Management of Small Unruptured Intracranial Aneurysms: A Survey of Neuroradiologists
    A. Malhotra, X. Wu, B. Geng, D. Hersey, D. Gandhi and P. Sanelli
    American Journal of Neuroradiology May 2018, 39 (5) 875-880; DOI: https://doi.org/10.3174/ajnr.A5631
  • Neurointervention
    You have access
    Diagnosing Early Ischemic Changes with the Latest-Generation Flat Detector CT: A Comparative Study with Multidetector CT
    I.L. Maier, J.R. Leyhe, I. Tsogkas, D. Behme, K. Schregel, M. Knauth, M. Schnieder, J. Liman and M.-N. Psychogios
    American Journal of Neuroradiology May 2018, 39 (5) 881-886; DOI: https://doi.org/10.3174/ajnr.A5595
  • Neurointervention
    You have access
    Endovascular Management of Acute Stroke in the Elderly: A Systematic Review and Meta-Analysis
    C.A. Hilditch, P. Nicholson, M.H. Murad, A. Rabinstein, J. Schaafsma, A. Pikula, T. Krings, V.M. Pereira, R. Agid and W. Brinjikji
    American Journal of Neuroradiology May 2018, 39 (5) 887-891; DOI: https://doi.org/10.3174/ajnr.A5598
  • FELLOWS' JOURNAL CLUBNeurointervention
    You have access
    Accuracy of CT Angiography for Differentiating Pseudo-Occlusion from True Occlusion or High-Grade Stenosis of the Extracranial ICA in Acute Ischemic Stroke: A Retrospective MR CLEAN Substudy
    M. Kappelhof, H.A. Marquering, O.A. Berkhemer, J. Borst, A. van der Lugt, W.H. van Zwam, J.A. Vos, G. Lycklama à Nijeholt, C.B.L.M. Majoie and B.J. Emmer on behalf of the MR CLEAN Investigators
    American Journal of Neuroradiology May 2018, 39 (5) 892-898; DOI: https://doi.org/10.3174/ajnr.A5601

    All patients from the Multicenter Randomized Clinical Trial of Endovascular Treatment for Acute Ischemic Stroke in the Netherlands (MR CLEAN) with an apparent ICA occlusion on CTA and available DSA images were included. Two independent observers classified CTA images as atherosclerotic cause (occlusion/high-grade stenosis), dissection, or suspected pseudo-occlusion. Pseudo-occlusion was suspected if CTA showed a gradual contrast decline located above the level of the carotid bulb, especially in the presence of an occludedintracranial ICA bifurcation (T-occlusion). In 108 of 476 patients (23%), CTA showed an apparent extracranial carotid occlusion. DSA was available in 46 of these cases, showing an atherosclerotic cause in 13 (28%), dissection in 16 (35%), and pseudo-occlusion in 17 (37%). The sensitivity for detecting pseudo-occlusion on CTA was 82% for both observers. The authors conclude that on CTA, extracranial ICA pseudo-occlusions can be differentiated from true carotid occlusions.

  • Neurointervention
    You have access
    Randomized Assessment of the Safety and Efficacy of Intra-Arterial Infusion of Autologous Stem Cells in Subacute Ischemic Stroke
    V. Bhatia, V. Gupta, D. Khurana, R.R. Sharma and N. Khandelwal
    American Journal of Neuroradiology May 2018, 39 (5) 899-904; DOI: https://doi.org/10.3174/ajnr.A5586
  • Neurointervention
    You have access
    Under Pressure: Comparison of Aspiration Techniques for Endovascular Mechanical Thrombectomy
    O. Nikoubashman, D. Wischer, H.M. Hennemann, M. Büsen, C. Brockmann and M. Wiesmann
    American Journal of Neuroradiology May 2018, 39 (5) 905-909; DOI: https://doi.org/10.3174/ajnr.A5605
  • Neurointervention
    You have access
    Aneurysmal Parent Artery–Specific Inflow Conditions for Complete and Incomplete Circle of Willis Configurations
    B.M.W. Cornelissen, J.J. Schneiders, M.E. Sprengers, R. van den Berg, P. van Ooij, A.J. Nederveen, E. van Bavel, W.P. Vandertop, C.H. Slump, H.A. Marquering and C.B.L.M. Majoie
    American Journal of Neuroradiology May 2018, 39 (5) 910-915; DOI: https://doi.org/10.3174/ajnr.A5602
  • Neurointervention
    Open Access
    3D Deep Learning Angiography (3D-DLA) from C-arm Conebeam CT
    J.C. Montoya, Y. Li, C. Strother and G.-H. Chen
    American Journal of Neuroradiology May 2018, 39 (5) 916-922; DOI: https://doi.org/10.3174/ajnr.A5597
  • FELLOWS' JOURNAL CLUBHead and Neck Imaging
    You have access
    Evaluation of the Normal Cochlear Second Interscalar Ridge Angle and Depth on 3D T2-Weighted Images: A Tool for the Diagnosis of Scala Communis and Incomplete Partition Type II
    T.N. Booth, C. Wick, R. Clarke, J.W. Kutz, M. Medina, D. Gorsage, Y. Xi and B. Isaacson
    American Journal of Neuroradiology May 2018, 39 (5) 923-927; DOI: https://doi.org/10.3174/ajnr.A5585

    The second interscalar ridge notch angle and depth were measured on MR imaging in normal ears by a single experienced neuroradiologist. The images of normal ears were then randomly mixed with images of ears with incomplete partition II malformation for 2 novice evaluators to measure both the second interscalar ridge notch angle and depth in a blinded manner. For the mixed group, interobserver agreement was calculated, normal and abnormal ear measurements were compared, and receiver operating characteristic curves were generated. The 94 normal ears had a mean second interscalar ridge angle of 80.86° and depth of 0.54mm with the 98th percentile for an angle of 101° and a depth of 0.3 mm. In the mixed group, agreement between the 2 readers was excellent, with significant differences found between normal and incomplete partition type II ears for angle and depth on average. The authors conclude that a measured angle of >114° and a depth of the second interscalar ridge notch of ≤0.31 mm suggest the diagnosis of incomplete partition type II malformation and scalacommunis.

  • Head and Neck Imaging
    You have access
    Anatomic Malformations of the Middle and Inner Ear in 22q11.2 Deletion Syndrome: Case Series and Literature Review
    E. Verheij, L. Elden, T.B. Crowley, F.A. Pameijer, E.H. Zackai, D.M. McDonald-McGinn and H.G.X.M. Thomeer
    American Journal of Neuroradiology May 2018, 39 (5) 928-934; DOI: https://doi.org/10.3174/ajnr.A5588
  • Pediatric Neuroimaging
    You have access
    Brain Diffusion Abnormalities in Children with Tension-Type and Migraine-Type Headaches
    J.D. Santoro, N.D. Forkert, Q.-Z. Yang, S. Pavitt, S.J. MacEachern, M.E. Moseley and K.W. Yeom
    American Journal of Neuroradiology May 2018, 39 (5) 935-941; DOI: https://doi.org/10.3174/ajnr.A5582
  • Pediatric Neuroimaging
    You have access
    Congenital Aqueductal Stenosis: Findings at Fetal MRI That Accurately Predict a Postnatal Diagnosis
    K.J. Heaphy-Henault, C.V. Guimaraes, A.R. Mehollin-Ray, C.I. Cassady, W. Zhang, N.K. Desai and M.J. Paldino
    American Journal of Neuroradiology May 2018, 39 (5) 942-948; DOI: https://doi.org/10.3174/ajnr.A5590
  • Pediatric Neuroimaging
    You have access
    MRI Characteristics of Primary Tumors and Metastatic Lesions in Molecular Subgroups of Pediatric Medulloblastoma: A Single-Center Study
    D. Mata-Mbemba, M. Zapotocky, S. Laughlin, M.D. Taylor, V. Ramaswamy and C. Raybaud
    American Journal of Neuroradiology May 2018, 39 (5) 949-955; DOI: https://doi.org/10.3174/ajnr.A5578
  • Pediatric Neuroimaging
    Open Access
    Cerebellar Growth Impairment Characterizes School-Aged Children Born Preterm without Perinatal Brain Lesions
    K. Pieterman, T.J. White, G.E. van den Bosch, W.J. Niessen, I.K.M. Reiss, D. Tibboel, F.E. Hoebeek and J. Dudink
    American Journal of Neuroradiology May 2018, 39 (5) 956-962; DOI: https://doi.org/10.3174/ajnr.A5589
  • Pediatric Neuroimaging
    You have access
    Prenatal Brain MR Imaging: Reference Linear Biometric Centiles between 20 and 24 Gestational Weeks
    G. Conte, S. Milani, G. Palumbo, G. Talenti, S. Boito, M. Rustico, F. Triulzi, A. Righini, G. Izzo, C. Doneda, A. Zolin and C. Parazzini
    American Journal of Neuroradiology May 2018, 39 (5) 963-967; DOI: https://doi.org/10.3174/ajnr.A5574
  • Spine Imaging and Spine Image-Guided Interventions
    Open Access
    Differentiating Atypical Hemangiomas and Metastatic Vertebral Lesions: The Role of T1-Weighted Dynamic Contrast-Enhanced MRI
    K.A. Morales, J. Arevalo-Perez, K.K. Peck, A.I. Holodny, E. Lis and S. Karimi
    American Journal of Neuroradiology May 2018, 39 (5) 968-973; DOI: https://doi.org/10.3174/ajnr.A5630
  • Spine Imaging and Spine Image-Guided Interventions
    You have access
    The Importance of Flexion MRI in Hirayama Disease with Special Reference to Laminodural Space Measurements
    D.K. Boruah, A. Prakash, B.B. Gogoi, R.R. Yadav, D.D. Dhingani and B. Sarma
    American Journal of Neuroradiology May 2018, 39 (5) 974-980; DOI: https://doi.org/10.3174/ajnr.A5577
  • Spine Imaging and Spine Image-Guided Interventions
    You have access
    Percutaneous CT-Guided Biopsies of the Cervical Spine: Technique, Histopathologic and Microbiologic Yield, and Safety at a Single Academic Institution
    E.L. Wiesner, T.J. Hillen, J. Long and J.W. Jennings
    American Journal of Neuroradiology May 2018, 39 (5) 981-985; DOI: https://doi.org/10.3174/ajnr.A5603
  • Spine Imaging and Spine Image-Guided Interventions
    You have access
    Transforaminal Lumbar Puncture: An Alternative Technique in Patients with Challenging Access
    D.R. Nascene, C. Ozutemiz, H. Estby, A.M. McKinney and J.B. Rykken
    American Journal of Neuroradiology May 2018, 39 (5) 986-991; DOI: https://doi.org/10.3174/ajnr.A5596

35 Years Ago in AJNR

  • You have access
    Celebrating 35 Years of the AJNR
    American Journal of Neuroradiology May 2018, 39 (5) 992; DOI: https://doi.org/10.3174/ajnr.P0061

Letters: (Online only)

  • You have access
    Pacemakers in MRI for the Neuroradiologist: Revisited
    E. Kanal
    American Journal of Neuroradiology May 2018, 39 (5) E54-E55; DOI: https://doi.org/10.3174/ajnr.A5565
  • You have access
    Reply:
    A.W. Korutz, T.A. Hijaz, J.D. Collins and A.J. Nemeth
    American Journal of Neuroradiology May 2018, 39 (5) E56; DOI: https://doi.org/10.3174/ajnr.A5575
  • You have access
    Interaction Should Guide Management Decisions
    E. Johansson and J. Salzer
    American Journal of Neuroradiology May 2018, 39 (5) E57; DOI: https://doi.org/10.3174/ajnr.A5579
  • You have access
    Reply:
    A.P. Jadhav, B.K. Menon and M. Goyal
    American Journal of Neuroradiology May 2018, 39 (5) E58; DOI: https://doi.org/10.3174/ajnr.A5617
  • You have access
    Triage in the Angiography Suite for Mechanical Thrombectomy in Acute Ischemic Stroke: Not Such a Good Idea
    F. Clarençon, C. Rosso, V. Degos, E. Shotar, C. Rolla-Bigliani, Y. Samson, S. Alamowitch and N.-A. Sourour
    American Journal of Neuroradiology May 2018, 39 (5) E59-E60; DOI: https://doi.org/10.3174/ajnr.A5610
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American Journal of Neuroradiology: 39 (5)
American Journal of Neuroradiology
Vol. 39, Issue 5
1 May 2018
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