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

Table of Contents

July 01, 2018; Volume 39,Issue 7

Perspectives

  • You have access
    Perspectives
    Christopher C. Green
    American Journal of Neuroradiology July 2018, 39 (7) 1193; DOI: https://doi.org/10.3174/ajnr.P0070

Review Article

  • Adult Brain
    Open Access
    Cerebrovascular Manifestations of Neurosarcoidosis: An Underrecognized Aspect of the Imaging Spectrum
    G. Bathla, P. Watal, S. Gupta, P. Nagpal, S. Mohan and T. Moritani
    American Journal of Neuroradiology July 2018, 39 (7) 1194-1200; DOI: https://doi.org/10.3174/ajnr.A5492

General Contents

  • EDITOR'S CHOICEAdult Brain
    Open Access
    Deep-Learning Convolutional Neural Networks Accurately Classify Genetic Mutations in Gliomas
    P. Chang, J. Grinband, B.D. Weinberg, M. Bardis, M. Khy, G. Cadena, M.-Y. Su, S. Cha, C.G. Filippi, D. Bota, P. Baldi, L.M. Poisson, R. Jain and D. Chow
    American Journal of Neuroradiology July 2018, 39 (7) 1201-1207; DOI: https://doi.org/10.3174/ajnr.A5667

    MR imaging data and molecular information were retrospectively obtained from The Cancer Imaging Archives for 259 patients with either low- or high-grade gliomas. A convolutional neural network was trained to classify IDH1 mutation status, 1p/19q codeletion, and MGMT promotor methylation status. Classification had high accuracy: IDH1 mutation status, 94%; 1p/19q codeletion, 92%; and MGMT promotor methylation status, 83%. The authors conclude that this shows the feasibility of a deep-learning CNN approach for the accurate classification of individual genetic mutations of both low- and high-grade gliomas and that the relevant MR imaging features acquired from an added dimensionality-reduction technique are concordant with existing literature, showing that neural networks are capable of learning key imaging components without prior feature selection or human directed training.

  • Adult Brain
    Open Access
    Diffusion-Weighted Imaging and Diffusion Tensor Imaging for Differentiating High-Grade Glioma from Solitary Brain Metastasis: A Systematic Review and Meta-Analysis
    C.H. Suh, H.S. Kim, S.C. Jung and S.J. Kim
    American Journal of Neuroradiology July 2018, 39 (7) 1208-1214; DOI: https://doi.org/10.3174/ajnr.A5650
  • Adult Brain
    Open Access
    Quantitative Susceptibility Mapping after Sports-Related Concussion
    K.M. Koch, T.B. Meier, R. Karr, A.S. Nencka, L.T. Muftuler and M. McCrea
    American Journal of Neuroradiology July 2018, 39 (7) 1215-1221; DOI: https://doi.org/10.3174/ajnr.A5692
  • Adult Brain
    You have access
    Prevalence of Cerebral Microhemorrhage following Chronic Blast-Related Mild Traumatic Brain Injury in Military Service Members Using Susceptibility-Weighted MRI
    E. Lotan, C. Morley, J. Newman, M. Qian, D. Abu-Amara, C. Marmar and Y.W. Lui
    American Journal of Neuroradiology July 2018, 39 (7) 1222-1225; DOI: https://doi.org/10.3174/ajnr.A5688
  • Adult Brain
    You have access
    Improved Detection of New MS Lesions during Follow-Up Using an Automated MR Coregistration-Fusion Method
    A. Galletto Pregliasco, A. Collin, A. Guéguen, M.A. Metten, J. Aboab, R. Deschamps, O. Gout, L. Duron, J.C. Sadik, J. Savatovsky and A. Lecler
    American Journal of Neuroradiology July 2018, 39 (7) 1226-1232; DOI: https://doi.org/10.3174/ajnr.A5690
  • EDITOR'S CHOICEAdult Brain
    Open Access
    Identification of Chronic Active Multiple Sclerosis Lesions on 3T MRI
    M. Absinta, P. Sati, A. Fechner, M.K. Schindler, G. Nair and D.S. Reich
    American Journal of Neuroradiology July 2018, 39 (7) 1233-1238; DOI: https://doi.org/10.3174/ajnr.A5660

    MR imaging–pathologic studies have reported that paramagnetic rims on 7T susceptibility-based MR imaging identify, in vivo, a subset of MS lesions with compartmentalized inflammation at the lesion edge and associated remyelination failure. High-resolution T2* and phase MR imaging were collected in 20 patients with MS at 3T and 7T. Phase rims were seen in 34 lesions at 7T and in 36 lesions at 3T by consensus. Inter- and intra-rater reliability were “substantial/good” both at 3T and 7T analysis. Nearly all 7T paramagnetic rims can also be seen at 3T. Imaging at 3T opens the possibility of implementing paramagnetic rims as an outcome measure.

  • Adult Brain
    Open Access
    Imaging Differences between Neuromyelitis Optica Spectrum Disorders and Multiple Sclerosis: A Multi-Institutional Study in Japan
    H. Tatekawa, S. Sakamoto, M. Hori, Y. Kaichi, A. Kunimatsu, K. Akazawa, T. Miyasaka, H. Oba, T. Okubo, K. Hasuo, K. Yamada, T. Taoka, S. Doishita, T. Shimono and Y. Miki
    American Journal of Neuroradiology July 2018, 39 (7) 1239-1247; DOI: https://doi.org/10.3174/ajnr.A5663
  • FELLOWS' JOURNAL CLUBAdult Brain
    You have access
    Visualization and Classification of Deeply Seated Collateral Networks in Moyamoya Angiopathy with 7T MRI
    T. Matsushige, M. Kraemer, T. Sato, P. Berlit, M. Forsting, M.E. Ladd, R. Jabbarli, U. Sure, N. Khan, M. Schlamann and K.H. Wrede
    American Journal of Neuroradiology July 2018, 39 (7) 1248-1254; DOI: https://doi.org/10.3174/ajnr.A5700

    This study aimed to evaluate morphologic patterns and the delineation of deeply seated collateral networks using ultra-high-field MRA in comparison with conventional DSA in 15 patients. Sequences acquired at 7T were TOF-MRA with 0.22 X 0.22 X 0.41 mm3 resolution and MPRAGE with 0.7 X 0.7 X 0.7 mm3 resolution. The relevant deeply seated collateral networks were classified into 2 categories and 6 pathways. A total of 100 collateral networks were detected on DSA; 106, on TOF-MRA; and 73, on MPRAGE. Delineation of deeply seated collateral networks was comparable between TOF-MRA and DSA. The authors demonstrate excellent delineation of 6 distinct deeply seated collateral network pathways in Moyamoya angiopathy.

  • Adult Brain
    You have access
    Diffusion-Weighted Zonal Oblique Multislice–EPI Enhances the Detection of Small Lesions with Diffusion Restriction in the Brain Stem and Hippocampus: A Clinical Report of Selected Cases
    T. Sartoretti, E. Sartoretti, C. Binkert, A. Gutzeit, C. Reischauer, D. Czell, M. Wyss, E. Brüllmann and S. Sartoretti-Schefer
    American Journal of Neuroradiology July 2018, 39 (7) 1255-1259; DOI: https://doi.org/10.3174/ajnr.A5635
  • Adult Brain
    Open Access
    Hematocrit Measurement with R2* and Quantitative Susceptibility Mapping in Postmortem Brain
    A.J. Walsh, H. Sun, D.J. Emery and A.H. Wilman
    American Journal of Neuroradiology July 2018, 39 (7) 1260-1266; DOI: https://doi.org/10.3174/ajnr.A5677
  • EDITOR'S CHOICEAdult Brain
    You have access
    Relationship between Cough-Associated Changes in CSF Flow and Disease Severity in Chiari I Malformation: An Exploratory Study Using Real-Time MRI
    A.F. Bezuidenhout, D. Khatami, C.B. Heilman, E.M. Kasper, S. Patz, N. Madan, Y. Zhao and R.A. Bhadelia
    American Journal of Neuroradiology July 2018, 39 (7) 1267-1272; DOI: https://doi.org/10.3174/ajnr.A5670

    The authors correlated disease severity in symptomatic patients with Chiari I malformation with cough-associated changes in CSF flow as measured with real-time MR imaging. Patients were classified into 2 groups by neurosurgeons blinded to MR imaging measurements: 1) nonspecific Chiari I malformation (5/13)—Chiari I malformation with nonspecific symptoms like non-cough-related or mild occasional cough-related headache, neck pain, dizziness, paresthesias, and/or trouble swallowing; 2) specific Chiari I malformation (8/13)—patients with Chiari I malformation with specific symptoms and/or objective findings like severe cough-related headache, myelopathy, syringomyelia, and muscle atrophy. There was a significant negative correlation between the percentage change in CSF stroke volume (resting to post coughing) and Chiari I malformation disease severity. They conclude that assessment of CSF flow response to a coughing challenge has the potential to become a valuable objective noninvasive test for clinical assessment of disease severity in patients with Chiari I malformation.

  • Adult Brain
    Open Access
    Extent of Microstructural Tissue Damage Correlates with Hemodynamic Failure in High-Grade Carotid Occlusive Disease: An MRI Study Using Quantitative T2 and DSC Perfusion
    A. Seiler, R. Deichmann, U. Nöth, A. Lauer, W. Pfeilschifter, O.C. Singer and M. Wagner
    American Journal of Neuroradiology July 2018, 39 (7) 1273-1279; DOI: https://doi.org/10.3174/ajnr.A5666
  • Adult Brain
    Open Access
    Prediction of Borderzone Infarction by CTA in Patients Undergoing Carotid Embolization for Carotid Blowout
    B.-C. Lee, Y.-H. Lin, C.-W. Lee, H.-M. Liu and A. Huang
    American Journal of Neuroradiology July 2018, 39 (7) 1280-1285; DOI: https://doi.org/10.3174/ajnr.A5672
  • FELLOWS' JOURNAL CLUBAdult Brain
    Open Access
    Clinical Significance of Intraplaque Hemorrhage in Low- and High-Grade Basilar Artery Stenosis on High-Resolution MRI
    C. Zhu, X. Tian, A.J. Degnan, Z. Shi, X. Zhang, L. Chen, Z. Teng, D. Saloner, J. Lu and Q. Liu
    American Journal of Neuroradiology July 2018, 39 (7) 1286-1292; DOI: https://doi.org/10.3174/ajnr.A5676

    Patients with basilar artery stenosis (n=126; 66 symptomatic and 60 asymptomatic) underwent high-resolution MR imaging. The relationship between imaging findings (intraplaque hemorrhage, contrast enhancement, degree of stenosis, minimal lumen area, and plaque burden) and symptoms was analyzed. Intraplaque hemorrhage was identified in 22 patients (17.5%), including 21 (31.8%) symptomatic patients and 1 (1.7%) asymptomatic patient. Multivariate analysis showed that intraplaque hemorrhage was the strongest independent marker of symptomatic status. Contrast enhancement was also independently associated with symptomatic status. The authors conclude that intraplaque hemorrhage is present in both low- and high-grade stenotic basilar artery plaques and is independently associated with symptomatic stroke status. Intraplaque hemorrhage may identify high-risk plaque and provide new insight into the management of patients with stroke without significant stenosis.

  • Adult Brain
    You have access
    Mobile Stroke Unit Reduces Time to Image Acquisition and Reporting
    E.M. Nyberg, J.R. Cox, R.G. Kowalski, D. Vela-Duarte, B. Schimpf and W.J. Jones
    American Journal of Neuroradiology July 2018, 39 (7) 1293-1295; DOI: https://doi.org/10.3174/ajnr.A5673
  • FELLOWS' JOURNAL CLUBNeurointervention
    You have access
    Endovascular Treatment of Dural Arteriovenous Fistulas Using Transarterial Liquid Embolization in Combination with Transvenous Balloon-Assisted Protection of the Venous Sinus
    D.F. Vollherbst, C. Ulfert, U. Neuberger, C. Herweh, M. Laible, S. Nagel, M. Bendszus and M.A. Möhlenbruch
    American Journal of Neuroradiology July 2018, 39 (7) 1296-1302; DOI: https://doi.org/10.3174/ajnr.A5651

    The authors report their single-center experience in 22 patients with dural arteriovenous fistulas who were treated with transarterial liquid embolization in combination with transvenous balloon-assisted protection of the affected venous sinus. All patients were symptomatic, of whom 81.8% presented with tinnitus; 9.1%, with ocular symptoms; and 9.1%, with headache. Most fistulas were located at the transverse and/or sigmoid sinus. The most frequent fistula type was Cognard IIa+b (40.9%), followed by Cognard I (31.8%) and Cognard IIa (27.3%)/Borden I (59.1%), and Borden II (40.9%). The affected sinus could be preserved in all except for 1 patient in whom it was sacrificed in a second treatment procedure by coil embolization. The overall complete occlusion rate was 86.4%. The overall complication rate was 20%, with transient and permanent morbidity and mortality of 8%, 0%, and 0%, respectively. They conclude that transarterial liquid embolization of dural arteriovenous fistulas in combination with transvenous balloon-assisted protection of the venous sinus is feasible and safe.

  • Neurointervention
    You have access
    Risk of Branch Occlusion and Ischemic Complications with the Pipeline Embolization Device in the Treatment of Posterior Circulation Aneurysms
    N. Adeeb, C.J. Griessenauer, A.A. Dmytriw, H. Shallwani, R. Gupta, P.M. Foreman, H. Shakir, J. Moore, N. Limbucci, S. Mangiafico, A. Kumar, C. Michelozzi, Y. Zhang, V.M. Pereira, C.C. Matouk, M.R. Harrigan, A.H. Siddiqui, E.I. Levy, L. Renieri, T.R. Marotta, C. Cognard, C.S. Ogilvy and A.J. Thomas
    American Journal of Neuroradiology July 2018, 39 (7) 1303-1309; DOI: https://doi.org/10.3174/ajnr.A5696
  • Functional
    You have access
    Abnormal Blood Oxygen Level–Dependent Fluctuations in Focal Cortical Dysplasia and the Perilesional Zone: Initial Findings
    L. Gupta, P.A.M. Hofman, R.M.H. Besseling, J.F.A. Jansen and W.H. Backes
    American Journal of Neuroradiology July 2018, 39 (7) 1310-1315; DOI: https://doi.org/10.3174/ajnr.A5684
  • Head & Neck
    Open Access
    Role of the Apparent Diffusion Coefficient as a Predictor of Tumor Progression in Patients with Chordoma
    T. Sasaki, T. Moritani, A. Belay, A.A. Capizzano, S.P. Sato, Y. Sato, P. Kirby, S. Ishitoya, A. Oya, M. Toda and K. Takahashi
    American Journal of Neuroradiology July 2018, 39 (7) 1316-1321; DOI: https://doi.org/10.3174/ajnr.A5664
  • Head & Neck
    You have access
    MSVAT-SPACE-STIR and SEMAC-STIR for Reduction of Metallic Artifacts in 3T Head and Neck MRI
    T. Hilgenfeld, M. Prager, F.S. Schwindling, M. Nittka, P. Rammelsberg, M. Bendszus, S. Heiland and A. Juerchott
    American Journal of Neuroradiology July 2018, 39 (7) 1322-1329; DOI: https://doi.org/10.3174/ajnr.A5678
  • Pediatrics
    Open Access
    Cerebral Perfusion Is Perturbed by Preterm Birth and Brain Injury
    E.S. Mahdi, M. Bouyssi-Kobar, M.B. Jacobs, J. Murnick, T. Chang and C. Limperopoulos
    American Journal of Neuroradiology July 2018, 39 (7) 1330-1335; DOI: https://doi.org/10.3174/ajnr.A5669
  • Pediatrics
    You have access
    β-Hydroxybutyrate Detection with Proton MR Spectroscopy in Children with Drug-Resistant Epilepsy on the Ketogenic Diet
    J.N. Wright, R.P. Saneto and S.D. Friedman
    American Journal of Neuroradiology July 2018, 39 (7) 1336-1340; DOI: https://doi.org/10.3174/ajnr.A5648
  • Pediatrics
    Open Access
    Quantitative Assessment of Normal Fetal Brain Myelination Using Fast Macromolecular Proton Fraction Mapping
    V.L. Yarnykh, I.Y. Prihod'ko, A.A. Savelov and A.M. Korostyshevskaya
    American Journal of Neuroradiology July 2018, 39 (7) 1341-1348; DOI: https://doi.org/10.3174/ajnr.A5668
  • Pediatrics
    You have access
    Global and Widespread Local White Matter Abnormalities in Juvenile Neuronal Ceroid Lipofuscinosis
    U. Roine, T.J. Roine, A. Hakkarainen, A. Tokola, M.H. Balk, M. Mannerkoski, L.E. Åberg, T. Lönnqvist and T. Autti
    American Journal of Neuroradiology July 2018, 39 (7) 1349-1354; DOI: https://doi.org/10.3174/ajnr.A5687
  • Pediatrics
    You have access
    Balanced Steady-State Free Precession Sequence (CISS/FIESTA/3D Driven Equilibrium Radiofrequency Reset Pulse) Increases the Diagnostic Yield for Spinal Drop Metastases in Children with Brain Tumors
    K. Buch, P. Caruso, D. Ebb and S. Rincon
    American Journal of Neuroradiology July 2018, 39 (7) 1355-1361; DOI: https://doi.org/10.3174/ajnr.A5645
  • Spine
    Open Access
    MRI-Based Methods for Spinal Cord Atrophy Evaluation: A Comparison of Cervical Cord Cross-Sectional Area, Cervical Cord Volume, and Full Spinal Cord Volume in Patients with Aquaporin-4 Antibody Seropositive Neuromyelitis Optica Spectrum Disorders
    C. Chien, A.U. Brandt, F. Schmidt, J. Bellmann-Strobl, K. Ruprecht, F. Paul and M. Scheel
    American Journal of Neuroradiology July 2018, 39 (7) 1362-1368; DOI: https://doi.org/10.3174/ajnr.A5665
  • Spine
    You have access
    A Qualitative and Quantitative Correlation Study of Lumbar Intervertebral Disc Degeneration Using Glycosaminoglycan Chemical Exchange Saturation Transfer, Pfirrmann Grade, and T1-ρ
    O. Togao, A. Hiwatashi, T. Wada, K. Yamashita, K. Kikuchi, C. Tokunaga, J. Keupp, M. Yoneyama and H. Honda
    American Journal of Neuroradiology July 2018, 39 (7) 1369-1375; DOI: https://doi.org/10.3174/ajnr.A5657
  • Spine
    You have access
    Efficacy and Safety of Percutaneous Microwave Ablation and Cementoplasty in the Treatment of Painful Spinal Metastases and Myeloma
    M.A. Khan, G. Deib, B. Deldar, A.M. Patel and J.S. Barr
    American Journal of Neuroradiology July 2018, 39 (7) 1376-1383; DOI: https://doi.org/10.3174/ajnr.A5680

35 Years Ago in AJNR

  • You have access
    Celebrating 35 Years of the AJNR
    American Journal of Neuroradiology July 2018, 39 (7) 1384; DOI: https://doi.org/10.3174/ajnr.P0062

Letters: (Online only)

  • You have access
    Is Gd-DTPA Necessary in Clinical Practice for Peripheral Nerve Injury?
    M.I. Vargas and O. Ipek
    American Journal of Neuroradiology July 2018, 39 (7) E82; DOI: https://doi.org/10.3174/ajnr.A5637
  • You have access
    REPLY:
    B. Hill, K. Padgett, V. Karla and R. Quencer
    American Journal of Neuroradiology July 2018, 39 (7) E83; DOI: https://doi.org/10.3174/ajnr.A5661
  • You have access
    Neuroimaging in Dengue Seropositive Cases
    P. Sookaromdee and V. Wiwanitkit
    American Journal of Neuroradiology July 2018, 39 (7) E84; DOI: https://doi.org/10.3174/ajnr.A5646
  • You have access
    REPLY:
    H.A. Vanjare and S. Mani
    American Journal of Neuroradiology July 2018, 39 (7) E85; DOI: https://doi.org/10.3174/ajnr.A5658
  • You have access
    Common Origin of Brachiocephalic and Left Common Carotid Arteries: Proposal of New Terminology
    A.M. Tawfik, D.M. Sobh and N.M. Batouty
    American Journal of Neuroradiology July 2018, 39 (7) E86-E87; DOI: https://doi.org/10.3174/ajnr.A5659
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American Journal of Neuroradiology: 39 (7)
American Journal of Neuroradiology
Vol. 39, Issue 7
1 Jul 2018
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