AJDRAJNR - American Journal of Neuroradiology

Published ahead of print on October 9, 2007
doi: 10.3174/ajnr.A0822

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Intravenous 3D Digital Subtraction Angiography in the Diagnosis of Unruptured Intracranial Aneurysms

S. Toyotaa, K. Iwaisakoa, H. Takimotoa and T. Yoshiminea

a From the Department of Neurosurgery, Osaka Neurological Institute, Osaka, Japan
b Department of Neurosurgery, Osaka University Medical School, Osaka, Japan


Figure 1
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Fig 1. MRA time-of-flight image (case 1). A, An aneurysm in the right internal carotid artery was suggested. B, Volume rendering image of IV 3D DSA (case 1). The aneurysm and its relationship with the surrounding arterial branches were depicted. 1 indicates internal carotid artery; 2, middle cerebral artery; 3, posterior cerebral artery; 4, A1 segment of the anterior cerebral artery. C, MIP of IV 3D DSA (case 1). The size of the aneurysm was 14.7 x 9.1 mm for the aneurysm sack and 5.5 mm for the neck. D, Volume rendering images of IA 3D DSA (case 1). The aneurysm was depicted in higher spatial resolution, and small vessels surrounding the aneurysm were revealed (arrows).


Figure 2
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Fig 2. MRA time-of-flight image (case 2). A, A small aneurysm in the anterior communicating artery was suggested. B, Volume rendering images of IV 3D DSA (case 2). A small aneurysm was recognized, and the surrounding arterial branches were depicted. C, MIP of IV 3D DSA (case 2). The size of the aneurysm was 3.2 x 2.2 mm for the aneurysm sack and 3.2 mm for the neck.


Figure 3
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Fig 3. MRA time-of-flight image (case 3). A, A small aneurysm in the left middle cerebral artery was suggested. B, Volume rendering images of IV 3D DSA (case 3). The suggested aneurysm was not recognized. The suggested lesion was thought to be the curved portion of the M1 segment of the left middle cerebral artery. C, MIP of IV 3D DSA (case 3). The suggested aneurysm was not recognized.


Figure 4
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Fig 4. MRA time-of-flight image (case 4). A, A small aneurysm in the anterior communicating artery was suggested. B, Volume rendering images of IV 3D DSA (case 4). The suggested aneurysm was not recognized. The suggested lesion was thought to be the curved portion of the anterior communicating artery. C, MIP of IV 3D DSA (case 4). The suggested aneurysm was not recognized.