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Research ArticleINTERVENTIONAL

Visualization of Intraaneurysmal Flow Patterns with Transluminal Flow Images of 3D MR Angiograms in Conjunction with Aneurysmal Configurations

Toru Satoh, Keisuke Onoda and Shoji Tsuchimoto
American Journal of Neuroradiology August 2003, 24 (7) 1436-1445;
Toru Satoh
aDepartment of Neurological Surgery, Ryofukai Satoh Neurosurgical Hospital, Hiroshima, Japan
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Keisuke Onoda
bDepartment of Neurological Surgery, Onomichi Municipal Hospital, Hiroshima, Japan
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Shoji Tsuchimoto
bDepartment of Neurological Surgery, Onomichi Municipal Hospital, Hiroshima, Japan
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    Fig 1.

    Schematic illustration of selective opacity curves used in the opacity chart of MR signal intensities: increasing curve for the conventional parallel volume-rendered imaging (top), spiked peak curve for transluminal imaging (middle), and spiked peak curve with a stepwise square curve for transluminal flow imaging (bottom). Serial observation of transluminal flow images represents the intraaneurysmal flow patterns by superimposing stepwise extracted intraluminal volume data, with signal intensities ranging 350–500, 320–500, 290–500, 260–500, 230–500, and 200–500, respectively, onto the corresponding transluminal images with aneurysmal configurations.

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    Fig 2.

    Case 1. 75-year-old woman with an unruptured left internal carotid-posterior communicating artery aneurysm.

    A and B, Three-dimensional volume-rendered CT and MR angiograms, respectively, superoinferior projection.

    C and D, magnified images of CT and MR angiograms, respectively, left lateral projection.

    E and F, Maximum intensity projection images of CT and MR angiograms, respectively. Figure 2 continues.

    Figure 2 continued. G–L, Transluminal flow images of 3D MR angiogram with stepwise intraluminal contents, with signal intensities ranging 350–500, 320–500, 290–500, 260–500, and 200–500, respectively, demonstrate blood flow as the three-dimensional distribution of signal intensities.

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    Fig 3.

    Case 2. 66-year-old man with an unruptured left internal carotid-posterior communicating artery aneurysm.

    A and B, Magnified volume-rendered CT and MR angiograms, respectively, right lateral projection.

    C and D, Maximum intensity projection images of CT and MR angiograms, respectively. E and F, Digital subtraction angiograms, lateral projection, obtained in the early and late arterial phases, respectively. Figure 3 continues.

    Figure 3 continued. G–L, Transluminal flow images of 3D MR angiogram with stepwise intraluminal contents, with signal intensities ranging 350–500, 320–500, 290–500, 260–500, 230–350, and 200–500, respectively.

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    Fig 4.

    Case 3. 63-year-old woman with an unruptured left internal carotid-ophthalmic artery aneurysm.

    A, Magnified volume-rendered MR angiogram and B, coordinated maximum intensity projection image, anteroposterior projection.

    C–F, Transluminal flow images of 3D MR angiogram with stepwise intraluminal contents, with signal intensities ranging 350–500, 320–500, 290–350, and 260–500, respectively.

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American Journal of Neuroradiology: 24 (7)
American Journal of Neuroradiology
Vol. 24, Issue 7
1 Aug 2003
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Visualization of Intraaneurysmal Flow Patterns with Transluminal Flow Images of 3D MR Angiograms in Conjunction with Aneurysmal Configurations
Toru Satoh, Keisuke Onoda, Shoji Tsuchimoto
American Journal of Neuroradiology Aug 2003, 24 (7) 1436-1445;

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Visualization of Intraaneurysmal Flow Patterns with Transluminal Flow Images of 3D MR Angiograms in Conjunction with Aneurysmal Configurations
Toru Satoh, Keisuke Onoda, Shoji Tsuchimoto
American Journal of Neuroradiology Aug 2003, 24 (7) 1436-1445;
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  • Usefulness of high-resolution three-dimensional proton density-weighted turbo spin-echo MRI in distinguishing a junctional dilatation from an intracranial aneurysm of the posterior communicating artery: a pilot study
  • Visualization of Aneurysmal Neck and Dome after Coiling with 3D Multifusion Imaging of Silent MRA and FSE-MR Cisternography
  • Aneurysm outflow angle at MRA as discriminant for accurate diagnosis and differentiation between small sidewall cerebral aneurysms and infundibula
  • Identification of the Inflow Zone of Unruptured Cerebral Aneurysms: Comparison of 4D Flow MRI and 3D TOF MRA Data
  • Intra-Aneurysmal Hemodynamics during the Growth of an Unruptured Aneurysm: In Vitro Study Using Longitudinal CT Angiogram Database
  • Computational fluid dynamics modeling of intracranial aneurysms: effects of parent artery segmentation on intra-aneurysmal hemodynamics.
  • Differential Diagnosis of the Infundibular Dilation and Aneurysm of Internal Carotid Artery: Assessment with Fusion Imaging of 3D MR Cisternography/Angiography.
  • Characterization of Cerebral Aneurysms for Assessing Risk of Rupture By Using Patient-Specific Computational Hemodynamics Models
  • Influence of Perianeurysmal Environment on the Deformation and Bleb Formation of the Unruptured Cerebral Aneurysm: Assessment with Fusion Imaging of 3D MR Cisternography and 3D MR Angiography
  • Visualization of Aneurysmal Contours and Perianeurysmal Environment with Conventional and Transparent 3D MR Cisternography
  • Intraoperative Evaluation of Aneurysmal Architecture: Comparative Study with Transluminal Images of 3D MR and CT Angiograms
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