TY - JOUR T1 - MRA Versus DSA for Follow-Up of Coiled Intracranial Aneurysms: A Meta-Analysis JF - American Journal of Neuroradiology JO - Am. J. Neuroradiol. SP - 1655 LP - 1661 DO - 10.3174/ajnr.A3700 VL - 35 IS - 9 AU - M.J. van Amerongen AU - H.D. Boogaarts AU - J. de Vries AU - A.L.M. Verbeek AU - F.J.A. Meijer AU - M. Prokop AU - R.H.M.A. Bartels Y1 - 2014/09/01 UR - http://www.ajnr.org/content/35/9/1655.abstract N2 - SUMMARY: MR angiography is proposed as a safer and less expensive alternative to the reference standard, DSA, in the follow-up of intracranial aneurysms treated with endovascular coil occlusion. We performed a systematic review and meta-analysis to evaluate the accuracy of TOF-MRA and contrast-enhanced MRA in detecting residual flow in the follow-up of coiled intracranial aneurysms. Literature was reviewed through the PubMed, Cochrane, and EMBASE data bases. In comparison with DSA, the sensitivity of TOF-MRA was 86% (95% CI: 82–89%), with a specificity of 84% (95% CI: 81–88%), for the detection of any recurrent flow. For contrast-enhanced MRA, the sensitivity and specificity were 86% (95% CI: 82–89%) and 89% (95% CI: 85–92%), respectively. Both TOF-MRA and contrast-enhanced MRA are shown to be highly accurate for detection of any recanalization in intracranial aneurysms treated with endovascular coil occlusion. CEcontrast-enhancedGRADEgrades of recommendation, assessment, development, and evaluationSROCsummary receiver operating characteristic ER -