Multi-slice computed tomography angiography in the detection of residual or recurrent cerebral aneurysms after surgical clipping

Acta Radiol. 2004 Aug;45(5):571-6. doi: 10.1080/02841850410006137.

Abstract

Purpose: To assess the diagnostic accuracy of multi-slice computed tomography (MSCT) angiography compared to digital subtraction angiography (DSA) in detecting residual or recurrent aneurysms in patients undergoing aneurysm clipping surgery.

Material and methods: Eight patients with nine aneurysms who had both MSCTA and DSA were included in the study. Two independent experienced neuroradiologists evaluated the examinations.

Results: Accuracy, sensitivity, and specificity of detecting residual or recurrent aneurysms on MSCTA were 0.80, 0.60, and 1.00, respectively. Positive and negative predictive values were 1.00 and 0.71, respectively.

Conclusion: MSCTA is a promising technique for evaluating residual or recurrent aneurysms in patients undergoing surgical treatment of aneurysm with titanium clips.

Publication types

  • Comparative Study

MeSH terms

  • Adult
  • Aged
  • Angiography, Digital Subtraction
  • Cerebral Angiography / methods*
  • Female
  • Humans
  • Intracranial Aneurysm / diagnostic imaging*
  • Intracranial Aneurysm / surgery*
  • Male
  • Middle Aged
  • Predictive Value of Tests
  • Recurrence
  • Sensitivity and Specificity
  • Tomography, X-Ray Computed / methods*