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Three-dimensional dynamic magnetic resonance angiography for the evaluation of radiosurgically treated cerebral arteriovenous malformations

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Abstract

We assessed the value of three-dimensional (3D) dynamic magnetic resonance angiography (MRA) for the follow-up of patients with radiosurgically treated cerebral arteriovenous malformations (AVMs). Fifty-four patients with cerebral AVMs treated by radiosurgery (RS) were monitored using conventional catheter angiography (CCA) and 3D dynamic MRA with sensitivity encoding based on the parallel imaging. Cerebral AVM was qualitatively classified by two radiologists into one of five categories in terms of residual nidus size and persistence of early draining vein (I, >6 cm; II, 3–6 cm; III, <3 cm; IV, isolated early draining vein; V, complete obliteration). 3D MRA findings showed a good agreement with CCA in 40 cases (κ=0.62). Of 23 nidus detected on CCA, 3D dynamic MRA showed 14 residual nidus. Of 28 occluded nidus on 3D dynamic MRA, 22 nidus were occluded on CCA. The sensitivity and specificity of 3D dynamic MRA for the detection of residual AVM were 81% and 100%. 3D dynamic MRA after RS may therefore be useful in association with MRI and can be repeated as long as opacification of the nidus or early venous drainage persists, one CCA remaining indispensable to affirm the complete occlusion at the end of follow-up.

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Authors and Affiliations

  1. Department of Neuroradiology, EA 2691, Roger Salengro Hospital, rue du Pr. E Laine, 59037, Lille, France

    Jean-Yves Gauvrit, Jean-Pierre Pruvo & Xavier Leclerc

  2. Department of Neuroradiology, Sainte-Anne Hospital, 1 rue Cabanis, 75674, Paris cedex 14, France

    Jean-Yves Gauvrit, Catherine Oppenheim, Olivier Naggara, Denis Trystram, Daniel Fredy & Jean-François Meder

  3. Department of Neurosurgery, Sainte-Anne Hospital, 1 rue Cabanis, 75674, Paris cedex 14, France

    Francois Nataf & François-Xavier Roux

  4. General Electric Healthcare Technologies, 283 rue Minière, 78530, Buc, France

    Thierry Munier

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  1. Jean-Yves Gauvrit
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Gauvrit, JY., Oppenheim, C., Nataf, F. et al. Three-dimensional dynamic magnetic resonance angiography for the evaluation of radiosurgically treated cerebral arteriovenous malformations. Eur Radiol 16, 583–591 (2006). https://doi.org/10.1007/s00330-005-0011-6

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