Benefit of Advanced 3D DSA and MRI/CT Fusion in Neurovascular Pathology

Author:

Dobrocky TomasORCID,Matzinger Marco,Piechowiak Eike I,Kaesmacher Johannes,Pilgram-Pastor Sara,Goldberg Johannes,Bervini David,Klail Tomas,Pereira Vitor Mendes,Z’Graggen Werner,Raabe Andreas,Mordasini Pasquale,Gralla Jan

Abstract

AbstractDigital subtraction angiography provides excellent spatial and temporal resolution; however, it lacks the capability to depict the nonvascular anatomy of the brain and spinal cord.A review of the institutional database identified five patients in whom a new integrated fusion workflow of cross-sectional imaging and 3D rotational angiography (3DRA) provided important diagnostic information and assisted in treatment planning. These included two acutely ruptured brain arteriovenous malformations (AVM), a small superficial brainstem AVM after radiosurgery, a thalamic microaneurysm, and a spine AVM, and fusion was crucial for diagnosis and influenced further treatment.Fusion of 3DRA and cross-sectional imaging may help to gain a deeper understanding of neurovascular diseases. This is advantageous for planning and providing treatment and, most importantly, may harbor the potential to minimize complication rates. Integrating image fusion in the work-up of cerebrovascular diseases is likely to have a major impact on the neurovascular field in the future.

Funder

University of Bern

Publisher

Springer Science and Business Media LLC

Subject

Neurology (clinical),Radiology, Nuclear Medicine and imaging

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