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Research ArticleBrain

Comparison of Conventional CTA and Volume Perfusion CTA in Evaluation of Cerebral Arterial Vasculature in Acute Stroke

M. Saake, P. Goelitz, T. Struffert, L. Breuer, B. Volbers, A. Doerfler and S. Kloska
American Journal of Neuroradiology December 2012, 33 (11) 2068-2073; DOI: https://doi.org/10.3174/ajnr.A3155
M. Saake
aFrom the Departments of Neuroradiology (M.S., P.G., T.S., A.D., S.K.)
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P. Goelitz
aFrom the Departments of Neuroradiology (M.S., P.G., T.S., A.D., S.K.)
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T. Struffert
aFrom the Departments of Neuroradiology (M.S., P.G., T.S., A.D., S.K.)
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L. Breuer
aFrom the Departments of Neuroradiology (M.S., P.G., T.S., A.D., S.K.)
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B. Volbers
bNeurology (L.B., B.V.), University of Erlangen-Nuremberg, Erlangen, Germany.
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A. Doerfler
bNeurology (L.B., B.V.), University of Erlangen-Nuremberg, Erlangen, Germany.
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S. Kloska
aFrom the Departments of Neuroradiology (M.S., P.G., T.S., A.D., S.K.)
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Article Figures & Data

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  • Fig 1.
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    Fig 1.

    A and B, CTA, transversal and coronal MIP reconstructions; image thickness 10 mm. C and D, VPCTA, transversal and coronal MIP reconstructions; image thickness 10 mm. The same window settings were used for all reconstructions. Occlusion of the distal main branch of the right middle cerebral artery is demonstrated in CTA and VPCTA (arrows). In VPCTA, veins are less contrasted.

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    Fig 2.

    A and B, CTA, coronal and sagittal MIP reconstructions; image thickness 10 mm. C and D, VPCTA, coronal and sagittal MIP reconstructions; image thickness 10 mm. The same window settings were used for all reconstructions. Occlusion of the A2 segment of the left anterior cerebral artery is clearly visible in CTA and VPCTA (arrows).

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    Fig 3.

    A and B, CTA, sagittal and coronal MIP reconstructions; image thickness 10 mm. C and D, VPCTA, sagittal and coronal MIP reconstructions; image thickness 10 mm. The same window settings were used for all reconstructions. Stenosis >50% of the basilar artery is pictured in CTA and VPCTA (arrows). Generally, the most caudal part of the basilar artery is not covered in VPCTA, as direct irradiation of the eye lenses has to be avoided.

  • Fig 4.
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    Fig 4.

    A, CTA, transversal MIP reconstruction; image thickness 10 mm. B, VPCTA, transversal MIP reconstruction; image thickness 10 mm. The same window settings were used for both reconstructions. While CTA was scored normal, in VPCTA, stenosis >50% of a proximal right M2 segment was rated (arrows).

Tables

  • Figures
    • View popup
    Table 1:

    Image quality scorings

    ModalityImage Quality
    1234
        CTA (n [%])0 (0.0)3 (1.8)90 (55.2)70 (43.0)
        VPCTA (n [%])0 (0.0)1 (0.6)135 (82.8)27 (16.6)
    • Note:—P < .01.

    • View popup
    Table 2:

    Dichotomized image quality scorings

    CTATotal
    DiagnosticNondiagnostic
    VPCTA
        Diagnostic1593162
        Nondiagnostic101
    Total1603163
    • Note:—P = 1.00.

    • View popup
    Table 3:

    Vascular pathology scorings

    Vascular Segment(1) Not Pictured in VPCTACTAVPCTANumber of DiscrepanciesP
    (2) Normal or Stenosis <50 %(3) Stenosis >50 %(4) Occlusion(2) Normal or Stenosis <50 %(3) Stenosis >50 %(4) Occlusion
    Right ICA3152041520401
    Left ICA5148061480601
    Right proximal M11152061520601
    Right distal M11150081500801
    Left proximal M10154051540501
    Left distal M10150181501801
    Right M2–301480111471111.32
    Left M2–3014701214701221
    Right ACA0159001590001
    Left ACA0155041550401
    BA1151341513401
    Right PCA0155221552201
    Left PCA0153151531501
    • Note:—In CTA, all vessel segments were pictured. ACA indicates anterior cerebral artery; PCA, posterior cerebral artery; BA, basilar artery.

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American Journal of Neuroradiology: 33 (11)
American Journal of Neuroradiology
Vol. 33, Issue 11
1 Dec 2012
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M. Saake, P. Goelitz, T. Struffert, L. Breuer, B. Volbers, A. Doerfler, S. Kloska
Comparison of Conventional CTA and Volume Perfusion CTA in Evaluation of Cerebral Arterial Vasculature in Acute Stroke
American Journal of Neuroradiology Dec 2012, 33 (11) 2068-2073; DOI: 10.3174/ajnr.A3155

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Comparison of Conventional CTA and Volume Perfusion CTA in Evaluation of Cerebral Arterial Vasculature in Acute Stroke
M. Saake, P. Goelitz, T. Struffert, L. Breuer, B. Volbers, A. Doerfler, S. Kloska
American Journal of Neuroradiology Dec 2012, 33 (11) 2068-2073; DOI: 10.3174/ajnr.A3155
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