Abstract:
OBJECTIVE:Although three-dimensional time-of-flight magnetic resonance angiography (3D TOF-MRA) is used frequently as a follow-up tool to assess the response of arteriovenous malformations (AVMs) after radiosurgery, the diagnostic accuracy of 3D TOF-MRA is not well known. We evaluated the diagnostic accuracy of contrast-enhanced 3D TOF-MRA at 3.0 Tesla for the detection of residual AVMs. MATERIALS AND METHODS:This study included 32 AVMs from 32 patients who had been treated with radiosurgery (males/females: 21/11; average patient age, 33.1 years). The time interval between radiosurgery and MRA was an average of 35.3 months (range, 12-88 months). Three-dimensional TOF-MRA was obtained at a magnetic field strength of 3.0 Tesla after infusion of contrast media, with a measured voxel size of 0.40 x 0.80 x 1.4 (0.45) mm(3) and a reconstructed voxel size of 0.27 x 0.27 x 0.70 (0.05) mm(3) after zero-filling. X-ray angiography was performed as the reference of standard within six months after MRA (an average of two months). To determine the presence of a residual AVM, the source images of 3D TOF-MRA were independently reviewed, focusing on the presence of abnormally hyperintense fine tangled or tubular structures with continuity as seen on consecutive slices by two observers blinded to the X-ray angiography results. RESULTS:A residual AVM was identified in 10 patients (10 of 32, 31%) on X-ray angiography. The inter-observer agreement for MRA was excellent (kappa= 0.813). For the detection of a residual AVM after radiosurgery as determined by observer 1 and observer 2, the source images of MRA had an overall sensitivity of 100%/90% (10 of 10, 9 of 10), specificity of 68%/68% (15 of 22, 15 of 22), positive predictive value of 59%/56% (10 of 17, 9 of 16), negative predictive value of 100%/94% (15 of 15, 15 of 16) and diagnostic accuracy of 78%/75% (25 of 32, 24 of 32), respectively. CONCLUSION:The sensitivity of contrast-enhanced 3D TOF-MRA at 3.0 Tesla is high but the specificity is not sufficient for the detection of a residual AVM after radiosurgery.
journal_name
Korean J Radioljournal_title
Korean journal of radiologyauthors
Lee KE,Choi CG,Choi JW,Choi BS,Lee DH,Kim SJ,Kwon DHdoi
10.3348/kjr.2009.10.4.333subject
Has Abstractpub_date
2009-07-01 00:00:00pages
333-9issue
4eissn
1229-6929issn
2005-8330journal_volume
10pub_type
杂志文章abstract::Imaging features of metastases to the urinary system may closely mimic primary urinary tract tumors, and differential diagnosis by imaging alone may be problematic or even impossible in some cases. The main purpose of this article was to familiarize radiologists with imaging findings of metastasis to the urinary syste...
journal_title:Korean journal of radiology
pub_type: 杂志文章,评审
doi:10.3348/kjr.2018.19.4.742
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journal_title:Korean journal of radiology
pub_type: 杂志文章,评审
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journal_title:Korean journal of radiology
pub_type: 杂志文章
doi:10.3348/kjr.2014.15.4.423
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journal_title:Korean journal of radiology
pub_type: 杂志文章,评审
doi:10.3348/kjr.2010.11.4.457
更新日期:2010-07-01 00:00:00
abstract:OBJECTIVE:To evaluate the feasibility of texture analysis on non-contrast-enhanced T1 maps of cardiac magnetic resonance (CMR) imaging for the diagnosis of myocardial injury in acute myocardial infarction (MI). MATERIALS AND METHODS:This study included 68 patients (57 males and 11 females; mean age, 55.7 ± 10.5 years)...
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journal_title:Korean journal of radiology
pub_type: 杂志文章
doi:10.3348/kjr.2015.16.4.810
更新日期:2015-07-01 00:00:00
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journal_title:Korean journal of radiology
pub_type: 杂志文章
doi:10.3348/kjr.2009.10.1.93
更新日期:2009-01-01 00:00:00
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journal_title:Korean journal of radiology
pub_type: 杂志文章
doi:10.3348/kjr.2012.13.6.720
更新日期:2012-11-01 00:00:00
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journal_title:Korean journal of radiology
pub_type: 杂志文章
doi:10.3348/kjr.2011.12.3.390
更新日期:2011-05-01 00:00:00
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journal_title:Korean journal of radiology
pub_type: 已发布勘误
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更新日期:2015-01-01 00:00:00
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journal_title:Korean journal of radiology
pub_type: 杂志文章,多中心研究
doi:10.3348/kjr.2013.14.1.110
更新日期:2013-01-01 00:00:00
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journal_title:Korean journal of radiology
pub_type: 杂志文章
doi:10.3348/kjr.2018.0841
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journal_title:Korean journal of radiology
pub_type: 杂志文章
doi:10.3348/kjr.2008.9.5.473
更新日期:2008-09-01 00:00:00
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journal_title:Korean journal of radiology
pub_type: 杂志文章,评审
doi:10.3348/kjr.2018.0599
更新日期:2019-06-01 00:00:00
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journal_title:Korean journal of radiology
pub_type: 杂志文章
doi:10.3348/kjr.2005.6.1.44
更新日期:2005-01-01 00:00:00
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journal_title:Korean journal of radiology
pub_type: 杂志文章
doi:10.3348/kjr.2017.18.6.973
更新日期:2017-11-01 00:00:00
abstract:OBJECTIVE:We wanted to introduce a new technique for superselective catheterization of arteries with preshaping of a micro-guide wire into a shepherd's hook form, and this is useful for superselection of small arteries branching at an acute angle from a large parent artery for the treatment of tumors and hemorrhages. ...
journal_title:Korean journal of radiology
pub_type: 杂志文章
doi:10.3348/kjr.2007.8.3.225
更新日期:2007-05-01 00:00:00
abstract::Central diabetes insipidus (DI) can be the outcome of a number of diseases that affect the hypothalamic-neurohypophyseal axis. The causes of the condition can be classified as traumatic, inflammatory, or neoplastic. Traumatic causes include postoperative sella or transection of the pituitary stalk, while infectious or...
journal_title:Korean journal of radiology
pub_type: 杂志文章,评审
doi:10.3348/kjr.2001.2.4.222
更新日期:2001-10-01 00:00:00
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journal_title:Korean journal of radiology
pub_type: 杂志文章,评审
doi:10.3348/kjr.2011.12.4.487
更新日期:2011-07-01 00:00:00
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journal_title:Korean journal of radiology
pub_type: 杂志文章,评审
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journal_title:Korean journal of radiology
pub_type: 杂志文章
doi:10.3348/kjr.2012.13.6.803
更新日期:2012-11-01 00:00:00
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journal_title:Korean journal of radiology
pub_type: 杂志文章
doi:10.3348/kjr.2017.18.3.476
更新日期:2017-05-01 00:00:00
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journal_title:Korean journal of radiology
pub_type: 杂志文章
doi:10.3348/kjr.2012.13.S1.S104
更新日期:2012-01-01 00:00:00
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journal_title:Korean journal of radiology
pub_type: 杂志文章,评审
doi:10.3348/kjr.2003.4.3.194
更新日期:2003-07-01 00:00:00
abstract::Disseminated mycobacterial infection after bacillus Calmette-Guerin (BCG) vaccination is a very rare disorder, occurring mostly in patients with immunologic deficiency. We report a case of disseminated BCG infection in a 16-month-old girl with severe combined immunodeficiency. Plain radiographs showed multiple osteoly...
journal_title:Korean journal of radiology
pub_type: 杂志文章
doi:10.3348/kjr.2000.1.2.114
更新日期:2000-04-01 00:00:00
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journal_title:Korean journal of radiology
pub_type: 杂志文章,评审
doi:10.3348/kjr.2018.0416
更新日期:2019-03-01 00:00:00
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journal_title:Korean journal of radiology
pub_type: 杂志文章
doi:10.3348/kjr.2016.17.1.83
更新日期:2016-01-01 00:00:00
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journal_title:Korean journal of radiology
pub_type: 杂志文章
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更新日期:2018-03-01 00:00:00
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journal_title:Korean journal of radiology
pub_type: 杂志文章
doi:10.3348/kjr.2017.0771
更新日期:2019-01-01 00:00:00
abstract:OBJECTIVE:To evaluate the feasibility of CT fluoroscopy (CTF)-guided percutaneous transhepatic biliary drainage (PTBD) in emergency patients with acute obstructive cholangitis. MATERIALS AND METHODS:The study included 28 patients admitted to the emergency center due to obstructive jaundice and found to require urgent ...
journal_title:Korean journal of radiology
pub_type: 杂志文章
doi:10.3348/kjr.2009.10.2.144
更新日期:2009-03-01 00:00:00