Intracranial vascular malformations: MR and CT imaging.

Abstract:

:Twenty-four patients with 29 cerebrovascular malformations were evaluated with a combination of computed tomography (CT), angiography, and magnetic resonance (MR) imaging. Characteristics of the malformations on MR images were reviewed retrospectively, and a comparative evaluation of MR and CT images was made. Of 14 angiographically evident malformations, 13 intra-axial lesions were detected on both CT and MR images, and one dural malformation gave false-negative results on both modalities. The appearance of parenchymal lesions on MR images closely mirrored characteristic CT findings. Calcific foci were difficult to separate from vessels on both images. Clot was more easily identified on MR images. In the detection of 15 angiographically occult malformations, CT proved more sensitive when focal calcification was the only evidence of their presence. MR study failed to detect two small supratentorial lesions evidenced by faint calcifications on CT scans. In two patients, MR images showed small hemorrhages not detectable by CT, and MR provided strong evidence for the diagnosis of hematoma for 12 lesions. Angiographically evident malformations have a highly characteristic appearance on MR images. MR may be more sensitive than CT in the detection of small hemorrhagic foci associated with cryptic arteriovenous malformations and may add specificity in the diagnosis of occult malformations in some cases, but MR is less sensitive than CT for the detection of small calcified malformations.

journal_name

Radiology

journal_title

Radiology

authors

Kucharczyk W,Lemme-Pleghos L,Uske A,Brant-Zawadzki M,Dooms G,Norman D

doi

10.1148/radiology.156.2.4011900

subject

Has Abstract

pub_date

1985-08-01 00:00:00

pages

383-9

issue

2

eissn

0033-8419

issn

1527-1315

journal_volume

156

pub_type

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