Feasibility of Smart Metal Artifact Reduction Algorithm on Computed Tomography Angiography for Clipping of Recurrent Aneurysms After Coil Embolization.

Abstract:

BACKGROUND:The number of patients with a history of clipping of recurrent aneurysms after coil embolization has increased. The aim of this article was to report the feasibility of CT angiography using a commercial metal artifact reduction algorithm (Smart Metal Artifact Reduction [MAR]) for patients who underwent clipping of recurrent aneurysms after coil embolization. METHODS:Six cases of clipping of recurrent aneurysms after coil embolization were examined with CT angiography using MAR between 2015 and 2018 at a single institution. Conventional CT angiography and three-dimensional digital subtraction angiography data were compared, and depiction of the status of treated aneurysms using MAR was estimated. RESULTS:Conventional CT angiography was unable to depict the status of treated aneurysms in the patients with a history of clipping of recurrent aneurysms after coil embolization because of metal artifacts. With MAR, metal artifacts were greatly reduced, and the status of treated aneurysms was able to be depicted, although depiction was inferior to three-dimensional digital subtraction angiography. CONCLUSIONS:For patients with a history of clipping of recurrent aneurysms after coil embolization, CT angiography using MAR is feasible, although further development of imaging techniques is needed.

journal_name

World Neurosurg

journal_title

World neurosurgery

authors

Kuroda H,Toyota S,Kumagai T,Iwata T,Kobayashi M,Mori K,Taki T

doi

10.1016/j.wneu.2019.04.133

subject

Has Abstract

pub_date

2019-07-01 00:00:00

pages

e1249-e1254

eissn

1878-8750

issn

1878-8769

pii

S1878-8750(19)31127-1

journal_volume

127

pub_type

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