JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES) ›› 2014, Vol. 52 ›› Issue (11): 49-54.doi: 10.6040/j.issn.1671-7554.0.2014.161

Previous Articles     Next Articles

Value of 3D-digital subtraction angiography in the differential diagnosis of vascular lesion originating from the posterior communicating artery

YANG Xiancun1,2, GE Yanyan2, LIU Qiang3, YU Binchao2   

  1. 1. School of Medicine, Shandong University, Jinan 250012, Shandong, China;
    2. Department of Interventional Radiology, Provincial Hospital Affiliated to Shandong University, Jinan 250021, Shandong, China;
    3. Shandong University, Medical Imaging Research Institute, Jinan 250021, Shandong, China
  • Received:2014-03-24 Published:2014-11-10

PDF (PC)

566

Abstract: Objective To explore the applicative value of three-dimensional digital subtraction angiography (3D-DSA) in diagnosing aneurysm and infundibular dilation (ID) originating from the posterior communicating artery. Methods A total of 47 patients with vascular lesions originating from the posterior communicating artery were analyzed retrospectively. All patients had undergone angiography with both conventional DSA (2D-DSA) and 3D-DSA, and the results were analyzed by two doctors. Results Altogether 26 aneurysms and 6 IDs were found by 2D-DSA, while 33 aneurysms and 14 IDs were detected by 3D-DSA, with a statistical significance between the detection rates (χ2=19.03, P<0.05). There was a statistical difference in displaying the relationship between the lesion and adjacent vessels (Z=-3.62, P<0.05). Conclusion The 3D-DSA can clearly display the relationship between the lesion and adjacent vessels, which is important in the differential diagnosis of ID and aneurysm, thus it is worthy of spreading.

Key words: Three dimensional, Differential diagnosis, Digital subtraction angiography, Infundibular dilation

CLC Number: 

  • R743.3
[1] 贾晓军, 陈阳, 张猛, 等. 脑血管介入中的血管变异及其临床意义[J]. 解剖与临床, 2008, 13(4):227-236. JIA Xiaojun, CHEN Yang, ZHANG Meng, et al. Anatomic Variation of Vessels and Its Clinical Significance for Cerebrovascular Intervention [J]. Anatomy and Clinics, 2008, 13(4):227-236.
[2] Endo S, Furuichi S, Takaba M, et al. Clinical study of enlarged infundibular dilation of the origin of the posterior communicating artery[J]. J Neurosurg, 1995, 83(3): 421-425.
[3] Shi W Y, Li Y D, Li M H, et al. Differential diagnosis of infundibular dilation versus a small aneurysm of the internal carotid artery: assessment by three-dimensional rotational angiography with volume rendering[J]. Neurol Sci, 2013, 34(7):1065-1070.
[4] Nashimoto T, Saito T, Kurashima A, et al. Rupture of a small aneurysm originating from an infundibular dilatation-case report [J]. Brain Nerve, 2009, 61(10):1177-1181.
[5] Takahashi C, Fukuda O, Hori E, et al. A case of infundibular dilatation developed into an aneurysm and rupturing after the rupture of an aneurysm 10 years ago[J]. No Shinkei Geka, 2006, 34(6):613-617.
[6] Baek H, Jayaraman M V, Karniadakis G E. Wall shear stress and pressure distribution on aneurysms and infundibulae in the posterior communicating artery bifurcation[J]. Ann Biomed Eng, 2009, 37(12):2469-2487.
[7] Beumer D, Delwel E J, Kleinrensink G J, et al. The perforator-free zone of the posterior communicating artery and its relevance in approaches to the interpeduncular cistern, especially the transcavernous approach: an anatomic study[J]. Neurosurgery, 2007, 61(5 Suppl 2):187-191.
[8] Adams W M, Laitt D, Jackson A. The role of MR angiography in the pretreatment assessment of intracranialaneurysms: a comparative study[J]. AJNR Am J Neuroradiol, 2000, 21(9):1618-1628.
[9] Satoh T, Onoda K, Tsuchimoto S. Visualization of intraaneurysmal flow patterns with transluminal flow images of 3D MR angiograms in conjunction with aneurysmal configurations[J]. AJNR Am J Neuroradiol, 2003, 24(7):1436-1445.
[10] Satoh T, Omi M, Ohsako C, et al. Differential diagnosis of the infundibular dilation and aneurysm of internal carotid artery: assessment with fusion imaging of 3D MR cisternography/Angiography[J]. AJNR Am J Neuroradiol, 2006, 27(2):306-312.
[11] 李江涛, 王朝华, 谢晓东, 等. 旋转DSA及三维重建技术在颅内动脉瘤诊断中的应用价值[J]. 实用放射学杂志, 2008, 24(2):145-147. LI Jiangtao, WANG Chaohua, XIE Xiaodong, et al. The application of rotational digital subtraction angiography and 3D reconstruction technique in diagnosing intracranial aneurysms [J]. J Pract Radiol, 2008, 24(2):145-117.
[12] 李健, 王祝峰, 王珩, 等. 3D DSA辅助下弹簧圈栓塞颅内微型动脉瘤[J]. 中华神经外科疾病研究杂志, 2011, 10(1): 61-64. LI Jian, WANG Zhufeng, WANG Heng, et al. Endovascular coiling of intracranial microaneurysms with the assistance of 3D DSA [J]. Chin J Neurosurg Dis Res, 2011, 10(1):61-64.
[13] Kucukay F, Okten R S, Tekiner A, et al. Three-dimensional volume rendering digital subtraction angiography in comparison with two-dimensional digital subtraction angiography and rotational angiography for detecting aneurysms and their morphological properties in patients with subarachnoid hemorrhage [J]. Eur J Radiol, 2012, 81(10):2794-2800.
[14] Shi W Y, Li Y D, Li M H, et al. 3D rotational angiography with volume rendering: the utility in the detection of intracranial aneurysms [J]. Neurol India, 2010, 58(6):908-913.
[15] van Rooij W J, Sprengers M E, de Gast A N, et al. 3D rotational angiography: the new gold standard in the detection of additional intracranial aneurysms[J]. AJNR Am J Neuroradiol, 2008, 29(5):976-979.
[16] Wong S C, Nawawi O, Ramli N, et al. Benefits of 3D rotational DSA compared with 2D DSA in the evaluation of intracranial aneurysm[J]. Acad Radiol, 2012, 19(6):701-707.
[17] 杨显存, 刘强, 葛彦彦, 等. 三维重建技术在颅内动脉瘤诊治中的影响因素[J]. 实用放射学杂志, 2013, 29(9):1529-1532. YANG Xiancun, LIU Qiang, GE Yanyan, et al. Influence factors of three-dimensional reconstruction technique in the diagnosis and treatment of intracranial aneurysm[J]. J Pract Radiol, 2013, 29(9):1529-1532.
[18] Yoshino M, Kin T, Shojima M, et al. A high-resolution method with increased matrix size can characterize small arteries around a giant aneurysm in three dimensions[J]. Br J Neurosurg, 2012, 26(6):927-928.
[19] 宁丹, 李彩霞, 李春海. 三维DSA与二维DSA在颅内动脉瘤诊疗中应用价值的比较[J]. 山东大学学报: 医学版, 2008, 46(4):403-406. NING Dan, LI Caixia, LI Chunhai. Comparison of 2D- and 3D-digital subtraction angiography in evaluation of intracranial aneurysms [J]. Journal of Shandong University: Health Sciences, 2008, 46(4):403-406.
[1] LI Jinye, SONG Gesheng, SONG Jiqing, WANG Dawei, JIN Xianwen, ZHANG Chengqi. Comparative study of gemstone spectral CT and conventional ultrasound spectroscopy for the diagnosis of benign and malignant thyroid nodules [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2016, 54(3): 81-86.
[2] MICHAEL M. P. NG'WANAMASELE, HAN Yanzhao, ZHANG Fenghe, TONG Dongdong, LI Liang, CHENG Huijuan, WANG Chunling, LIU Dongxu. Three dimensional registration method to evaluate the upper airway morphologic changes after mandibular setback surgery [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2014, 52(10): 61-65,71.
[3] MA Zhen-shen1, WANG Da-wei2, SUN Xiu-bin3, SHI Hao1, PANG Tao1, DONG Gui-qing1, ZHANG Cheng-qi1. Quantitative analysis of 3.0T MR in differential diagnosis of breast lesions [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2013, 51(9): 79-83.
[4] WANG Xin-jie1， DU Xiang-yang2. Combined detection of procalcitonin and adenosine deaminase
for tuberculous pleural effusion [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2012, 50(9): 79-82.
[5] LI Ji-sen, WANG Zhi-gang, JI Yong, WANG Yi-hua, HAN Chao, JIANG Bin, HE Wei. Bleeding in patients with cerebral arteriovenous malformation:
an analysis of contributing factors [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2012, 50(6): 83-.
[6] WANG Yi-hua， HAO Xiao-guang， WANG Cheng-wei， QU Chun-cheng， LI Wei-guo， WANG Zhi-gang. Successful resection of DAVF facilitated by CTA and DSA imaging [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2011, 49(9): 77-80.
[7] WANG Rui-rui, LIU Hong, LIU Dong-xu. Accuracy and reliability of craniofacial landmark identification based on three-dimensional images [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2011, 49(9): 83-.
[8] YANG Hui, YU Dexin, MA Xiangxing, ZHANG Xiaoming, LI Chuanfu. Role of  quantitative parameters of dynamic contrast-enhanced MRI at 3.0 Tesla in differential diagnosis of hepatic masses [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2010, 48(4): 139-.
Viewed
Full text


Abstract

Cited
  Shared   
  Discussed   
No Suggested Reading articles found!
Copyright 2018 © Editorial office of Journal of Shandong University (Health Sciences)
Supported by Beijing Magtech Co.Ltd