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Magnetization Transfer Contrast Angiography for Organized Thrombosed Intracranial Aneurysm in TOF MR Angiography: a Case Report

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초록

A 66-year-old woman was referred for treatment of incidental detection of two intracranial aneurysms. Time-of-flight MR angiography (TOF MRA) revealed two aneurysms at the M1 segment of the right middle cerebral artery, and clinoid segment of left internal carotid artery, respectively. On digital subtraction angiography, there was a saccular aneurysm on the left internal carotid artery, but the other aneurysm was not detected on the right middle cerebral artery. Based on comprehensive review of imaging findings, organized thrombosed aneurysm was judged as the most likely diagnosis. In the presented report, magnetization transfer (MT) pulse to TOF MRA was used, to differentiate aneurysm-mimicking lesion on TOF MRA. We report that MT technique could be effective in differentiating true aneurysm, from possible T1 high signal artifact on TOF MRA.

Abstract

A 66-year-old woman was referred for treatment of incidental detection of two intracranial aneurysms. Time-of-flight MR angiography (TOF MRA) revealed two aneurysms at the M1 segment of the right middle cerebral artery, and clinoid segment of left internal carotid artery, respectively. On digital subtraction angiography, there was a saccular aneurysm on the left internal carotid artery, but the other aneurysm was not detected on the right middle cerebral artery. Based on comprehensive review of imaging findings, organized thrombosed aneurysm was judged as the most likely diagnosis. In the presented report, magnetization transfer (MT) pulse to TOF MRA was used, to differentiate aneurysm-mimicking lesion on TOF MRA. We report that MT technique could be effective in differentiating true aneurysm, from possible T1 high signal artifact on TOF MRA.

참고문헌 (20)

  1. Wolff SD, "Magnetization transfer contrast (MTC) and tissue water proton relaxation in vivo", Magn Reson Med, 10, pp.135~144 (1989)
  2. Henkelman RM, "Magnetization transfer in MRI: a review", NMR Biomed, 14, pp.57~64 (2001)
  3. Pike GB, "Magnetization transfer time-of-flight magnetic resonance angiography", Magn Reson Med, 25, pp.372~379 (1992)
  4. Edelman RR, "Improved time-offlight MR angiography of the brain with magnetization transfer contrast", Radiology, 184, pp.395~399 (1992)
  5. Atkinson D, "Improved MR angiography: magnetization transfer suppression with variable flip angle excitation and increased resolution", Radiology, 190, pp.890~894 (1994)
  6. Nezafat R, "Coronary magnetic resonance vein imaging: imaging contrast, sequence, and timing", Magn Reson Med, 58, pp.1196~1206 (2007)
  7. Lin W, "Intracranial MR angiography: application of magnetization transfer contrast and fat saturation to short gradient-echo, velocity-compensated sequences", Radiology, 186, pp.753~761 (1993)
  8. Anderson CM, "Artifacts in maximum-intensity-projection display of MR angiograms", AJR Am J Roentgenol, 154, pp.623~629 (1990)
  9. Wilcock DJ, "Problems and pitfalls of 3-D TOF magnetic resonance angiography of the intracranial circulation", Clin Radiol, 50, pp.526~532 (1995)
  10. Wermer MJ, "Yield of short-term follow-up CT", MR angiography for small aneurysms detected at screening, 2006, pp.37, 414~418
  11. Soila KP, "Chemical shift misregistration effect in magnetic resonance imaging", Radiology, 153, pp.819~820 (1984)
  12. Sankhla SK, "Magnetic resonance angiography in the management of aneurysmal subarachnoid haemorrhage: a study of 51 cases", Neuroradiology, 38, pp.724~729 (1996)
  13. Litt AW., "MR angiography of intracranial aneurysms:proceed, but with caution", AJNR Am J Neuroradiol, 15, pp.1615~1616 (1994)
  14. Wardlaw JM, "The detection and management of unruptured intracranial aneurysms", Brain, 123(Pt 2), pp.205~221 (2000)
  15. Okahara M, "Diagnostic accuracy of magnetic resonance angiography for cerebral aneurysms in correlation with 3D-digital subtraction angiographic images: a study of 133 aneurysms", Stroke, 33, pp.1803~1808 (2002)
  16. Horikoshi T, "Detection of intracranial aneurysms by three-dimensional time-offlight magnetic resonance angiography", Neuroradiology, 36, pp.203~207 (1994)
  17. Adams WM, "The role of MR angiography in the pretreatment assessment of intracranial aneurysms: a comparative study", AJNR Am J Neuroradiol, 21, pp.1618~1628 (2000)
  18. Kemmling A, "A diagnostic pitfall for intracranial aneurysms in time-offlight MR angiography: small intracranial lipomas", AJR Am J Roentgenol, 190, pp.W62~W67 (2008)
  19. Trungu S, "Completely thrombosed distal middle cerebral artery aneurysm mimicking a cavernous angioma: case report and review of the literature", World Neurosurg, 103, pp.955e951~955 e954 (2017)
  20. Qiao Y, "Magnetization transfer magnetic resonance of human atherosclerotic plaques ex vivo detects areas of high protein density", J Cardiovasc Magn Reson, 13, pp.73~ (2011)

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