Медицинская литература. Новинки

 

 

 

 

 

 

Роль КТ-ангиографии в оценке лечения аневризм интракраниальных артерий

Вы можете загрузить полный текст статьи в формате pdf

В обзоре представлена информация о возможностях и значимости применения компьютерной томографической ангиографии (КТА) как метода послеоперационного контроля церебральных аневризм после хирургического клипирования или эндоваскулярной эмболизации. Показано сравнение диагностической ценности КТА и церебральной ангиографии в отношении рутинного послеоперационного контроля. Описаны возможности усовершенствования методик сканирования и постобработки в рамках КТА для более качественной визуализации полноты выключения аневризм, а также минимизации артефактов от хирургических клипс и катушек.

Ключевые слова:
компьютерная томография, КТ-ангиография, магнитно-резонансная томография, МР-ангиография, церебральная ангиография, аневризма, головной мозг, субарахноидальное кровоизлияние, computed tomography, CT cerebral angiography, magnetic resonance imaging, MR-angiography, cerebral angiography, aneurysm, brain, subarachnoid hemorrhage

Литература:
1.Hacein-Bey L., Provenzale J.M. Current imaging assessment and treatment of intracranial aneurysms. Am. J. Roentgenol. 2011; 196 (1): 32-44. https://doi.org/10.2214/ajr.10.5329
2.Johnston S.C., Dowd C.F., Higashida R.T. et al. Predictors of Rehemorrhage After Treatment of Ruptured Intracranial Aneurysms. Stroke. 2008; 39 (1): 120-125. https://doi.org/10.1161/strokeaha.107.495747
3.Soize S., Gawlitza M., Raoult H., Pierot L. Imaging Follow-Up of Intracranial Aneurysms Treated by Endovascular Means: Why, When, and How? Stroke. 2016: 47 (5): 1407-1412. https://doi.org/10.1161/strokeaha.115.011414
4.Vieco P.T., Morin 3rd E.E., Gross C.E. CT angiography in the examination of patients with aneurysm clips. Am. J. Neuroradiol. 1996; 17 (3): 455-457. https://doi.org/10.3174/ajnr.a1523
5.van Loon J.J., Yousry T.A., Fink U. et al. Postoperative spiral computed tomography and magnetic resonance angiography after aneurysm clipping with titanium clips. Neurosurgery. 1997; 41: 851-856. https://doi.org/10.1097/00006123-199710000-00016
6.Lee J.H., Kim S.J., Cha J. et al. Postoperative multidetector computed tomography angiography after aneurysm clipping: comparison with digital subtraction angiography. J. Comput. Assist. Tomogr. 2005; 29 (1): 20-25. https://doi.org/10.1097/01.rct.0000147980.83333.d1
7.van der Schaaf I.C., Velthuis B.K., Wermer M.J. et al.; ASTRA Study Group. Multislice computed tomography angiography screening for new aneurysms in patients with previously clip-treated intracranial aneurysms: feasibility, positive predictive value, and interobserver agreement. J. Neurosurg. 2006; 105 (5): 682-688. https://doi.org/10.3171/jns.2006.105.5.682
8.Wallace R.C., Karis J.P., Partovi S., Fiorella D. Noninvasive Imaging of Treated Cerebral Aneurysms, Part II: CT Angiographic Follow-Up of Surgically Clipped Aneurysms. Am. J. Neuroradiol. 2007; 28 (7): 1207-1212. https://doi.org/10.3174/ajnr.a0664
9.Sakuma I., Tomura N., Kinouchi H. et al. Postoperative three-dimensional CT angiography after cerebral aneurysm clipping with titanium clips: detection with single detector CT. Comparison with intra-arterial digital subtraction angiography. Clin. Radiol. 2006; 61 (6): 505-512. https://doi.org/10.1016/j.crad.2006.01.011
10.van der Schaaf I., van Leeuwen M., Vlassenbroek A., Velthuis B. Minimizing clip artifacts in multi CT angiography of clipped patients. Am. J. Neuroradiol. 2006; 27: 60-66.
11.Dehdashti A.R., Binaghi S., Uske A., Regli L. Comparison of multislice computerized tomography angiography and digital subtraction angiography in the postoperative evaluation of patients with clipped aneurysms. J. Neurosurg. 2006; 104 (3): 395-403. https://doi.org/10.3171/jns.2006.104.3.395
12.Bharatha A., Yeung R., Durant D. et al. Compa rison of computed tomography angiography with digital subtraction angiography in the assessment of clipped intracranial aneurysms. J. Comput. Assist. Tomogr. 2010; 34 (3): 440-445. https://doi.org/10.1097/rct.0b013e3181d27393
13.Gerardin E., Tollard E., Derrey S. et al. Usefulness of multislice computerized tomographic angiography in the post operative evaluation of patients with clipped aneurysms. Acta Neurochirurgica. 2010; 152 (5): 793-802. https://doi.org/10.1007/s00701-009-0465-4
14.Dolati P., Eichberg D., Wong J.H., Goyal M. The Utility of Dual-Energy Computed Tomographic Angiography for the Evaluation of Brain Aneurysms after surgical clipping: a prospective study. Wld Neurosurg. 2015; 84 (5): 1362-1371. https://doi.org/10.1016/j.wneu.2015.06.027
15.Mocanu I., Van Wettere M., Absil J. et al. Value of dualenergy CT angiography in patients with treated intracranial aneurysms. Neuroradiology. 2018; 60 (12): 1287-1295. https://doi.org/10.1007/s00234-018-2090-5
16.Winklhofer S., Hinzpeter R., Stocker D. et al. Combining monoenergetic extrapolations from dual-energy CT with iterative reconstructions: reduction of coil and clip artifacts from intracranial aneurysm therapy. Neuroradiology. 2018; 60 (3): 281-291. https://doi.org/10.1007/s00234-018-1981-9
17.Wellenberg R.H.H., Hakvoort E.T., Slump C.H. et al. Metal artifact reduction techniques in musculoskeletal CT-imaging. Eur. J Radiol. 2018; 107: 60-69. https://doi.org/10.1016/j.ejrad.2018.08.010
18.Wellenberg R.H., Boomsma M.F., van Osch J.A. et al. Quantifying metal artefact reduction using virtual monochromatic dual-layer detector spectral CT imaging in unilateral and bilateral total hip prostheses. Eur. J. Radiol. 2017; 88: 61-70. https://doi.org/10.1016/j.ejrad.2017.01.002
19.Laukamp K.R., Zopfs D., Lennartz S. et al. Metal artifacts in patients with large dental implants and bridges: combination of metal artifact reduction algorithms and virtual monoenergetic images provides an approach to handle even strongest artifacts. Eur. Radiol. 2019; 29 (8): 4228-4238. https://doi.org/10.1007/s00330-018-5928-7
20.Gro?e Hokamp N., Laukamp K.R., Lennartz S. et al. Artifact reduction from dental implants using virtual monoenergetic reconstructions from novel spectral detector CT. Eur. J. Radiol. 2018; 104: 136-142. https://doi.org/10.1016/j.ejrad.2018.04.018
21.Zopfs D., Lennartz S., Pennig L. et al. Virtual monoenergetic images and post-processing algorithms effectively reduce CT artifacts from intracranial aneurysm treatment. Sci. Rep. 2020; 10: 6629. https://doi.org/10.1038/s41598-020-63574-8
22.Fitsiori A., Martin S.P., Juillet De Saint Lager A. et al. Iterative Algorithms Applied to Treated Intracranial Aneurysms. Clin. Neuro radiol. 2019; 29 (4): 741-749. https://doi.org/10.1007/s00062-018-0701-5
23.Pjontek R., Onenkoprulu B., Scholz B. et al. Metal artifact reduction for flat panel detector intravenous CT angiography in patients with intracranial metallic implants after endovascular and surgical treatment. J. Neurointervent. Surg. 2016; 8 (8): 824-829. https://doi.org/10.1136/neurintsurg-2015-011787
24.Prell D., Kyriakou Y., Struffert T. et al. Metal artifact reduction for clipping and coiling in interventional C-arm CT. Am. J. Neuroradiol. 2010; 31 (4): 634-639. https://doi.org/10.3174/ajnr.A1883
25.Psychogios M.N., Scholz B., Rohkohl C. et al. Impact of a new metal artefact reduction algorithm in the noninvasive follow-up of intracranial clips, coils, and stents with flatpanel angiographic CTA: initial results. Neuroradiology. 2013; 55 (7): 813-818. https://doi.org/10.1007/s00234-013-1165-6
26.Chintalapani G., Chinnadurai P., Srinivasan V. et al. Evaluation of C-arm CT metal artifact reduction algorithm during intra-aneurysmal coil embolization: assessment of brain parenchyma, stents and flow-diverters. Eur. J. Radiol. 2016; 85 (7): 1312-1321. https://doi.org/10.1016/j.ejrad.2016.04.013
27.Pan Y.N., Chen G., Li A.J. et al. Reduction of metallic artifacts of the post-treatment intracranial aneurysms: effects of single energy metal artifact reduction algorithm. Clin. Neuro radiol. 2019; 29 (2): 277-284. https://doi.org/10.1007/s00062-017-0644-2

The role of CT-angiography in assessment results of surgical treatment of intracranial aneurysms

The review provides information on the possibilities and significance of computed tomography (CT) angiography as a method of postoperative control of cerebral aneurysms after treatment (surgical clipping or endovascular embolization). The comparison of the diagnostic value of CT and cerebral angiography as a routine method of postoperative control is shown. The possibilities of improving the methods of scanning and post-processing in the framework of CT angiography are described for better visualization of the completeness of aneurysm shutdown, as well as minimizing artifacts from surgical clips and coils.

Keywords:
компьютерная томография, КТ-ангиография, магнитно-резонансная томография, МР-ангиография, церебральная ангиография, аневризма, головной мозг, субарахноидальное кровоизлияние, computed tomography, CT cerebral angiography, magnetic resonance imaging, MR-angiography, cerebral angiography, aneurysm, brain, subarachnoid hemorrhage