EP35 7 T MR imaging of small incidental unruptured intracranial aneurysms: first year of clinical experience

P. Radojewski, J. Slotboom, A. Joseph, G. Bonanno, T. Dobrocky, D. Bervini, A. Raabe, R. Wiest, J. Gralla, P. Mordasini
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Abstract

up after WEB implantation compared to gold standard DSA. Methods A total of 42 aneurysms treated with WEB were included. Two experienced readers analysed the anonymised postprocedural MRI, with TOF sequences with an without gadolinium, and DSA images independently, using the WEB Occlusion Score (WOS). Results From our data we found corresponding WOS results from MRI compared to DSA in 60.53% of the cases. With DSA as reference MRI revealed false positive results in 23.7%, and false negative results in 15.8% of the cases. Interrater agreement was 90.48%. The MRI sensitivity was 84.2%, the specificity 76.32%. Conclusions From this data WEB follow up with MRI alone bears a high risk of false findings and cannot replace DSA for a precise WOS assessment.
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附带小的未破裂颅内动脉瘤的ep357t磁共振成像:第一年的临床经验
与金标准DSA相比。方法对42例经WEB治疗的动脉瘤进行回顾性分析。两名经验丰富的读者使用WEB闭塞评分(WOS)独立分析了匿名的术后MRI(带和不带钆的TOF序列)和DSA图像。结果在60.53%的病例中,MRI与DSA的WOS结果相对应。以DSA为参照,MRI假阳性23.7%,假阴性15.8%。通过率为90.48%。MRI敏感性为84.2%,特异性为76.32%。结论:单纯MRI随访存在较高的错误发现风险,不能代替DSA准确评估WOS。
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