Fused magnetic resonance angiography and 2D fluoroscopic visualization for endovascular intracranial neuronavigation

Technical note

View More View Less
  • 1 Department of Radiology, Division of Neuroradiology, Cerrahpasa Medical School, University of Istanbul, Kocamustafapasa, Istanbul, Turkey; and
  • 2 Philips Healthcare, Best, The Netherlands
Restricted access

Purchase Now

USD  $45.00

JNS + Pediatrics - 1 year subscription bundle (Individuals Only)

USD  $505.00

JNS + Pediatrics + Spine - 1 year subscription bundle (Individuals Only)

USD  $600.00
Print or Print + Online

Advanced transluminal neurovascular navigation is an indispensable image-guided method that allows for real-time navigation of endovascular material in critical neurovascular settings. Thus far, it has been primarily based on 2D and 3D angiography, burdening the patient with a relatively high level of iodinated contrast. However, in the patients with renal insufficiency, this method is no longer tolerable due to the contrast load. The authors present a novel image guidance technique based on periprocedural fluoroscopic images fused with a preinterventionally acquired MRI data set. The technique is illustrated in a case in which the fused image combination was used for endovascular treatment of a giant cerebral aneurysm.

Abbreviations used in this paper:FDCT = flat detector CT; MRA = MR angiography.

JNS + Pediatrics - 1 year subscription bundle (Individuals Only)

USD  $505.00

JNS + Pediatrics + Spine - 1 year subscription bundle (Individuals Only)

USD  $600.00

Contributor Notes

Address correspondence to: Naci Kocer, M.D., Department of Radiology, Division of Neuroradiology, Cerrahpasa Medical School, University of Istanbul, Kocamustafapasa, Istanbul 34098, Turkey. email: nkocer@istanbul.edu.tr.

Please include this information when citing this paper: published online December 14, 2012; DOI: 10.3171/2012.11.JNS111355.

  • 1

    Barrett BJ: Contrast nephrotoxicity. J Am Soc Nephrol 5:125137, 1994

  • 2

    Brezis M, & Epstein FH: A closer look at radiocontrast-induced nephropathy. N Engl J Med 320:179181, 1989

  • 3

    Kamran M, , Nagaraja S, & Byrne JV: C-arm flat detector computed tomography: the technique and its applications in interventional neuroradiology. Neuroradiology 52:319327, 2010

    • Search Google Scholar
    • Export Citation
  • 4

    Lin CJ, , Blanc R, , Clarençon F, , Piotin M, , Spelle L, & Guillermic J, : Overlying fluoroscopy and preacquired CT angiography for road-mapping in cerebral angiography. AJNR Am J Neuroradiol 31:494495, 2010

    • Search Google Scholar
    • Export Citation
  • 5

    Parfrey PS, , Griffiths SM, , Barrett BJ, , Paul MD, , Genge M, & Withers J, : Contrast material-induced renal failure in patients with diabetes mellitus, renal insufficiency, or both. A prospective controlled study. N Engl J Med 320:143149, 1989

    • Search Google Scholar
    • Export Citation
  • 6

    Ruijters D, , Babic D, , Homan R, , Mielekamp P, , ter Haar Romeny BM, & Suetens P: Real-time integration of 3-D multimodality data in interventional neuroangiography. J Electron Imaging 18:033014-1033014-7, 2009

    • Search Google Scholar
    • Export Citation
  • 7

    Ruijters D, , Homan R, , Mielekamp P, , van de Haar P, & Babic D: Validation of 3D multimodality roadmapping in interventional neuroradiology. Phys Med Biol 56:53355354, 2011

    • Search Google Scholar
    • Export Citation
  • 8

    Söderman M, , Babic D, , Holmin S, & Andersson T: Brain imaging with a flat detector C-arm: technique and clinical interest of XperCT. Neuroradiology 50:863868, 2008

    • Search Google Scholar
    • Export Citation
  • 9

    Timinger H, , Krueger S, , Borgert J, & Grewer R: Motion compensation for interventional navigation on 3D static roadmaps based on an affine model and gating. Phys Med Biol 49:719732, 2004

    • Search Google Scholar
    • Export Citation

Metrics

All Time Past Year Past 30 Days
Abstract Views 413 254 1
Full Text Views 108 5 0
PDF Downloads 170 6 0
EPUB Downloads 0 0 0