3D rotational digital subtraction angiography may underestimate intracranial aneurysms: findings from two basilar aneurysms

AJNR. American Journal of Neuroradiology
L-D JouM E Mawad

Abstract

3D digital subtraction angiography (DSA) allows clinicians to review intracranial aneurysms and other vascular lesions. We report 2 basilar aneurysms that were imaged by both 3D DSA and DynaCT. These 2 techniques produced very different aneurysm appearances. Anterior portions of the aneurysms were invisible on 3D DSA but were revealed by DynaCT. These aneurysms appeared to have been flattened by image artifacts in 3D DSA. Pulsation and gravity are 2 possible causes of aneurysm underestimation.

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Related Concepts

Structure of Basilar Artery
Mycotic Aneurysm, Intracranial
False Negative Reactions
Clinorotation
Angiography, Digital Subtraction
Imaging, Three-Dimensional, Computer Assisted

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