Multiparametric Analysis Combining DSC-MR Perfusion and [18F]FET-PET is Superior to a Single Parameter Approach for Differentiation of Progressive Glioma from Radiation Necrosis
ConclusionA multiparametric MRI-PWI and [18F]FET-PET model consisting of TBRmean, rCBVmean and PWI rTTP significantly outperformed the use of rTBRmean alone, which was the best single parameter approach. Secondarily, we firstly report the potential usefulness of PWI rTTP for discrimination of PD from RN in patients with glioma; however, for validation of our findings the prospective studies with larger patient samples are necessary. (Source: Klinische Neuroradiologie)
Source: Klinische Neuroradiologie - December 29, 2023 Category: Radiology Source Type: research
Efficacy and Safety of Dual Antiplatelet Therapy with the Routine Use of Prasugrel for Flow Diversion of Cerebral Unruptured Aneurysms
ConclusionsDual antiplatelet therapy comprising routine use of prasugrel and aspirin for flow diverter-implanted patients possibly contributed to a low rate of thromboembolic complications and low risk of hemorrhagic complications. (Source: Klinische Neuroradiologie)
Source: Klinische Neuroradiologie - October 17, 2023 Category: Radiology Source Type: research
Signal Abnormalities in Noonan Syndrome are Probably Consistent with Focal Areas of Signal Intensity (FASI)
(Source: Klinische Neuroradiologie)
Source: Klinische Neuroradiologie - October 17, 2023 Category: Radiology Source Type: research
Improvement of Neurovascular Imaging Using Ultra-High-Resolution Computed Tomography Angiography
ConclusionUltra-high-resolution CT-angiography improves image quality in neurovascular imaging allowing the depiction and evaluation of small peripheral cerebral arteries. It may thus improve the detection of pathologies in small cerebrovascular lesions and the resulting diagnosis. (Source: Klinische Neuroradiologie)
Source: Klinische Neuroradiologie - October 13, 2023 Category: Radiology Source Type: research
Safety Aspects and Procedural Characteristics of Ambulatory Diagnostic Cerebral Catheter Angiography
ConclusionDiagnostic cerebral catheter angiography can be safely performed in an ambulatory setting. (Source: Klinische Neuroradiologie)
Source: Klinische Neuroradiologie - September 15, 2023 Category: Radiology Source Type: research
Treatment of In-stent Restenosis of the Internal Carotid Artery Using Drug-eluting Balloons
ConclusionThe use of DEB angioplasty is a safe and effective treatment of ICA ISR lesions, yielding significantly better results compared to other modalities. Randomized multicenter studies are warranted. (Source: Klinische Neuroradiologie)
Source: Klinische Neuroradiologie - September 7, 2023 Category: Radiology Source Type: research
Dual Protection Combined Aspiration and Stentrievers Thrombectomy (DPCAS) Technique Treating for Giant Free-floating Carotid Artery Thrombus
(Source: Klinische Neuroradiologie)
Source: Klinische Neuroradiologie - September 7, 2023 Category: Radiology Source Type: research
Association of Small Fiber Function with Microvascular Perfusion of Peripheral Nerves in Patients with Type 2 Diabetes
This study aimed to assess associations between quantitative sensory testing (QST) and parameters of peripheral nerve perfusion obtained from dynamic contrast enhanced (DCE) magnetic resonance neurography (MRN) in type 2 diabetes patients with and without SFN.MethodsA total of 18 patients with type 2 diabetes (T2D, 8 with SFN, 10 without SFN) and 10 healthy controls (HC) took part in this cross-sectional single-center study and underwent QST of the right leg and DCE-MRN of the right thigh with subsequent calculation of the sciatic nerve constant of capillary permeability (Ktrans), extravascular extracellular volume f...
Source: Klinische Neuroradiologie - August 7, 2023 Category: Radiology Source Type: research
CT Findings in Laryngeal Trauma and the Clinical Implications
ConclusionRadiologists ’ early recognition and prompt communication of laryngeal trauma to the clinical service is important to reduce associated morbidity and mortality. Displaced fractures and laryngeal hematomas should be promptly conveyed to the clinical service as they are associated with more complex injuries and higher rates of urgent airway management and surgical intervention. (Source: Klinische Neuroradiologie)
Source: Klinische Neuroradiologie - July 6, 2023 Category: Radiology Source Type: research
Ultra-High-Resolution Time-of-Flight MR-Angiography for the Noninvasive Assessment of Intracranial Aneurysms, Alternative to Preinterventional DSA?
ConclusionIn this pilot study, ultra-high-resolution TOF-MRA visualized all aneurysms and accurately depicted aneurysm irregularities and vessels at the base of the aneurysm comparably to DSA, outperforming conventional TOF. UHR-TOF with compressed sensing reconstruction seems to represent a non-invasive alternative to pre-interventional DSA for intracranial aneurysms. (Source: Klinische Neuroradiologie)
Source: Klinische Neuroradiologie - July 4, 2023 Category: Radiology Source Type: research
Systematic Review and Meta-analysis of Radial or Femoral Access for Carotid Stenting
ConclusionThe modest quality of the data suggested comparable procedural outcomes between the transradial and transfemoral approaches when performing carotid stenting; however, high level evidence regarding postoperative brain images and risk of stroke in transradial carotid stenting are lacking. Therefore, it is reasonable for interventionists to weigh up the risks of neurological events and potential benefits, including fewer access site complications, before choosing the radial or femoral arteries as access sites. Future large-scale randomized controlled trials are imperative. (Source: Klinische Neuroradiologie)
Source: Klinische Neuroradiologie - July 4, 2023 Category: Radiology Source Type: research
First Experience of Treatment of Multiple Shrapnel Traumatic Pseudoaneurysms During the War in Ukraine Using Tegus Telemedical System
(Source: Klinische Neuroradiologie)
Source: Klinische Neuroradiologie - June 29, 2023 Category: Radiology Source Type: research
Cost-effectiveness of WEB Embolization, Coiling and Stent-assisted Coiling for the Treatment of Unruptured Intracranial Aneurysms
ConclusionThe novel WEB showed at least comparable cost-effectiveness to SAC for treatment of broad-based unruptured aneurysms. Considering all three modalities, coiling had the least costs; however this modality is often not appropriate for the treatment of wide-necked aneurysms. (Source: Klinische Neuroradiologie)
Source: Klinische Neuroradiologie - June 27, 2023 Category: Radiology Source Type: research
Clinical, 3D Morphological, and Hemodynamic Risk Factors for Instability of Unruptured Intracranial Aneurysms
ConclusionsThe management of UIAs should focus on the control of hypertension during the follow-up. Aneurysms on the posterior communicating artery, posterior circulation, and cavernous carotid arteries require intensive surveillance or timely treatment. (Source: Klinische Neuroradiologie)
Source: Klinische Neuroradiologie - June 15, 2023 Category: Radiology Source Type: research
7 T Versus 3 T in the Diagnosis of Small Unruptured Intracranial Aneurysms: Reply to Radojewski et al.
(Source: Klinische Neuroradiologie)
Source: Klinische Neuroradiologie - June 15, 2023 Category: Radiology Source Type: research
