Optimization of image shoot timing for cerebral veins 3D-digital subtraction angiography by interventional angiography systems.

IF 1.7 Q3 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING
Kazuya Saeki, Takayuki Tamura, Shingo Kouno, Eiji Nishimaru, Masao Kiguchi, Takafumi Mitsuhara, Kazuo Awai
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引用次数: 0

Abstract

3D-digital subtraction angiography (3D-DSA) is essential for understanding the anatomical structure of cerebral veins, crucial in brain tumor surgery. 3D-DSA produces three-dimensional images of veins by adjusting the X-ray delay time after contrast agent injection, but the delineation of veins varies with the delay in X-ray timing. Our study aimed to refine the delay time using time-enhancement curve (TEC) analysis from 2D-DSA conducted before 3D-DSA imaging. We retrospectively reviewed 26 meningioma patients who underwent cerebral angiography from March 2020 to August 2021. Using 2D-DSA, we analyzed arterial and venous TECs to determine the contrast agent's peak time and estimated the optimal imaging timing. Cases performed near this optimal time were in Group A, and others in Group B, with cerebral venous pixel values compared between them. TEC analysis identified peak times: internal carotid artery: 2.8 ± 0.7 s, middle cerebral artery (M4): 4.1 ± 0.9 s, superior sagittal sinus: 8.3 ± 1.1 s, sigmoid sinus: 9.5 ± 1.3 s, and venous structures near tumors: 7.3 ± 1.0 s. We observed several veins peaking immediately after arterial contrast passage, suggesting the optimal X-ray delay should incorporate the arterial contrast agent's transit time. Statistical analysis revealed that Group A, with imaging timed to reflect the contrast agent transit time, demonstrated significantly better contrast effects than Group B. The X-ray delay time for 3D-DSA imaging of cerebral veins can be optimized in angiography systems by incorporating the contrast agent transit time, calculated from TEC analysis of cerebral 2D-DSA images.

通过介入血管造影系统优化脑静脉三维数字减影血管造影的图像拍摄时机。
三维数字减影血管造影术(3D-DSA)对了解脑静脉的解剖结构至关重要,这在脑肿瘤手术中至关重要。三维数字减影血管造影(3D-DSA)通过调整造影剂注射后的 X 射线延迟时间来生成静脉的三维图像,但静脉的轮廓随 X 射线时间的延迟而变化。我们的研究旨在利用 3D-DSA 成像前进行的 2D-DSA 时间增强曲线(TEC)分析来完善延迟时间。我们回顾性研究了 2020 年 3 月至 2021 年 8 月期间接受脑血管造影术的 26 例脑膜瘤患者。我们使用 2D-DSA 分析了动脉和静脉 TEC,以确定造影剂的峰值时间,并估算出最佳成像时间。在最佳时间附近进行的病例属于 A 组,其他病例属于 B 组,并对两者的脑静脉像素值进行比较。TEC 分析确定了峰值时间:颈内动脉:2.8 ± 0.7 秒,大脑中动脉(M4):4.1 ± 0.9 秒:4.1 ± 0.9 秒、上矢状窦:8.3 ± 1.1 秒、乙状窦:9.5 ± 1.3 秒以及肿瘤附近的静脉结构:我们观察到一些静脉在动脉造影剂通过后立即达到峰值,这表明最佳的 X 光延迟时间应包括动脉造影剂的通过时间。统计分析表明,A 组的成像时间反映了造影剂的通过时间,其造影效果明显优于 B 组。根据对脑 2D-DSA 图像的 TEC 分析计算出的造影剂通过时间,可以优化血管造影系统中脑静脉 3D-DSA 成像的 X 射线延迟时间。
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来源期刊
Radiological Physics and Technology
Radiological Physics and Technology RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING-
CiteScore
3.00
自引率
12.50%
发文量
40
期刊介绍: The purpose of the journal Radiological Physics and Technology is to provide a forum for sharing new knowledge related to research and development in radiological science and technology, including medical physics and radiological technology in diagnostic radiology, nuclear medicine, and radiation therapy among many other radiological disciplines, as well as to contribute to progress and improvement in medical practice and patient health care.
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