Neuroradiology JournalPub Date : 2026-02-01Epub Date: 2025-06-03DOI: 10.1177/19714009251346477
Selim Abed, Klaus Hergan, Johannes Pfaff, Jan Dörrenberg, Lucas Brandstetter, Johann Gradl
{"title":"Artificial intelligence for detecting traumatic intracranial haemorrhage with CT: A workflow-oriented implementation.","authors":"Selim Abed, Klaus Hergan, Johannes Pfaff, Jan Dörrenberg, Lucas Brandstetter, Johann Gradl","doi":"10.1177/19714009251346477","DOIUrl":"10.1177/19714009251346477","url":null,"abstract":"<p><p>The objective of this study was to assess the performance of an artificial intelligence (AI) algorithm in detecting intracranial haemorrhages (ICHs) on non-contrast CT scans (NCCT). Another objective was to gauge the department's acceptance of said algorithm. Surveys conducted at three and nine months post-implementation revealed an increase in radiologists' acceptance of the AI tool with an increasing performance. However, a significant portion still preferred an additional physician given comparable cost. Our findings emphasize the importance of careful software implementation into a robust IT architecture.</p>","PeriodicalId":47358,"journal":{"name":"Neuroradiology Journal","volume":" ","pages":"119-125"},"PeriodicalIF":0.8,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12133775/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144209906","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Neuroradiology JournalPub Date : 2026-02-01Epub Date: 2025-05-22DOI: 10.1177/19714009251345105
Ocílio Ribeiro Gonçalves, Ana B Santos, Anthony Hong, Matheus Felipe Henriques Brandão, Gabriel de Almeida Monteiro, Luma Rodrigues da Silva, Arlindo Bispo da Silva Júnior, Gabriel Henrique Simoni, Kairo Igor Freitas de Aquino, Pedro Barreto Pires Bezerra Filho, Márcio Yuri Ferreira, Sávio Batista, Victor Gonçalves Soares, Vitor Ribeiro Gonçalves, Christian Ferreira, Kelson James Almeida
{"title":"Endovascular thrombectomy versus standard medical treatment in acute ischemic stroke patients with large infarcts (ASPECTS ≤ 5): A meta-analysis.","authors":"Ocílio Ribeiro Gonçalves, Ana B Santos, Anthony Hong, Matheus Felipe Henriques Brandão, Gabriel de Almeida Monteiro, Luma Rodrigues da Silva, Arlindo Bispo da Silva Júnior, Gabriel Henrique Simoni, Kairo Igor Freitas de Aquino, Pedro Barreto Pires Bezerra Filho, Márcio Yuri Ferreira, Sávio Batista, Victor Gonçalves Soares, Vitor Ribeiro Gonçalves, Christian Ferreira, Kelson James Almeida","doi":"10.1177/19714009251345105","DOIUrl":"10.1177/19714009251345105","url":null,"abstract":"<p><p><b>Background:</b> Recent studies highlight the benefits of endovascular thrombectomy (EVT) combined with standard medical treatment (SMT) for acute ischemic stroke (AIS) patients with large infarcts compared to SMT alone. <b>Objective:</b> This study evaluates the efficacy, bleeding risk, and mortality of EVT versus SMT in AIS patients with Alberta Stroke Program Early CT Score (ASPECTS) ≤5. <b>Methods:</b> A systematic review of MEDLINE, Embase, and Cochrane databases was conducted on June 6, 2024, to identify randomized controlled trials (RCTs) comparing EVT plus SMT with SMT alone in AIS patients with ASPECTS ≤5. Primary outcomes included successful reperfusion, modified Rankin scale (mRS) scores of 0-2 and 0-3, and neurological improvement. Secondary outcomes assessed all-cause mortality, intracranial hemorrhage (ICH), and EQ-5D-5L Utility Index. Statistical analyses applied the Mantel-Haenszel method with 95% confidence intervals (CIs), with heterogeneity evaluated via I<sup>2</sup> statistics. <b>Results:</b> Six RCTs involving 1887 patients (944 receiving EVT) were included. EVT significantly increased the incidence of mRS 0-2 (RR 2.50; 95% CI 1.89 to 3.30; <i>p</i> < .001; I<sup>2</sup> = 8%) and mRS 0-3 (RR 1.92; 95% CI 1.50 to 2.46; <i>p</i> < .001; I<sup>2</sup> = 62%). However, EVT was associated with a higher risk of ICH (RR 1.73; 95% CI 1.11 to 2.69; <i>p</i> = .016; I<sup>2</sup> = 0%) and did not reduce mortality compared to SMT (RR 0.86; 95% CI 0.72 to 1.02; <i>p</i> = .082; I<sup>2</sup> = 47%). <b>Conclusion:</b> EVT improves functional outcomes in AIS patients with moderate-to-low ASPECTS but increases the risk of ICH without reducing mortality.</p>","PeriodicalId":47358,"journal":{"name":"Neuroradiology Journal","volume":" ","pages":"13-21"},"PeriodicalIF":0.8,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12098320/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144120207","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Neuroradiology JournalPub Date : 2026-02-01Epub Date: 2025-05-12DOI: 10.1177/19714009241303125
Mohammad A Altraifi, Akeel A Alali
{"title":"Are CT scans of the sinuses before stem cell transplantations necessary among patients with sickle cell disease who underwent MRI?","authors":"Mohammad A Altraifi, Akeel A Alali","doi":"10.1177/19714009241303125","DOIUrl":"10.1177/19714009241303125","url":null,"abstract":"<p><p>PurposeThe utility of CT scans of the sinuses before stem cell transplantation among patients with sickle cell disease (SCD) is unclear, as there have been conflicting results in the literature. This study aimed to assess whether brain MRI screening is sufficient for evaluating the paranasal sinuses (PNS), thus eliminating the need for CT scans of the sinuses prior to hematopoietic stem cell transplantation (HSCT).Materials and methodsThis was a retrospective study in which we included all adult patients with SCD who were scheduled for HSCT and underwent CT scans of the sinuses and brain MRI within one week. The Lund and Mackay staging systems were used to score sinus mucosal thickening on both CT and MRI, each of which was performed separately and blindly. The agreement between the two modalities was assessed by the intraclass correlation coefficient (ICC).ResultsA total of 119 pre-transplant patients were included. There was excellent agreement between MRI and CT, with an ICC of 0.978 (0.967-0.985 at 95% confidence interval; <i>p</i> < .001). There was also substantial agreement between MRI and CT in the evaluation of sinus calcifications or hyperdense material, with a Cohen kappa value of 0.8 (<i>p</i> < .001).ConclusionBrain MRI is probably sufficient for assessing PNS disease in SCD patients before stem cell transplantation. Given its effectiveness in detecting sinus disease and silent infarcts without the added risks of radiation, MRI is the preferred and most resource-efficient imaging approach.</p>","PeriodicalId":47358,"journal":{"name":"Neuroradiology Journal","volume":" ","pages":"64-69"},"PeriodicalIF":0.8,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12075171/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144054120","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Neuroradiology JournalPub Date : 2026-02-01Epub Date: 2025-05-22DOI: 10.1177/19714009251345104
Bardia Hajikarimloo, Ibrahim Mohammadzadeh, Mohammad Amin Habibi, Salem M Tos, Ali Asgarzadeh, Mahboobeh Tajvidi, Saba Aghajani, Rana Hashemi, Alireza Kooshki
{"title":"Machine learning models in the prediction of chronic or shunt-dependent hydrocephalus following subarachnoid hemorrhage: A systematic review and meta-analysis.","authors":"Bardia Hajikarimloo, Ibrahim Mohammadzadeh, Mohammad Amin Habibi, Salem M Tos, Ali Asgarzadeh, Mahboobeh Tajvidi, Saba Aghajani, Rana Hashemi, Alireza Kooshki","doi":"10.1177/19714009251345104","DOIUrl":"10.1177/19714009251345104","url":null,"abstract":"<p><p>PurposeChronic or shunt-dependent hydrocephalus is a frequent consequence of subarachnoid hemorrhage (SAH) with an unclear pathophysiology, making treatment challenging. Despite favorable outcomes following cerebrospinal fluid (CSF) diversion, high-risk surgical interventions remain necessary in some cases. Accurate prediction of chronic or shunt-dependent hydrocephalus in SAH patients can play an important role in their management. This systematic review and meta-analysis assessed the predictive performance of machine learning (ML) models in forecasting chronic or shunt-dependent hydrocephalus following SAH.MethodsA systematic search of PubMed, Embase, Scopus, and Web of Science was conducted. ML or deep learning (DL)-based models that predicted chronic or shunt-dependent hydrocephalus following SAH were included. To avoid bias, only the data of the best-performance model, which was defined by the highest area under the curve (AUC) of the models, were extracted. The pooled AUC, accuracy (ACC), sensitivity, specificity, and diagnostic odds ratio (DOR) were calculated using the R program.ResultsSix studies with 2096 individuals were included. The AUC, ACC, sensitivity, and specificity ranged from 0.8 to 0.92, 0.72 to 0.9, 0.73 to 0.85, and 0.7 to 0.92. The meta-analysis showed a pooled AUC of 0.83 (95%CI: 0.81-0.84) and ACC of 0.79 (95%CI: 0.66-0.91). The meta-analysis revealed a pooled sensitivity of 0.8 (95%CI: 0.73-0.85), specificity of 0.79 (95%CI: 0.68-0.86), and DOR of 12.13 (95%CI: 8.2-17.96) for predictive performance of these models.ConclusionML-based models showed encouraging predictive performance in forecasting chronic or shunt-dependent hydrocephalus following SAH.</p>","PeriodicalId":47358,"journal":{"name":"Neuroradiology Journal","volume":" ","pages":"31-41"},"PeriodicalIF":0.8,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12102083/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144129196","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Neuroradiology JournalPub Date : 2026-02-01Epub Date: 2026-02-07DOI: 10.1177/19714009261419224
Luca Saba
{"title":"The many roads of AI in neuroradiology.","authors":"Luca Saba","doi":"10.1177/19714009261419224","DOIUrl":"10.1177/19714009261419224","url":null,"abstract":"","PeriodicalId":47358,"journal":{"name":"Neuroradiology Journal","volume":"39 1","pages":"5-6"},"PeriodicalIF":0.8,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12882830/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146133248","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Differential diagnosis of intracranial solitary fibrous tumor and high-grade meningioma based on CT and MRI features.","authors":"Zongsheng Pu, Yinfu He, Shilin Qiu, Yinrui Yang, Zhenhui Li, DePei Gao, Dafu Zhang","doi":"10.1177/19714009251345103","DOIUrl":"10.1177/19714009251345103","url":null,"abstract":"<p><p>BackgroundISFT and HGM exhibit similar imaging characteristics, but their distinct behaviors and treatments necessitate accurate preoperative imaging for optimal management.PurposeTo evaluate conventional CT and MRI in differentiating ISFT from HGM.MethodsRetrospective analysis of clinical data, CT, and MRI images from 31 ISFT and 50 HGM patients confirmed by pathology. Various imaging features were examined, including tumor size, shape (lobulated or round), base width (narrow or broad), presence of cystic necrosis, calcification, signal intensity on T1- and T2-weighted MRI, intravascular flowing-void signs, peritumoral edema, CT attenuation values on non-enhanced and enhanced scans, and adjacent bone destruction. Chi-square tests, t-tests, ROC curves, and multivariate logistic regression were used to establish predictive models. A nomogram illustrated the final model.ResultsISFT onset age was ≤48.5 years, with a maximum tumor diameter of ≥4.5 cm. Features included lobulated appearance, narrow base, cystic necrosis, absence of calcification, low T1-weighted MRI signal, intravascular flowing-void signs, peritumoral edema, CT value ≤51.7 Hu on non-enhanced and ≥107.6 Hu on enhanced scans, and adjacent bone destruction. Combining tumor diameter, vascular flowing void, enhanced CT value, and absence of calcification yielded 92.0% sensitivity and 90.3% specificity for ISFT diagnosis.ConclusionAge and imaging characteristics effectively differentiate ISFT from HGM, particularly with a tumor diameter ≥4.5 cm, vascular flowing-void signals, absence of calcification, and enhanced CT value ≥107.6 Hu. A nomogram shows good predictive efficacy.</p>","PeriodicalId":47358,"journal":{"name":"Neuroradiology Journal","volume":" ","pages":"96-104"},"PeriodicalIF":0.8,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12103465/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144136460","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Neuroradiology JournalPub Date : 2026-02-01Epub Date: 2025-05-14DOI: 10.1177/19714009251339083
Arash Kamali, Kamand Khalaj, Atif Ali, Farbod Khalaj, Diana Kokash, Andres R Gonzalez, Michael A Jacobs, Alireza Akhbardeh, Paul E Schulz, Khader M Hasan
{"title":"Direct parieto-occipital connectivity of the amygdala via the parahippocampal segment of the cingulum bundle.","authors":"Arash Kamali, Kamand Khalaj, Atif Ali, Farbod Khalaj, Diana Kokash, Andres R Gonzalez, Michael A Jacobs, Alireza Akhbardeh, Paul E Schulz, Khader M Hasan","doi":"10.1177/19714009251339083","DOIUrl":"10.1177/19714009251339083","url":null,"abstract":"<p><p>BackgroundThe amygdala is a key structure involved in memory, emotional processing, and sensory integration. While the cortical connectivity of the amygdala with the frontal and temporal lobes has been extensively studied, its direct connections with the parieto-occipital cortices remain underexplored. This study aims to delineate the direct connectivity between the amygdala and the parietal and occipital cortices via the parahippocampal segment of the cingulum bundle.MethodsHigh-resolution diffusion-weighted imaging (DWI) tractography was performed on 30 healthy adult brains. Fiber tracking was conducted using three regions of interest (ROIs) placed in the parietal, occipital, and medial temporal lobes. A fractional anisotropy (FA) threshold of 0.25 and an angle threshold of 70° were applied to reconstruct the fiber pathways.ResultsA consistent bilateral trajectory of the parahippocampal segment of the cingulum bundle was identified, originating in the posterior parietal and lateral occipital cortices and terminating in the amygdala. This pathway was distinct from adjacent fiber tracts such as the amygdalofugal pathway and fornix.ConclusionThis study confirms the existence of a direct parieto-occipital connection to the amygdala via the parahippocampal cingulum bundle which is an important part of the ventral and dorsal Kamali limbic circuitry. These findings contribute to our understanding of posterior limbic connectivity and may have implications for visuosensory-emotional processing in both health and disease.</p>","PeriodicalId":47358,"journal":{"name":"Neuroradiology Journal","volume":" ","pages":"70-77"},"PeriodicalIF":0.8,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12078249/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144041167","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Neuroradiology JournalPub Date : 2026-02-01Epub Date: 2025-05-08DOI: 10.1177/19714009251338634
Michelle T Nguyen, John C Benson, Adnan Shahid, Anthony S Larson, Waleed Brinjikji, Deena Nasr, Luca Saba, Giuseppe Lanzino, Luis E Savastano
{"title":"Associations between intraplaque hemorrhage and other high-risk plaque features in atherosclerotic plaques.","authors":"Michelle T Nguyen, John C Benson, Adnan Shahid, Anthony S Larson, Waleed Brinjikji, Deena Nasr, Luca Saba, Giuseppe Lanzino, Luis E Savastano","doi":"10.1177/19714009251338634","DOIUrl":"10.1177/19714009251338634","url":null,"abstract":"<p><p><b>Background:</b> Little is known about the association between intraplaque hemorrhage (IPH) and other features of high-risk carotid atherosclerotic plaques, such as the presence of plaque ulceration, plaque enhancement, and lipid-rich necrotic core (LRNC). This study set out to assess the relationship between IPH and other vulnerable plaque features. <b>Materials and Methods:</b> A retrospective review was done of 102 patients with IPH in one or both of the internal carotid arteries (ICA) on neck MRA between 1/1/2016 and 3/31/2021. IPH was defined as a ≥200% signal intensity of the adjacent sternocleidomastoid muscle on MPRAGE images. All ICA plaques were assessed for the presence or absence of IPH, plaque ulceration, plaque enhancement, and LRNC, as well as IPH volume. IPH volume was measured manually by outlining the region of interest. <b>Results:</b> A total of 102 patients were included, with 88 (86.3%) being male. The average age was 73.5 years (SD = 9.0). Both IPH and LRNC were more commonly seen in the left carotid artery (<i>p</i> = .018 and <i>p</i> = .047, respectively). For right-sided ICAs, there was a significant association between IPH and LRNC (<i>p</i> < .0001). Lesions without IPH were more likely to have plaque enhancement than lesions with IPH (<i>p</i> = .04). For left-sided ICAs, there was also a significant association between the presence of IPH and LRNC (<i>p</i> < .0001). <b>Conclusions:</b> There is a significant association between the presence of IPH and LRNC. An inverse relationship was found between the presence of IPH and plaque enhancement for right-sided plaques. No associations were found between IPH and plaque ulceration.</p>","PeriodicalId":47358,"journal":{"name":"Neuroradiology Journal","volume":" ","pages":"58-63"},"PeriodicalIF":0.8,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12061917/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144050199","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Neuroradiology JournalPub Date : 2026-02-01Epub Date: 2025-05-31DOI: 10.1177/19714009251348621
Dhairya A Lakhani, Aneri B Balar, Vaibhav Vagal, Subtain Ali, Hamza Salim, Janet Mei, Musharaf Khan, Manisha Koneru, Sijin Wen, Hanzhang Lu, Richard Wang, Argye E Hillis, Jeremy J Heit, Greg W Albers, Adam A Dmytriw, Tobias Faizy, Max Wintermark, Kambiz Nael, Ansaar T Rai, Vivek S Yedavalli
{"title":"The relative cerebral blood volume (rCBV) <42% is independently associated with prolonged hospitalization in anterior circulation large vessel occlusion.","authors":"Dhairya A Lakhani, Aneri B Balar, Vaibhav Vagal, Subtain Ali, Hamza Salim, Janet Mei, Musharaf Khan, Manisha Koneru, Sijin Wen, Hanzhang Lu, Richard Wang, Argye E Hillis, Jeremy J Heit, Greg W Albers, Adam A Dmytriw, Tobias Faizy, Max Wintermark, Kambiz Nael, Ansaar T Rai, Vivek S Yedavalli","doi":"10.1177/19714009251348621","DOIUrl":"10.1177/19714009251348621","url":null,"abstract":"<p><p>BackgroundThe pretreatment rCBV <42% lesion volume on CT Perfusion (CTP) has recently been shown to predict 90-day functional outcomes in stroke patients. However, its association with length of stay (LOS) has not yet been explored. This study aims to assess the relationship between rCBV <42% and prolonged LOS, defined as 7 days or longer.MethodsIn this retrospective evaluation of our prospectively collected database, we analyzed patients with confirmed anterior circulation large vessel occlusion on CT angiography who also received CT perfusion between 9/1/2017 and 10/01/2023. We used Student's t-test, Mann-Whitney U test, and Chi-Square test to assess differences. Logistic regression and ROC analyses were employed to evaluate the relationship between rCBV <42% and length of stay (LOS). A <i>p</i>-value of ≤0.05 was considered statistically significant.ResultsA total of 268 patients met our inclusion criteria. Of these, 85 (31.7%) received intravenous thrombolysis (IVT), and 221 (82.5%) underwent mechanical thrombectomy (MT). After adjusting for several variables, logistic regression analysis revealed that an rCBV <42% lesion volume was independently associated with prolonged length of stay (LOS) (aOR = 0.98, <i>p</i> < .001). ROC analysis indicated an area under the curve (AUC) of 0.66 (<i>p</i> < .001) for predicting prolonged LOS.ConclusionrCBV <42% lesion volume is independently associated with prolonged LOS. This parameter may serve as a useful adjunct tool in prognostication of AIS-LVO patients.</p>","PeriodicalId":47358,"journal":{"name":"Neuroradiology Journal","volume":" ","pages":"111-118"},"PeriodicalIF":0.8,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12126465/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144192282","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Neuroradiology JournalPub Date : 2026-02-01Epub Date: 2025-06-04DOI: 10.1177/19714009251347828
Mohammed A Azab, Khalid Sarhan, Alan Hernández-Hernández, Oday Atallah, Helene Clervius
{"title":"The many faces of middle meningeal artery: A comprehensive review of anomalous variations and endovascular implications.","authors":"Mohammed A Azab, Khalid Sarhan, Alan Hernández-Hernández, Oday Atallah, Helene Clervius","doi":"10.1177/19714009251347828","DOIUrl":"10.1177/19714009251347828","url":null,"abstract":"<p><p>BackgroundMiddle meningeal artery (MMA) embolization is an increasingly common procedure involved in the treatment of various vascular and neoplastic diseases. Understanding its anatomical nuances and clinical implications is fundamental in enhancing the safety of preoperative embolization.MethodsA systematic review following PRISMA guidelines was conducted to consolidate literature on the MMA anomalous variations. PubMed, Scopus, and Web of Science were systematically searched using our predefined criteria until 2025. Inclusion encompassed studies focusing on the clinical perspectives of MMA's anomalous anatomy and endovascular implications.ResultsTwelve articles met inclusion criteria, exploring the clinical significance of the MMA's anatomical variations in various clinical situations. We identified 11 case reports, and we also reported the clinical significance of the cases identified among different case series for the treatment of CSDH and other involved pathologies. Anomalous variations of the MMA involving either its origin, branching or connections were detected clinically in about 43 patients in the literature. We identified the basilar artery as an origin of the MMA in 9 case reports. The ophthalmic origin of the MMA was reported in about 12 patients, while an accessory meningeal artery arising from an ophthalmic artery was only reported in two cases.ConclusionProperly identifying the anomalous variants of the MMA is considerably valuable in preoperative planning and decision-making for the endovascular management of various pathologies involving the dura. To choose an appropriate tool and method of endovascular intervention, understanding the anatomical features and variability of the MMA is crucial.</p>","PeriodicalId":47358,"journal":{"name":"Neuroradiology Journal","volume":" ","pages":"42-50"},"PeriodicalIF":0.8,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12137284/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144227213","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}