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Title: MRA Versus DSA for Follow-Up of Coiled Intracranial Aneurysms: A Meta-Analysis
Author(s): Amerongen, M.J. van; Boogaarts, H.D. ; Vries, J de; Verbeek, A.L.M. ; Meijer, F.J.A. ; Prokop, M. ; Bartels, R.H.M.A.
Publication year: 2014
Source: Ajnr American Journal of Neuroradiology, vol. 35, iss. 9, (2014), pp. 1655-1661
ISSN: 0195-6108
DOI: http://dx.doi.org/10.3174/ajnr.A3700
Publication type: Article / Letter to editor

Please use this identifier to cite or link to this item : http://hdl.handle.net/2066/137394   http://hdl.handle.net/2066/137394

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Subject: Radboudumc 0: Other Research RIHS: Radboud Institute for Health Sciences
Radboudumc 10: Reconstructive and regenerative medicine RIHS: Radboud Institute for Health Sciences
Radboudumc 16: Vascular damage RIHS: Radboud Institute for Health Sciences
Radboudumc 17: Women's cancers RIHS: Radboud Institute for Health Sciences
Radboudumc 2: Cancer development and immune defence RIMLS: Radboud Institute for Molecular Life Sciences
Radboudumc 9: Rare cancers RIHS: Radboud Institute for Health Sciences
Organization: Radiology
Neurosurgery
Health Evidence
Radiology & Nuclear Medicine
Journal title:
Ajnr American Journal of Neuroradiology
Volume: vol. 35
Issue: iss. 9
Page start: p. 1655
Page end: p. 1661
Abstract:
SUMMARY: MR angiography is proposed as a safer and less expensive alternative to the reference standard, DSA, in the follow-up of intracranial aneurysms treated with endovascular coil occlusion. We performed a systematic review and meta-analysis to evaluate the accuracy of TOF-MRA and contrast-enhanced MRA in detecting residual flow in the follow-up of coiled intracranial aneurysms. Literature was reviewed through the PubMed, Cochrane, and EMBASE data bases. In comparison with DSA, the sensitivity of TOF-MRA was 86% (95% CI: 82-89%), with a specificity of 84% (95% CI: 81-88%), for the detection of any recurrent flow. For contrast-enhanced MRA, the sensitivity and specificity were 86% (95% CI: 82-89%) and 89% (95% CI: 85-92%), respectively. Both TOF-MRA and contrast-enhanced MRA are shown to be highly accurate for detection of any recanalization in intracranial aneurysms treated with endovascular coil occlusion.

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