MRA Versus DSA for Follow-Up of Coiled Intracranial Aneurysms: A Meta-Analysis
Publication year
2014Source
AJNR American Journal of Neuroradiology, 35, 9, (2014), pp. 1655-1661ISSN
Publication type
Article / Letter to editor

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Organization
Radiology
Neurosurgery
Health Evidence
Medical Imaging
Journal title
AJNR American Journal of Neuroradiology
Volume
vol. 35
Issue
iss. 9
Page start
p. 1655
Page end
p. 1661
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 SciencesAbstract
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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- Academic publications [227613]
- Electronic publications [107286]
- Faculty of Medical Sciences [86193]
- Open Access publications [76413]
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