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High-resolution compressed-sensing time-of-flight MRA in a case of acute ICA/MCA dissection

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Abstract

Purpose

Acute, isolated intracranial dissection (ICD) represents a rare and challenging cause of acute stroke. DSA is considered to be the gold standard imaging modality in patients with ICD. The role of novel, high-resolution (HR) compressed-sensing (CS) time-of-flight (TOF) MRA techniques in ICDs is unclear.

Methods

A 22-year-old male patient with an isolated right ICA/MCA intracranial dissection underwent “conventional” 3-T TOF MRA, HR CS TOF MRA and also DSA including digital rotational angiography.

Results

Unlike the “conventional” TOF MRA, HR CS TOF MRA provided comparable image quality to rotational angiography and a dissection membrane was clearly visible in both techniques.

Conclusion

In this single case study, we demonstrated the feasibility of a novel HR CS TOF in a case of an acute isolated intracranial ICA/MCA dissection, which needs to be validated in a larger case series.

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Funding

No funding was received for this study.

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Authors and Affiliations

  1. Department of Neuroradiology, University Medical Center Freiburg, Breisacherstrasse 64, 79106, Freiburg, Germany

    Theo Demerath

  2. Department of Radiology and Nuclear Medicine, University Hospital Basel, Petersgraben 4, CH-4031, Basel, Switzerland

    Theo Demerath, Amgad El Mekabaty & Tilman Schubert

  3. Department of Neurology, University Hospital Basel, Petersgraben 4, CH-4031, Basel, Switzerland

    Leo Bonati

  4. Department of Neuroradiology, University Hospital Zurich, Frauenklinikstrasse 10, 8091, Zurich, Switzerland

    Tilman Schubert

Authors
  1. Theo Demerath
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  2. Leo Bonati
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  3. Amgad El Mekabaty
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  4. Tilman Schubert
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Corresponding author

Correspondence to Theo Demerath.

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The authors declare that they have no conflict of interest.

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All procedures performed in the studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards.

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Informed consent was obtained from all individual participants included in the study.

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Demerath, T., Bonati, L., El Mekabaty, A. et al. High-resolution compressed-sensing time-of-flight MRA in a case of acute ICA/MCA dissection. Neuroradiology 62, 753–756 (2020). https://doi.org/10.1007/s00234-020-02395-y

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  • DOI: https://doi.org/10.1007/s00234-020-02395-y

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