Evidence map›Paper›PMID 38844683›Full record

ArticleEuropean radiology experimental2024

Time-of-flight MRA of intracranial vessels at 7 T.

Mirco Cosottini, Tommaso Calzoni, Guido Andrea Lazzarotti, Alessandro Grigolini, Paolo Bosco, Paolo Cecchi, Michela Tosetti, Laura Biagi, Graziella Donatelli

Abstract read
In one paragraph

Article in European radiology experimental, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Mirco CosottiniDepartment of Translational Research on New Technologies in Medicine and Surgery, University of Pisa, Pisa, Italy. mirco.cosottini@unipi.it.ORCID http://orcid.org/0000-0001-9400-6574
Tommaso CalzoniDepartment of Translational Research on New Technologies in Medicine and Surgery, University of Pisa, Pisa, Italy.
Guido Andrea LazzarottiNeuroradiology Unit, Azienda Ospedaliero-Universitaria Pisana, Pisa, Italy.
Alessandro GrigoliniNeuroradiology Unit, Azienda Ospedaliero-Universitaria Pisana, Pisa, Italy.
Paolo BoscoLaboratory of Medical Physics and Magnetic Resonance, IRCCS Stella Maris, Pisa, Italy.
Paolo CecchiDepartment of Translational Research on New Technologies in Medicine and Surgery, University of Pisa, Pisa, Italy.
Michela TosettiLaboratory of Medical Physics and Magnetic Resonance, IRCCS Stella Maris, Pisa, Italy.
Laura BiagiLaboratory of Medical Physics and Magnetic Resonance, IRCCS Stella Maris, Pisa, Italy.
Graziella DonatelliDepartment of Translational Research on New Technologies in Medicine and Surgery, University of Pisa, Pisa, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThree-dimensional time-of-flight magnetic resonance angiography (TOF-MRA) is a largely adopted non-invasive technique for assessing cerebrovascular diseases. We aimed to optimize the 7-T TOF-MRA acquisition protocol, confirm that it outperforms conventional 3-T TOF-MRA, and compare 7-T TOF-MRA with digital subtraction angiography (DSA) in patients with different vascular pathologies.

methodsSeven-tesla TOF-MRA sequences with different spatial resolutions acquired in four healthy subjects were compared with 3-T TOF-MRA for signal-to-noise and contrast-to-noise ratios as well as using a qualitative scale for vessel visibility and the quantitative Canny algorithm. Four patients with cerebrovascular disease (primary arteritis of the central nervous system, saccular aneurism, arteriovenous malformation, and dural arteriovenous fistula) underwent optimized 7-T TOF-MRA and DSA as reference. Images were compared visually and using the complex-wavelet structural similarity index.

resultsContrast-to-noise ratio was higher at 7 T (4.5 ± 0.8 (mean ± standard deviation)) than at 3 T (2.7 ± 0.9). The mean quality score for all intracranial vessels was higher at 7 T (2.89) than at 3 T (2.28). Angiogram quality demonstrated a better vessel border detection at 7 T than at 3 T (44,166 versus 28,720 pixels). Of 32 parameters used for diagnosing cerebrovascular diseases on DSA, 27 (84%) were detected on 7-T TOF-MRA; the similarity index ranged from 0.52 (dural arteriovenous fistula) to 0.90 (saccular aneurysm).

conclusionsSeven-tesla TOF-MRA outperformed conventional 3-T TOF-MRA in evaluating intracranial vessels and exhibited an excellent image quality when compared to DSA. Seven-tesla TOF-MRA might improve the non-invasive diagnostic approach to several cerebrovascular diseases. RELEVANCE STATEMENT: An optimized TOF-MRA sequence at 7 T outperforms 3-T TOF-MRA, opening perspectives to its clinical use for noninvasive diagnosis of paradigmatic pathologies of intracranial vessels. KEY POINTS: • An optimized 7-T TOF-MRA protocol was selected for comparison with clinical 3-T TOF-MRA for assessing intracranial vessels. • Seven-tesla TOF-MRA outperformed 3-T TOF-MRA in both quantitative and qualitative evaluation. • Seven-tesla TOF-MRA is comparable to DSA for the diagnosis and characterization of intracranial vascular pathologies.

Indexed as

Angiography, Digital SubtractionCerebrovascular DisordersMagnetic Resonance AngiographyAdultAgedFemaleHumansImaging, Three-DimensionalMaleMiddle AgedSignal-To-Noise RatioAngiography (digital subtraction)Central nervous system vascular malformationsMagnetic fieldsMagnetic resonance angiographyPrimary angiitis of the central nervous system

Identifiers

PMID38844683
PMCPMC11156832

What Socratic holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.