Assessment of intracranial collateral flow by using dynamic arterial spin labeling MRA and transcranial color-coded duplex ultrasound

Stroke. 2008 Jun;39(6):1894-7. doi: 10.1161/STROKEAHA.107.503482. Epub 2008 Apr 10.

Abstract

Background and purpose: To evaluate the potential of a new dynamic MRA sequence (DynAngio) based on arterial spin labeling for the assessment of intracranial collateral flow.

Methods: Twelve patients with unilateral internal carotid artery obstruction were investigated. Different patterns of collateral flow were compared between DynAngio, transcranial color-coded duplex ultrasound, and time-of-flight MRA.

Results: There was a good agreement between the methods, with sensitivities between 80% and 90%. Small collateral vessels were detected more frequently with DynAngio compared to time-of-flight MRA.

Conclusions: DynAngio provides anatomic and similar to transcranial color-coded duplex ultrasound functional information on collateral flow for the assessment of intracranial hemodynamics.

Publication types

  • Comparative Study
  • Evaluation Study

MeSH terms

  • Aged
  • Aged, 80 and over
  • Brain / blood supply
  • Brain / physiopathology
  • Brain Ischemia / diagnostic imaging
  • Brain Ischemia / pathology
  • Brain Ischemia / physiopathology
  • Carotid Stenosis / diagnostic imaging*
  • Carotid Stenosis / pathology*
  • Carotid Stenosis / physiopathology
  • Cerebral Arteries / anatomy & histology*
  • Cerebral Arteries / diagnostic imaging*
  • Cerebral Arteries / physiology
  • Cerebrovascular Circulation / physiology
  • Female
  • Humans
  • Magnetic Resonance Angiography / methods*
  • Male
  • Middle Aged
  • Predictive Value of Tests
  • Prospective Studies
  • Stroke / diagnostic imaging
  • Stroke / pathology
  • Stroke / physiopathology
  • Ultrasonography, Doppler, Transcranial / methods*