Abstract:The quality of the 3D reconstructions from RA was degraded by beam-hardening and sampling artifacts. The sampling artifacts were diminished by increasing both the rotation angle and the number of projections. The distortions in the 3D reconstructions caused by beam-hardening remain to be resolved. The threshold values also had a considerable influence on the 3D reconstructions.
“…Another limitation was that the window settings of the 3D images in this study could not be adjusted by the readers. In fact, the threshold value for 3D reconstruction had a considerable influence on image quality 10. Finally, although DS-UCAS showed substantial agreement among readers, we did not demonstrate the clinical impact on the treatment strategy for UIAs.…”
Section: Discussioncontrasting
confidence: 75%
“…This does not reflect the usual clinical situation where the full 3D dataset is generally available and can be manipulated. While 3D images had some fundamental variability in image quality due to technical and physiological limitations,10 the 3D images are generally superior as they have the advantage of a 360° view of the aneurysm using a volume rendered reconstruction method. Despite the limitations of the 3D images, the proportion of positive ratings on 3D images was higher than for the 2D images for all of the morphological features, except ‘lobulation’.…”
For discrimination of the daughter sac, the UCAS definition showed a higher reliability than the ISUIA. However, a further prospective study is necessary to validate this definition as the treatment standard for unruptured intracranial aneurysms.
“…Another limitation was that the window settings of the 3D images in this study could not be adjusted by the readers. In fact, the threshold value for 3D reconstruction had a considerable influence on image quality 10. Finally, although DS-UCAS showed substantial agreement among readers, we did not demonstrate the clinical impact on the treatment strategy for UIAs.…”
Section: Discussioncontrasting
confidence: 75%
“…This does not reflect the usual clinical situation where the full 3D dataset is generally available and can be manipulated. While 3D images had some fundamental variability in image quality due to technical and physiological limitations,10 the 3D images are generally superior as they have the advantage of a 360° view of the aneurysm using a volume rendered reconstruction method. Despite the limitations of the 3D images, the proportion of positive ratings on 3D images was higher than for the 2D images for all of the morphological features, except ‘lobulation’.…”
For discrimination of the daughter sac, the UCAS definition showed a higher reliability than the ISUIA. However, a further prospective study is necessary to validate this definition as the treatment standard for unruptured intracranial aneurysms.
“…Adjustment of threshold values to 3DRA reconstructions has been shown to be important in providing optimal visibility of vascular structures, and it has been suggested that they be adjusted individually for individual cases. 17 However, the effects of changing threshold values on aneurysm treatment decisions have yet to be investigated.…”
BACKGROUND AND PURPOSE: Dome-to-neck ratio of intracranial aneurysms is an important predictor of outcomes of endovascular coiling. 3D imaging techniques are increasingly used in evaluating the dome-to-neck ratio of aneurysms for intervention. The purpose of this study was to determine whether 3D rotational angiography (3DRA) can be used to determine accurately the dome-to-neck ratio of intracranial aneurysms when compared with conventional 2D digital subtraction angiography (2D DSA).
This paper presents a patient-derived model for the simulation of the hemodynamics of arteriovenous malformations of the brain (BAVM). This new approach is a step toward the simulation of the outcome of the embolization of the BAVM during treatment planning. More specifically, two aspects of the planning are pursued: simulation of the change of blood flow in the brain vasculature after the blocking of the malformation and simulation of the transport of the embolic liquid. The method we propose is tested on 3 BAVM cases of varying complexity. Twenty two out of 24 main BAVM flow paths have been identified well by simulation.
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