Data Management And Sharing System of China National Clinical Research Center for Neurological Diseases

Comparison of 7.0-and 3.0-T MRI and MRA in ischemic-type moyamoya disease: preliminary experience.

First author:Xiaofeng Deng

Corresponding author:Jizong Zhao

moyamoya disease; magnetic resonance imaging; magn

essential_information

  • Person in charge:Xiaofeng Deng
  • Data Sources: OTHERS
  • Number of papers:OTHERS20190384
  • Published time:2016-06-01

2016-06-01

Published articles

Journal:J Neurosurg

Publication type: Research Article

IF(IF): 5.115

PMID: 26544772 Link To Pubmed Full text Download

Background And Purpose

Method

MR images of 15 patients with ischemic-type MMD (8 males, 7 females; age 13–48 years) and 13 healthy  controls (7 males, 6 females; age 19–28 years) who underwent both 7.0-T and 3.0-T MRI and MRA were studied retrospectively. The main intracranial arteries were assessed by using the modified Houkin’s grading system (MRA score).  Moyamoya vessels (MMVs) were evaluated by 2 grading systems: the MMV quality score and the MMV area score. Two  diagnostic criteria for MMD were used: the T2 criteria, which used flow voids in the basal ganglion on T2-weighted images, and the TOF criteria, which used the high-intensity areas in the basal ganglion on source images from TOF MRA. All  data were evaluated by 2 independent readers who were blinded to the strength field and presence or absence of MMD.  Using conventional angiography as the gold standard, the sensitivity and specificity of 7.0-T and 3.0-T MRI/MRA in the  diagnosis of MMD were calculated. The differences between 7.0-T and 3.0-T MRI and MRA were statistically compared.

Conclusion

Compared with 3.0-T MRI/MRA, 7.0-T MRI/MRA detected and delineated MMVs more clearly and provided higher diagnostic sensitivity and specificity, although it did not show significant improvement in depicting main intracranial arteries. The authors speculate that 7.0-T MRI/MRA is a promising technique in the diagnosis of MMD because it is noninvasive compared with conventional angiography and it is more sensitive than 3.0-T MRI/MRA.

Main results