Two-color 3D-3D fusion of selective rotational cerebral angiograms

a novel approach to imaging in cerebrovascular neurosurgery

Ali Jalali, Visish M. Srinivasan, Ponraj Chinnadurai, Peter Kan, Adam Arthur, Edward A.M. Duckworth

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

BACKGROUND: Since its introduction, digital subtraction angiography has been considered the gold standard in diagnostic imaging for neurovascular disease. Modern post-processing techniques have made angiography even more informative to the cerebrovascular neurosurgeon or neurointerventionalist. Open neurosurgical procedures such as aneurysm clipping, extirpation of arteriovenous malformations, and extracranial-intracranial bypass remain important techniques in the armamentarium of a comprehensive cerebrovascular neurosurgeon. In-depth study of the anatomy of vascular pathology prior to and after surgery, often via selective cerebral angiography, is a critical component of surgical planning. However, when a vascular lesion or relevant anatomical region is perfused by two or more vascular territories, each selective angiographic imaging volume may provide an incomplete anatomical picture.

METHODS: An institutional database was searched for cases in which the syngo Inspace 3D-3D fusion software was used and assisted in diagnosis and surgical management.

RESULTS: In the six cases reviewed, the 3D-3D fusion imaging was crucial in understanding the anatomy of the vascular lesion and aided in surgical decision-making. The cases included two unique anterior communicating artery aneurysms, an arteriovenous malformation, an extracranial-intracranial bypass, and an angiographically negative subarachnoid hemorrhage.

CONCLUSIONS: This is a novel strategy of combining two independently acquired selective cerebral angiography volumes to create a more accurate representation of the vascular anatomy. Given the increasing availability of the relevant image acquisition and processing technologies, we propose this strategy as a valuable adjunct in cerebrovascular procedures.

Original languageEnglish (US)
Pages (from-to)1056-1060
Number of pages5
JournalJournal of NeuroInterventional Surgery
Volume8
Issue number10
DOIs
StatePublished - Oct 1 2016

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Neurosurgery
Blood Vessels
Angiography
Color
Intracranial Arteriovenous Malformations
Anatomy
Cerebral Angiography
Post and Core Technique
Neurosurgical Procedures
Digital Subtraction Angiography
Intracranial Aneurysm
Subarachnoid Hemorrhage
Diagnostic Imaging
Aneurysm
Decision Making
Software
Databases
Pathology
Technology
Neurosurgeons

All Science Journal Classification (ASJC) codes

  • Surgery
  • Clinical Neurology

Cite this

Two-color 3D-3D fusion of selective rotational cerebral angiograms : a novel approach to imaging in cerebrovascular neurosurgery. / Jalali, Ali; Srinivasan, Visish M.; Chinnadurai, Ponraj; Kan, Peter; Arthur, Adam; Duckworth, Edward A.M.

In: Journal of NeuroInterventional Surgery, Vol. 8, No. 10, 01.10.2016, p. 1056-1060.

Research output: Contribution to journalArticle

Jalali, Ali ; Srinivasan, Visish M. ; Chinnadurai, Ponraj ; Kan, Peter ; Arthur, Adam ; Duckworth, Edward A.M. / Two-color 3D-3D fusion of selective rotational cerebral angiograms : a novel approach to imaging in cerebrovascular neurosurgery. In: Journal of NeuroInterventional Surgery. 2016 ; Vol. 8, No. 10. pp. 1056-1060.
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