Title |
MRA Versus DSA for Follow-Up of Coiled Intracranial Aneurysms: A Meta-Analysis
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Published in |
American Journal of Neuroradiology, September 2013
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DOI | 10.3174/ajnr.a3700 |
Pubmed ID | |
Authors |
M.J. van Amerongen, H.D. Boogaarts, J. de Vries, A.L.M. Verbeek, F.J.A. Meijer, M. Prokop, R.H.M.A. Bartels |
Abstract |
MR angiography is proposed as a safer and less expensive alternative to the reference standard, DSA, in the follow-up of intracranial aneurysms treated with endovascular coil occlusion. We performed a systematic review and meta-analysis to evaluate the accuracy of TOF-MRA and contrast-enhanced MRA in detecting residual flow in the follow-up of coiled intracranial aneurysms. Literature was reviewed through the PubMed, Cochrane, and EMBASE data bases. In comparison with DSA, the sensitivity of TOF-MRA was 86% (95% CI: 82-89%), with a specificity of 84% (95% CI: 81-88%), for the detection of any recurrent flow. For contrast-enhanced MRA, the sensitivity and specificity were 86% (95% CI: 82-89%) and 89% (95% CI: 85-92%), respectively. Both TOF-MRA and contrast-enhanced MRA are shown to be highly accurate for detection of any recanalization in intracranial aneurysms treated with endovascular coil occlusion. |
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Mendeley readers
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Canada | 1 | 1% |
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Student > Postgraduate | 12 | 16% |
Other | 10 | 14% |
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Student > Ph. D. Student | 5 | 7% |
Other | 14 | 19% |
Unknown | 12 | 16% |
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