MR imaging of middle cerebral artery stenosis and occlusion: Value of MR angiography

Journal Article · Tue Feb 01 04:00:00 EST 1994 · AJNR. American Journal of Neuroradiology; (United States)

OSTI ID:6552798

Fujita, Norihiko; Sato, Tadayuki ^[1]; Hirabuki, Norio; Fujii, Keiko; Hashimoto, Tsutomu; Miura, Takashi; Kozuka, Takahiro ^[2]

---

1. Suita Municipal Hospital, Osaka (Japan)
2. Osaka Univ. Medical School (Japan)

To investigate the effectiveness of MR angiography in conjunction with spin-echo imaging for evaluating vascular patency in patients with middle cerebral artery (MCA) stenosis or occlusion. Seven patients with MCA stenosis or occlusion, verified with contrast angiography in five and correlated with transcranial Doppler sonography in two, were examined using two-dimensional and/or three-dimensional time-of-flight MR angiographic techniques as well as conventional spin-echo imaging. Of the seven patients, six demonstrated basal ganglionic and/or cortical infarct in the MCA territory. Except one case with minimal stenosis immediately distal to the MCA origin, all six cases with either severe stenosis or occlusion of the main trunk of the MCA showed the absence of normal flow voids using spin-echo imaging in the sylvian fissure on the affected side. However, it was not possible to discriminate between stenosis and occlusion. Although different mechanisms (i.e., flow-induced spin dephasing for the 2-D technique and progressive spin saturation for the 3-D technique) were predominantly responsible for the loss of signal through the area of stenosis, both the 2-D and 3-D MR angiograms clearly depicted the compromised flow of the MCA: a focal discontinuity with decreased vessel caliber corresponded to stenosis, and nonvisualization of distal MCA branches represented occlusion. Either 2-D or 3-D time-of-flight MR angiography is a useful adjunct to conventional parenchymal spin-echo imaging for evaluating vascular patency in patients with MCA stenosis or occlusion, although it is important to recognize that each technique has a different basis for the loss of signal through the area of stenosis. 13 refs., 4 figs., 1 tab.

• OSTI ID: 6552798
• Journal Information: AJNR. American Journal of Neuroradiology; (United States), Journal Name: AJNR. American Journal of Neuroradiology; (United States) Vol. 15:2; ISSN 0195-6108; ISSN AAJNDL
• Country of Publication: United States
• Language: English

Related Subjects

550602 -- Medicine-- External Radiation in Diagnostics-- (1980-)
550900* -- Pathology
59 BASIC BIOLOGICAL SCIENCES
62 RADIOLOGY AND NUCLEAR MEDICINE
ARTERIES
BIOMEDICAL RADIOGRAPHY
BLOOD VESSELS
BODY
BRAIN
CARDIOVASCULAR SYSTEM
CENTRAL NERVOUS SYSTEM
CEREBRAL ARTERIES
COMPARATIVE EVALUATIONS
DIAGNOSTIC TECHNIQUES
DISEASES
EVALUATION
MAGNETIC RESONANCE
MEDICINE
NERVOUS SYSTEM
NUCLEAR MEDICINE
ORGANS
RADIOLOGY
RESONANCE
SPIN ECHO
TIME-OF-FLIGHT METHOD
VASCULAR DISEASES