[Value of CT-angiography in the diagnosis of cerebral artery aneurysms].
OBJECTIVE
In a clinical study 35 patients with intracranial aneurysms were examined using CT-angiography, MR-angiography (MRA) and digital subtraction angiography (DSA). The aim of the study was to establish the ability of noninvasive techniques to detect intracranial aneurysms.


METHODS
The CT examinations were performed using a spiral CT scanner and the MR investigations with a 1.5 T whole body MR-system. We used for MR-angiography Time of Flight (TOF) and Phase Contrast (PC) techniques. For postprocessing reconstructions modalities Maximum Intensity Projection (MIP), Surface and Volume Rendering Technique (VRT) techniques were used. The results were evaluated by the intraoperative findings.


RESULTS
Aneurysms up to 5 mm could be detected best using CTA and DSA. Giant aneurysms could be evaluated best using CTA. Volume rendering technique was the most useful postprocessing procedure. MRA using Time of Flight was superior compared with MRA using PC technique.


CONCLUSIONS
CTA is the best method to detect and to evaluate giant intracranial aneurysms. Nevertheless the reconstruction mode has a decisive influence on the results.
Eberhardt
K E
KE
Abteilung für Neuroradiologie, Neurochirurgische Universitätsklinik Erlangen-Nürnberg.
Tomandl
B
B
Nömayr
A
A
Huk
W J
WJ
D000328:Adult; D000368:Aged; D002340:Carotid Artery Diseases / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D002343:Carotid Artery, Internal / Q000473:pathology / Q000601:surgery; D002533:Cerebral Angiography; D005260:Female; D006801:Humans; D002532:Intracranial Aneurysm / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D018810:Magnetic Resonance Angiography; D008297:Male; D008858:Microscopy, Phase-Contrast; D008875:Middle Aged; D014057:Tomography, X-Ray Computed
Stellenwert der CT-Angiographie in der Diagnostik von Aneurysmen der Hirnarterien.