American Journal of Neuroradiology: 41 (2)

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February 01, 2020; Volume 41,Issue 2

Pinho, M.C.
1. EDITOR'S CHOICEAdult Brain
  
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  Spiral T1 Spin-Echo for Routine Postcontrast Brain MRI Exams: A Multicenter Multireader Clinical Evaluation
  M.B. Ooi, Z. Li, R.K. Robison, D. Wang, A.G. Anderson, N.R. Zwart, A. Bakhru, S. Nagaraj, T. Mathews, S. Hey, J.J. Koonen, I.E. Dimitrov, H.T. Friel, Q. Lu, M. Obara, I. Saha, H. Wang, Y. Wang, Y. Zhao, M. Temkit, H.H. Hu, T.L. Chenevert, O. Togao, J.A. Tkach, U.D. Nagaraj, M.C. Pinho, R.K. Gupta, J.E. Small, M.M. Kunst, J.P. Karis, J.B. Andre, J.H. Miller, N.K. Pinter and J.G. Pipe
  
  American Journal of Neuroradiology February 2020, 41 (2) 238-245; DOI: https://doi.org/10.3174/ajnr.A6409
  
  The authors report a multicenter multireader study that was designed to compare spiral with standard-of-care Cartesian postcontrast structural brain MR imaging on the basis of relative performance in 10 metrics of image quality, artifact prevalence, and diagnostic benefit. Seven clinical sites acquired 88 total subjects. For each subject, sites acquired 2 postcontrast MR imaging scans: a spiral 2D T1 spin-echo, and 1 of 4 routine Cartesian 2D T1 spin-echo/TSE scans. Nine neuroradiologists independently reviewed each subject, with the matching pair of spiral and Cartesian scans compared side-by-side, and scored the subject on 10 image-quality metrics. Spiral was superior to Cartesian in 7 of 10 metrics (flow artifact mitigation, SNR, GM/WM contrast, image sharpness, lesion conspicuity, preference for diagnosing abnormal enhancement, and overall intracranial image quality), comparable in 1 of 10 metrics (motion artifacts), and inferior in 2 of 10 metrics (susceptibility artifacts, overall extracranial image quality). Spiral 2D T1 spin-echo for routine structural brain MR imaging is feasible in the clinic with conventional scanners and was preferred by neuroradiologists for overall postcontrast intracranial evaluation.
Pinter, N.K.
1. EDITOR'S CHOICEAdult Brain
  
  You have access
  Spiral T1 Spin-Echo for Routine Postcontrast Brain MRI Exams: A Multicenter Multireader Clinical Evaluation
  M.B. Ooi, Z. Li, R.K. Robison, D. Wang, A.G. Anderson, N.R. Zwart, A. Bakhru, S. Nagaraj, T. Mathews, S. Hey, J.J. Koonen, I.E. Dimitrov, H.T. Friel, Q. Lu, M. Obara, I. Saha, H. Wang, Y. Wang, Y. Zhao, M. Temkit, H.H. Hu, T.L. Chenevert, O. Togao, J.A. Tkach, U.D. Nagaraj, M.C. Pinho, R.K. Gupta, J.E. Small, M.M. Kunst, J.P. Karis, J.B. Andre, J.H. Miller, N.K. Pinter and J.G. Pipe
  
  American Journal of Neuroradiology February 2020, 41 (2) 238-245; DOI: https://doi.org/10.3174/ajnr.A6409
  
  The authors report a multicenter multireader study that was designed to compare spiral with standard-of-care Cartesian postcontrast structural brain MR imaging on the basis of relative performance in 10 metrics of image quality, artifact prevalence, and diagnostic benefit. Seven clinical sites acquired 88 total subjects. For each subject, sites acquired 2 postcontrast MR imaging scans: a spiral 2D T1 spin-echo, and 1 of 4 routine Cartesian 2D T1 spin-echo/TSE scans. Nine neuroradiologists independently reviewed each subject, with the matching pair of spiral and Cartesian scans compared side-by-side, and scored the subject on 10 image-quality metrics. Spiral was superior to Cartesian in 7 of 10 metrics (flow artifact mitigation, SNR, GM/WM contrast, image sharpness, lesion conspicuity, preference for diagnosing abnormal enhancement, and overall intracranial image quality), comparable in 1 of 10 metrics (motion artifacts), and inferior in 2 of 10 metrics (susceptibility artifacts, overall extracranial image quality). Spiral 2D T1 spin-echo for routine structural brain MR imaging is feasible in the clinic with conventional scanners and was preferred by neuroradiologists for overall postcontrast intracranial evaluation.
Pipe, J.G.
1. EDITOR'S CHOICEAdult Brain
  
  You have access
  Spiral T1 Spin-Echo for Routine Postcontrast Brain MRI Exams: A Multicenter Multireader Clinical Evaluation
  M.B. Ooi, Z. Li, R.K. Robison, D. Wang, A.G. Anderson, N.R. Zwart, A. Bakhru, S. Nagaraj, T. Mathews, S. Hey, J.J. Koonen, I.E. Dimitrov, H.T. Friel, Q. Lu, M. Obara, I. Saha, H. Wang, Y. Wang, Y. Zhao, M. Temkit, H.H. Hu, T.L. Chenevert, O. Togao, J.A. Tkach, U.D. Nagaraj, M.C. Pinho, R.K. Gupta, J.E. Small, M.M. Kunst, J.P. Karis, J.B. Andre, J.H. Miller, N.K. Pinter and J.G. Pipe
  
  American Journal of Neuroradiology February 2020, 41 (2) 238-245; DOI: https://doi.org/10.3174/ajnr.A6409
  
  The authors report a multicenter multireader study that was designed to compare spiral with standard-of-care Cartesian postcontrast structural brain MR imaging on the basis of relative performance in 10 metrics of image quality, artifact prevalence, and diagnostic benefit. Seven clinical sites acquired 88 total subjects. For each subject, sites acquired 2 postcontrast MR imaging scans: a spiral 2D T1 spin-echo, and 1 of 4 routine Cartesian 2D T1 spin-echo/TSE scans. Nine neuroradiologists independently reviewed each subject, with the matching pair of spiral and Cartesian scans compared side-by-side, and scored the subject on 10 image-quality metrics. Spiral was superior to Cartesian in 7 of 10 metrics (flow artifact mitigation, SNR, GM/WM contrast, image sharpness, lesion conspicuity, preference for diagnosing abnormal enhancement, and overall intracranial image quality), comparable in 1 of 10 metrics (motion artifacts), and inferior in 2 of 10 metrics (susceptibility artifacts, overall extracranial image quality). Spiral 2D T1 spin-echo for routine structural brain MR imaging is feasible in the clinic with conventional scanners and was preferred by neuroradiologists for overall postcontrast intracranial evaluation.
Podgorsak, A.R.
1. EDITOR'S CHOICEAdult Brain
  
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  Assessment of a Bayesian Vitrea CT Perfusion Analysis to Predict Final Infarct and Penumbra Volumes in Patients with Acute Ischemic Stroke: A Comparison with RAPID
  R.A. Rava, K.V. Snyder, M. Mokin, M. Waqas, A.B. Allman, J.L. Senko, A.R. Podgorsak, M.M. Shiraz Bhurwani, Y. Hoi, A.H. Siddiqui, J.M. Davies, E.I. Levy and C.N. Ionita
  
  American Journal of Neuroradiology February 2020, 41 (2) 206-212; DOI: https://doi.org/10.3174/ajnr.A6395
  
  Data were retrospectively collected for 105 patients with acute ischemic stroke (55 patients with successful recanalization [TICI 2b/2c/3] and large-vessel occlusions and 50 patients without interventions). Final infarct volumes were calculated using DWI and FLAIR 24 hours following CTP imaging. RAPID and the Vitrea Bayesian CTP algorithm (with 3 different settings) predicted infarct and penumbra volumes for comparison with final infarct volumes to assess software performance. RAPID and Vitrea default setting had the most accurate final infarct volume prediction in patients with interventions. Default Vitrea and RAPID were the most and least accurate in determining final infarct volume for patients without an intervention, respectively. Compared with RAPID, the Vitrea default setting was noninferior for patients with interventions and superior in penumbra estimation for patients without interventions as indicated by mean infarct differences and correlations with final infarct volumes.
Pons-kuhnemann, J.
1. EDITOR'S CHOICESpine
  
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  Long-Term Outcome of Patients with Spinal Dural Arteriovenous Fistula: The Dilemma of Delayed Diagnosis
  F. Jablawi, G.A. Schubert, M. Dafotakis, J. Pons-Kühnemann, F.-J. Hans and M. Mull
  
  American Journal of Neuroradiology February 2020, 41 (2) 357-363; DOI: https://doi.org/10.3174/ajnr.A6372
  
  Spinal dural arteriovenous fistulas (sdAVFs) usually become symptomatic in elderly men, who are affected 5 times more often than women. Symptoms caused by sdAVF comprise gait disturbances with or without paresis, sensory disturbances in the lower extremities, pain, and sphincter and erectile dysfunction. The authors retrospectively analyzed their medical data base for all patients treated for spinal dural arteriovenous fistula at their institution between 2006 and 2016. Patient age, neurologic status at the time of diagnosis, the duration of symptoms from onset to diagnosis, and follow-up information were evaluated. The extent of medullary T2WI hyperintensity, intramedullary contrast enhancement, and elongation of perimedullary veins on MR imaging at the time of diagnosis were additionally analyzed. Data for long-term outcome analysis were available in 40 patients with a mean follow-up of 52 months. The mean age at the time of diagnosis was 69 years (median, 71 years; range, 53-84 years) with a male predominance (80%). The mean duration of symptoms was 20 months. Spinal dural arteriovenous fistulas are characterized by inter-individually variable clinical presentations, which make a determination of specific predictors for long-term outcome more difficult. Fast and sufficient diagnosis might result in a better outcome after treatment. The diagnosis of spinal dural arteriovenous fistula remains markedly delayed, reflecting an ongoing lack of knowledge and awareness among treating physicians of this rare-but-serious disease.

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American Journal of Neuroradiology

Index by author

Pinho, M.C.

Pinter, N.K.

Pipe, J.G.

Podgorsak, A.R.

Pons-kuhnemann, J.

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