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<meta name="DC.Title" content="Considering Psychological and Cognitive Factors in Interventional Neuroradiology: A Systematic Literature Review" />
<meta name="DC.Identifier" content="10.3174/ajnr.A8007" />
<meta name="DC.Date" content="2023-11-01" />
<meta name="DC.Publisher" content="American Journal of Neuroradiology" />
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<meta name="DC.Description" content="BACKGROUND: Interventional neuroradiology is a relatively recent discipline that diagnoses and treats cerebral vascular diseases. However, specific literature on cognitive and psychological domains of patients undergoing interventional neuroradiology procedures is limited.

PURPOSE: Our aim was to review the existent literature on cognitive and psychological domains in patients undergoing interventional neuroradiology procedures to raise clinicians' awareness of their mental status.

DATA SOURCES: Articles were searched in PubMed, EMBASE, and Scopus from 2000 to 2022 using terms such as “interventional neuroradiology,” “psychology,” and “cognition” according to Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines.

STUDY SELECTION: Of 1483 articles in English, 64 were included and analyzed. Twelve focused on psychological aspects; 52, on cognitive ones.

DATA ANALYSIS: Regarding psychological aspects, it appears that early psychological consultations and “nonpharmacologic” strategies can impact the anxiety and depression of patients undergoing endovascular procedures. Regarding cognitive aspects, it appears that endovascular treatment is safe and generates similar or even fewer cognitive deficits compared with analogous surgical procedures.

DATA SYNTHESIS: Among the 12 articles on psychological aspects, 6/12 were retrospective with one, while 6/12 were prospective. Among the 52 articles on cognitive aspects, 7/54 were retrospective, while 45/52 were prospective.

LIMITATIONS: The main limitation derives from the inhomogeneity of the cognitive and psychological assessment tools used in the articles included in our analysis.

CONCLUSIONS: Our review highlights the need to include cognitive and psychological assessments in clinical practice in case patients eligible for interventional neuroradiology procedures. In the future, much more research of and attention to cognitive and psychologic aspects of neurovascular disease is needed. Systematic incorporation of strategies and tools to access and address pre, peri-, and postprocedural psychological and cognitive components could have major benefits in patient satisfaction, recovery, and the success of endovascular practice.

CAS
:   carotid artery stent placement
DAVF
:   dural arteriovenous fistula
EC
:   endovascular coiling
INR
:   interventional neuroradiology
QoL
:   quality of life
RCT
:   randomized control trial
RIA
:   ruptured intracranial aneurysm
SC
:   surgical clipping
UIA
:   unruptured intracranial aneurysm" />
<meta name="DC.Contributor" content="Chiara Riccietti" />
<meta name="DC.Contributor" content="Silvia Schiavolin" />
<meta name="DC.Contributor" content="Valentina Caldiera" />
<meta name="DC.Contributor" content="Giuseppe Ganci" />
<meta name="DC.Contributor" content="Annalisa Sgoifo" />
<meta name="DC.Contributor" content="Giorgia Camarda" />
<meta name="DC.Contributor" content="Matilde Leonardi" />
<meta name="DC.Contributor" content="Elisa Ciceri" />
<meta name="article:published_time" content="2023-11-01" />
<meta name="article:section" content="Neurointervention" />
<meta name="citation_title" content="Considering Psychological and Cognitive Factors in Interventional Neuroradiology: A Systematic Literature Review" />
<meta name="citation_abstract" lang="en" content="&lt;h3&gt;BACKGROUND:&lt;/h3&gt;
&lt;p&gt;Interventional neuroradiology is a relatively recent discipline that diagnoses and treats cerebral vascular diseases. However, specific literature on cognitive and psychological domains of patients undergoing interventional neuroradiology procedures is limited.&lt;/p&gt;&lt;h3&gt;PURPOSE:&lt;/h3&gt;
&lt;p&gt;Our aim was to review the existent literature on cognitive and psychological domains in patients undergoing interventional neuroradiology procedures to raise clinicians9 awareness of their mental status.&lt;/p&gt;&lt;h3&gt;DATA SOURCES:&lt;/h3&gt;
&lt;p&gt;Articles were searched in PubMed, EMBASE, and Scopus from 2000 to 2022 using terms such as “interventional neuroradiology,” “psychology,” and “cognition” according to Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines.&lt;/p&gt;&lt;h3&gt;STUDY SELECTION:&lt;/h3&gt;
&lt;p&gt;Of 1483 articles in English, 64 were included and analyzed. Twelve focused on psychological aspects; 52, on cognitive ones.&lt;/p&gt;&lt;h3&gt;DATA ANALYSIS:&lt;/h3&gt;
&lt;p&gt;Regarding psychological aspects, it appears that early psychological consultations and “nonpharmacologic” strategies can impact the anxiety and depression of patients undergoing endovascular procedures. Regarding cognitive aspects, it appears that endovascular treatment is safe and generates similar or even fewer cognitive deficits compared with analogous surgical procedures.&lt;/p&gt;&lt;h3&gt;DATA SYNTHESIS:&lt;/h3&gt;
&lt;p&gt;Among the 12 articles on psychological aspects, 6/12 were retrospective with one, while 6/12 were prospective. Among the 52 articles on cognitive aspects, 7/54 were retrospective, while 45/52 were prospective.&lt;/p&gt;&lt;h3&gt;LIMITATIONS:&lt;/h3&gt;
&lt;p&gt;The main limitation derives from the inhomogeneity of the cognitive and psychological assessment tools used in the articles included in our analysis.&lt;/p&gt;&lt;h3&gt;CONCLUSIONS:&lt;/h3&gt;
&lt;p&gt;Our review highlights the need to include cognitive and psychological assessments in clinical practice in case patients eligible for interventional neuroradiology procedures. In the future, much more research of and attention to cognitive and psychologic aspects of neurovascular disease is needed. Systematic incorporation of strategies and tools to access and address pre, peri-, and postprocedural psychological and cognitive components could have major benefits in patient satisfaction, recovery, and the success of endovascular practice.&lt;/p&gt;" />
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<meta name="twitter:title" content="Considering Psychological and Cognitive Factors in Interventional Neuroradiology: A Systematic Literature Review" />
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<meta name="twitter:description" content="BACKGROUND: Interventional neuroradiology is a relatively recent discipline that diagnoses and treats cerebral vascular diseases. However, specific literature on cognitive and psychological domains of patients undergoing interventional neuroradiology procedures is limited.

PURPOSE: Our aim was to review the existent literature on cognitive and psychological domains in patients undergoing interventional neuroradiology procedures to raise clinicians' awareness of their mental status.

DATA SOURCES: Articles were searched in PubMed, EMBASE, and Scopus from 2000 to 2022 using terms such as “interventional neuroradiology,” “psychology,” and “cognition” according to Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines.

STUDY SELECTION: Of 1483 articles in English, 64 were included and analyzed. Twelve focused on psychological aspects; 52, on cognitive ones.

DATA ANALYSIS: Regarding psychological aspects, it appears that early psychological consultations and “nonpharmacologic” strategies can impact the anxiety and depression of patients undergoing endovascular procedures. Regarding cognitive aspects, it appears that endovascular treatment is safe and generates similar or even fewer cognitive deficits compared with analogous surgical procedures.

DATA SYNTHESIS: Among the 12 articles on psychological aspects, 6/12 were retrospective with one, while 6/12 were prospective. Among the 52 articles on cognitive aspects, 7/54 were retrospective, while 45/52 were prospective.

LIMITATIONS: The main limitation derives from the inhomogeneity of the cognitive and psychological assessment tools used in the articles included in our analysis.

CONCLUSIONS: Our review highlights the need to include cognitive and psychological assessments in clinical practice in case patients eligible for interventional neuroradiology procedures. In the future, much more research of and attention to cognitive and psychologic aspects of neurovascular disease is needed. Systematic incorporation of strategies and tools to access and address pre, peri-, and postprocedural psychological and cognitive components could have major benefits in patient satisfaction, recovery, and the success of endovascular practice.

CAS
:   carotid artery stent placement
DAVF
:   dural arteriovenous fistula
EC
:   endovascular coiling
INR
:   interventional neuroradiology
QoL
:   quality of life
RCT
:   randomized control trial
RIA
:   ruptured intracranial aneurysm
SC
:   surgical clipping
UIA
:   unruptured intracranial aneurysm" />
<meta name="og-title" property="og:title" content="Considering Psychological and Cognitive Factors in Interventional Neuroradiology: A Systematic Literature Review" />
<meta name="og-url" property="og:url" content="http://ajnr-stage2.stage.highwire.org/content/44/11/1282" />
<meta name="og-site-name" property="og:site_name" content="American Journal of Neuroradiology" />
<meta name="og-description" property="og:description" content="BACKGROUND: Interventional neuroradiology is a relatively recent discipline that diagnoses and treats cerebral vascular diseases. However, specific literature on cognitive and psychological domains of patients undergoing interventional neuroradiology procedures is limited.

PURPOSE: Our aim was to review the existent literature on cognitive and psychological domains in patients undergoing interventional neuroradiology procedures to raise clinicians' awareness of their mental status.

DATA SOURCES: Articles were searched in PubMed, EMBASE, and Scopus from 2000 to 2022 using terms such as “interventional neuroradiology,” “psychology,” and “cognition” according to Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines.

STUDY SELECTION: Of 1483 articles in English, 64 were included and analyzed. Twelve focused on psychological aspects; 52, on cognitive ones.

DATA ANALYSIS: Regarding psychological aspects, it appears that early psychological consultations and “nonpharmacologic” strategies can impact the anxiety and depression of patients undergoing endovascular procedures. Regarding cognitive aspects, it appears that endovascular treatment is safe and generates similar or even fewer cognitive deficits compared with analogous surgical procedures.

DATA SYNTHESIS: Among the 12 articles on psychological aspects, 6/12 were retrospective with one, while 6/12 were prospective. Among the 52 articles on cognitive aspects, 7/54 were retrospective, while 45/52 were prospective.

LIMITATIONS: The main limitation derives from the inhomogeneity of the cognitive and psychological assessment tools used in the articles included in our analysis.

CONCLUSIONS: Our review highlights the need to include cognitive and psychological assessments in clinical practice in case patients eligible for interventional neuroradiology procedures. In the future, much more research of and attention to cognitive and psychologic aspects of neurovascular disease is needed. Systematic incorporation of strategies and tools to access and address pre, peri-, and postprocedural psychological and cognitive components could have major benefits in patient satisfaction, recovery, and the success of endovascular practice.

CAS
:   carotid artery stent placement
DAVF
:   dural arteriovenous fistula
EC
:   endovascular coiling
INR
:   interventional neuroradiology
QoL
:   quality of life
RCT
:   randomized control trial
RIA
:   ruptured intracranial aneurysm
SC
:   surgical clipping
UIA
:   unruptured intracranial aneurysm" />
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    	<div class="highwire-cite-authors"><span  class="highwire-citation-authors"><span class="highwire-citation-author first" data-delta="0">Chiara Riccietti</span>, <span class="highwire-citation-author" data-delta="1">Silvia Schiavolin</span>, <span class="highwire-citation-author" data-delta="2">Valentina Caldiera</span>, <span class="highwire-citation-author" data-delta="3">Giuseppe Ganci</span>, <span class="highwire-citation-author" data-delta="4">Annalisa Sgoifo</span>, <span class="highwire-citation-author" data-delta="5">Giorgia Camarda</span>, <span class="highwire-citation-author" data-delta="6">Matilde Leonardi</span> and <span class="highwire-citation-author" data-delta="7">Elisa Ciceri</span></span></div>
  
    	<div class="highwire-cite-metadata"><span  class="highwire-cite-metadata-journal highwire-cite-metadata">American Journal of Neuroradiology </span><span  class="highwire-cite-metadata-date highwire-cite-metadata">November 2023,  </span><span  class="highwire-cite-metadata-volume highwire-cite-metadata">44 </span><span  class="highwire-cite-metadata-issue highwire-cite-metadata">(11) </span><span  class="highwire-cite-metadata-pages highwire-cite-metadata">1282-1290; </span><span  class="highwire-cite-metadata-doi highwire-cite-metadata">DOI: https://doi.org/10.3174/ajnr.A8007 </span></div>
  
  
  
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<div id="hw-article-author-popups-top-node-104648--82098791882" style="display: none;"><div class="author-tooltip-0"><div class="author-tooltip-name">Chiara Riccietti </div><div class="author-tooltip-affiliation"><span class="author-tooltip-text"><div class='author-affiliation'><span class='nlm-sup'>a</span>From the Imaging Radiology and Interventional Neuroradiology Unit (C.R., V.C., G.G., E.C.), Department of Neurosurgery, Fondazione Istituto di Ricovero e Cura a Carattere Scientifico Istituto neurologico Carlo Besta, Milan, Italy</div></span></div><ul class="author-tooltip-find-more"><li class="author-tooltip-gs-link first"><a href="/lookup/google-scholar?link_type=googlescholar&amp;gs_type=author&amp;author%5B0%5D=Chiara%2BRiccietti%2B" target="_blank" class="" data-icon-position="" data-hide-link-title="0">Find this author on Google Scholar</a></li><li class="author-tooltip-pubmed-link"><a href="/lookup/external-ref?access_num=Riccietti%20C&amp;link_type=AUTHORSEARCH" target="_blank" class="" data-icon-position="" data-hide-link-title="0">Find this author on PubMed</a></li><li class="author-site-search-link"><a href="/search/author1%3AChiara%2BRiccietti%2B" rel="nofollow" class="" data-icon-position="" data-hide-link-title="0">Search for this author on this site</a></li><li class="author-orcid-link last"><a href="https://orcid.org/0000-0002-5092-2973" target="_blank" class="" data-icon-position="" data-hide-link-title="0">ORCID record for Chiara Riccietti</a></li></ul></div><div class="author-tooltip-1"><div class="author-tooltip-name">Silvia Schiavolin </div><div class="author-tooltip-affiliation"><span class="author-tooltip-text"><div class='author-affiliation'><span class='nlm-sup'>b</span>Department of Neurology (S.S., G.C., M.L.), Public Health and Disability Unit, Fondazione Istituto di Ricovero e Cura a Carattere Scientifico Istituto Neurologico Carlo Besta, Milan, Italy</div></span></div><ul class="author-tooltip-find-more"><li class="author-tooltip-gs-link first"><a href="/lookup/google-scholar?link_type=googlescholar&amp;gs_type=author&amp;author%5B0%5D=Silvia%2BSchiavolin%2B" target="_blank" class="" data-icon-position="" data-hide-link-title="0">Find this author on Google Scholar</a></li><li class="author-tooltip-pubmed-link"><a href="/lookup/external-ref?access_num=Schiavolin%20S&amp;link_type=AUTHORSEARCH" target="_blank" class="" data-icon-position="" data-hide-link-title="0">Find this author on PubMed</a></li><li class="author-site-search-link"><a href="/search/author1%3ASilvia%2BSchiavolin%2B" rel="nofollow" class="" data-icon-position="" data-hide-link-title="0">Search for this author on this site</a></li><li class="author-orcid-link last"><a href="https://orcid.org/0000-0002-5391-7539" target="_blank" class="" data-icon-position="" data-hide-link-title="0">ORCID record for Silvia Schiavolin</a></li></ul></div><div class="author-tooltip-2"><div class="author-tooltip-name">Valentina Caldiera </div><div class="author-tooltip-affiliation"><span class="author-tooltip-text"><div class='author-affiliation'><span class='nlm-sup'>a</span>From the Imaging Radiology and Interventional Neuroradiology Unit (C.R., V.C., G.G., E.C.), Department of Neurosurgery, Fondazione Istituto di Ricovero e Cura a Carattere Scientifico Istituto neurologico Carlo Besta, Milan, Italy</div></span></div><ul class="author-tooltip-find-more"><li class="author-tooltip-gs-link first"><a href="/lookup/google-scholar?link_type=googlescholar&amp;gs_type=author&amp;author%5B0%5D=Valentina%2BCaldiera%2B" target="_blank" class="" data-icon-position="" data-hide-link-title="0">Find this author on Google Scholar</a></li><li class="author-tooltip-pubmed-link"><a href="/lookup/external-ref?access_num=Caldiera%20V&amp;link_type=AUTHORSEARCH" target="_blank" class="" data-icon-position="" data-hide-link-title="0">Find this author on PubMed</a></li><li class="author-site-search-link"><a 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href="/lookup/google-scholar?link_type=googlescholar&amp;gs_type=author&amp;author%5B0%5D=Giuseppe%2BGanci%2B" target="_blank" class="" data-icon-position="" data-hide-link-title="0">Find this author on Google Scholar</a></li><li class="author-tooltip-pubmed-link"><a href="/lookup/external-ref?access_num=Ganci%20G&amp;link_type=AUTHORSEARCH" target="_blank" class="" data-icon-position="" data-hide-link-title="0">Find this author on PubMed</a></li><li class="author-site-search-link"><a href="/search/author1%3AGiuseppe%2BGanci%2B" rel="nofollow" class="" data-icon-position="" data-hide-link-title="0">Search for this author on this site</a></li><li class="author-orcid-link last"><a href="https://orcid.org/0009-0005-3070-3529" target="_blank" class="" data-icon-position="" data-hide-link-title="0">ORCID record for Giuseppe Ganci</a></li></ul></div><div class="author-tooltip-4"><div class="author-tooltip-name">Annalisa Sgoifo </div><div class="author-tooltip-affiliation"><span class="author-tooltip-text"><div class='author-affiliation'><span class='nlm-sup'>c</span>Department of Neurology and Stroke Unit (A.S.), ASST Grande Ospedale Metropolitano Niguarda, Milan, Italy</div></span></div><ul class="author-tooltip-find-more"><li class="author-tooltip-gs-link first"><a href="/lookup/google-scholar?link_type=googlescholar&amp;gs_type=author&amp;author%5B0%5D=Annalisa%2BSgoifo%2B" target="_blank" class="" data-icon-position="" data-hide-link-title="0">Find this author on Google Scholar</a></li><li class="author-tooltip-pubmed-link"><a href="/lookup/external-ref?access_num=Sgoifo%20A&amp;link_type=AUTHORSEARCH" target="_blank" class="" data-icon-position="" data-hide-link-title="0">Find this author on PubMed</a></li><li class="author-site-search-link"><a href="/search/author1%3AAnnalisa%2BSgoifo%2B" rel="nofollow" class="" data-icon-position="" data-hide-link-title="0">Search for this author on this site</a></li><li class="author-orcid-link last"><a 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Italy</div></span></div><ul class="author-tooltip-find-more"><li class="author-tooltip-gs-link first"><a href="/lookup/google-scholar?link_type=googlescholar&amp;gs_type=author&amp;author%5B0%5D=Matilde%2BLeonardi%2B" target="_blank" class="" data-icon-position="" data-hide-link-title="0">Find this author on Google Scholar</a></li><li class="author-tooltip-pubmed-link"><a href="/lookup/external-ref?access_num=Leonardi%20M&amp;link_type=AUTHORSEARCH" target="_blank" class="" data-icon-position="" data-hide-link-title="0">Find this author on PubMed</a></li><li class="author-site-search-link"><a href="/search/author1%3AMatilde%2BLeonardi%2B" rel="nofollow" class="" data-icon-position="" data-hide-link-title="0">Search for this author on this site</a></li><li class="author-orcid-link last"><a href="https://orcid.org/0000-0003-0552-8923" target="_blank" class="" data-icon-position="" data-hide-link-title="0">ORCID record for Matilde Leonardi</a></li></ul></div><div 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    <div class="highwire-markup"><div xmlns="http://www.w3.org/1999/xhtml" class="content-block-markup" xmlns:xhtml="http://www.w3.org/1999/xhtml"><div xmlns:xhtml="http://www.w3.org/1999/xhtml" class="contributors"><ol class="contributor-list" id="contrib-group-1"><li class="contributor" id="contrib-1"><span class="name">Chiara Riccietti</span><a id="xref-aff-1-1" class="xref-aff" href="#aff-1">a</a>, </li><li class="contributor" id="contrib-2"><span class="name">Silvia Schiavolin</span><a id="xref-aff-2-1" class="xref-aff" href="#aff-2">b</a>, </li><li class="contributor" id="contrib-3"><span class="name">Valentina Caldiera</span><a id="xref-aff-1-2" class="xref-aff" href="#aff-1">a</a>, </li><li class="contributor" id="contrib-4"><span class="name">Giuseppe Ganci</span><a id="xref-aff-1-3" class="xref-aff" href="#aff-1">a</a>, </li><li class="contributor" id="contrib-5"><span class="name">Annalisa Sgoifo</span><a id="xref-aff-3-1" class="xref-aff" href="#aff-3">c</a>, </li><li class="contributor" id="contrib-6"><span class="name">Giorgia Camarda</span><a id="xref-aff-2-2" class="xref-aff" href="#aff-2">b</a>, </li><li class="contributor" id="contrib-7"><span class="name">Matilde Leonardi</span><a id="xref-aff-2-3" class="xref-aff" href="#aff-2">b</a> and </li><li class="last" id="contrib-8"><span class="name">Elisa Ciceri</span><a id="xref-aff-1-4" class="xref-aff" href="#aff-1">a</a></li></ol><ol class="affiliation-list"><li class="aff"><a id="aff-1" name="aff-1"></a><address><sup>a</sup>From the Imaging Radiology and Interventional Neuroradiology Unit (C.R., V.C., G.G., E.C.), Department of Neurosurgery, Fondazione Istituto di Ricovero e Cura a Carattere Scientifico Istituto neurologico Carlo Besta, Milan, Italy</address></li><li class="aff"><a id="aff-2" name="aff-2"></a><address><sup>b</sup>Department of Neurology (S.S., G.C., M.L.), Public Health and Disability Unit, Fondazione Istituto di Ricovero e Cura a Carattere Scientifico Istituto Neurologico Carlo Besta, Milan, Italy</address></li><li class="aff"><a id="aff-3" name="aff-3"></a><address><sup>c</sup>Department of Neurology and Stroke Unit (A.S.), ASST Grande Ospedale Metropolitano Niguarda, Milan, Italy</address></li></ol><ol class="corresp-list"><li class="corresp" id="corresp-1">Please address correspondence to Silvia Schiavolin, MD, <span class="addr-line">Neurology, Public Health and Disability Unit, Fondazione IRCSS Istituto Neurologico Carlo Besta, Via Celoria 11, 20133 Milan, Italy</span>; e-mail: <span class="em-link"><span class="em-addr">silvia.schiavolin{at}istituto-besta.it</span></span></li></ol></div></div><a href="http://ajnr-stage2.stage.highwire.org/content/44/11/1282.full" class="hw-link hw-link-article-full-text" data-icon-position="" data-hide-link-title="0">View Full Text</a></div>  </div>

  
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      <div class="highwire-cite-title">Considering Psychological and Cognitive Factors in Interventional Neuroradiology: A Systematic Literature Review</div>  
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    	<div class="highwire-cite-metadata"><span  class="highwire-cite-metadata-oa-ind highwire-cite-metadata"><i class="highwire-oa-indicator"></i> </span><span  class="highwire-cite-metadata-journal highwire-cite-metadata">American Journal of Neuroradiology </span><span  class="highwire-cite-metadata-date highwire-cite-metadata">Nov 2023, </span><span  class="highwire-cite-metadata-volume highwire-cite-metadata">44 </span><span  class="highwire-cite-metadata-issue highwire-cite-metadata">(11) </span><span  class="highwire-cite-metadata-pages highwire-cite-metadata">1282-1290; </span><span  class="highwire-cite-metadata-doi highwire-cite-metadata"><span class="label">DOI:</span> 10.3174/ajnr.A8007 </span></div>
  
  
  
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