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<meta name="DC.Title" content="Visualization of intracranial aneurysms treated with Woven EndoBridge (WEB) devices using Ultrashort Echo Time Magnetic Resonance Imaging (UTE-MRI)" />
<meta name="DC.Identifier" content="10.3174/ajnr.A8401" />
<meta name="DC.Date" content="2024-07-12" />
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<meta name="DC.Description" content="BACKGROUND AND PURPOSE: Assessing treatment success of intracranial aneurysms treated with Woven EndoBridge (WEB) devices using MRI is important in follow-up imaging. Depicting both the device configuration as well as reperfusion is challenging due to susceptibility artefacts. We evaluated the usefulness of contrast-enhanced 3D-Ultrashort Echo-Time (UTE) sequence in this setting.

MATERIALS AND METHODS: In this prospective study, 12 patients (9 female) with 15 treated aneurysms were included. These 12 patients underwent 18 MRI examinations. Follow-up UTE-MRI controls were performed on the same 3-Tesla scanner. We compared the visualization of device configuration, artifact-related virtual stenosis of the parent vessel and WEB occlusion scale in 3D isotropic UTE-MRI post-contrast with standard time-of-flight (TOF) MR-angiography with (CE) and without intravenous contrast as well as DSA. Two interventional neuroradiologists rated the images separately and in consensus.

RESULTS: Visualization of the WEB device position and configuration was rated superior or highly superior using the UTE sequence in 17/18 MRIs compared to TOF-MRA. Artifact-related virtual stenosis of the parent vessel was significantly lower in UTE-MRI compared to TOF and CE-TOF. Reperfusion was visible in 8/18 controls in DSA. TOF was able to grade reperfusion correctly in 16 cases, CE-TOF in 16 cases and UTE in 17 cases.

CONCLUSIONS: Contrast-enhanced UTE is a novel MRI sequence that shows benefit compared to standard sequences in non-invasive and radiation-free follow-up imaging of intracranial aneurysms treated using the WEB-device.

ABBREVIATIONS: ACoA = anterior communicating artery, BA = basilar artery, CEA = contrast enhanced angiography, ICA = internal carotid artery, MCA = middle cerebral artery, PCom = posterior communicating artery TOF-CE = contrast enhanced time-of-flight angiography, UTE = ultra-short echo time, WEB = woven endobridge" />
<meta name="DC.Contributor" content="Daniel Toth" />
<meta name="DC.Contributor" content="Stefan Sommer" />
<meta name="DC.Contributor" content="Riccardo Ludovichetti" />
<meta name="DC.Contributor" content="Markus Klarhöfer" />
<meta name="DC.Contributor" content="Jawid Madjidyar" />
<meta name="DC.Contributor" content="Patrick Thurner" />
<meta name="DC.Contributor" content="Marco Piccirelli" />
<meta name="DC.Contributor" content="Miklos Krepuska" />
<meta name="DC.Contributor" content="Tim Finkenstädt" />
<meta name="DC.Contributor" content="Roman Guggenberger" />
<meta name="DC.Contributor" content="Sebastian Winklhofer" />
<meta name="DC.Contributor" content="Zsolt Kulcsar" />
<meta name="DC.Contributor" content="Tilman Schubert" />
<meta name="article:published_time" content="2024-07-03" />
<meta name="article:section" content="ORIGINAL RESEARCH" />
<meta name="citation_title" content="Visualization of intracranial aneurysms treated with Woven EndoBridge (WEB) devices using Ultrashort Echo Time Magnetic Resonance Imaging (UTE-MRI)" />
<meta name="citation_abstract" lang="en" content="&lt;h3&gt;ABSTRACT&lt;/h3&gt;
&lt;h3&gt;BACKGROUND AND PURPOSE:&lt;/h3&gt;
&lt;p&gt;Assessing treatment success of intracranial aneurysms treated with Woven EndoBridge (WEB) devices using MRI is important in follow-up imaging. Depicting both the device configuration as well as reperfusion is challenging due to susceptibility artefacts. We evaluated the usefulness of contrast-enhanced 3D-Ultrashort Echo-Time (UTE) sequence in this setting.&lt;/p&gt;&lt;h3&gt;MATERIALS AND METHODS:&lt;/h3&gt;
&lt;p&gt;In this prospective study, 12 patients (9 female) with 15 treated aneurysms were included. These 12 patients underwent 18 MRI examinations. Follow-up UTE-MRI controls were performed on the same 3-Tesla scanner. We compared the visualization of device configuration, artifact-related virtual stenosis of the parent vessel and WEB occlusion scale in 3D isotropic UTE-MRI post-contrast with standard time-of-flight (TOF) MR-angiography with (CE) and without intravenous contrast as well as DSA. Two interventional neuroradiologists rated the images separately and in consensus.&lt;/p&gt;&lt;h3&gt;RESULTS:&lt;/h3&gt;
&lt;p&gt;Visualization of the WEB device position and configuration was rated superior or highly superior using the UTE sequence in 17/18 MRIs compared to TOF-MRA. Artifact-related virtual stenosis of the parent vessel was significantly lower in UTE-MRI compared to TOF and CE-TOF. Reperfusion was visible in 8/18 controls in DSA. TOF was able to grade reperfusion correctly in 16 cases, CE-TOF in 16 cases and UTE in 17 cases.&lt;/p&gt;&lt;h3&gt;CONCLUSIONS:&lt;/h3&gt;
&lt;p&gt;Contrast-enhanced UTE is a novel MRI sequence that shows benefit compared to standard sequences in non-invasive and radiation-free follow-up imaging of intracranial aneurysms treated using the WEB-device.&lt;/p&gt;&lt;p&gt;ABBREVIATIONS: ACoA = anterior communicating artery, BA = basilar artery, CEA = contrast enhanced angiography, ICA = internal carotid artery, MCA = middle cerebral artery, PCom = posterior communicating artery TOF-CE = contrast enhanced time-of-flight angiography, UTE = ultra-short echo time, WEB = woven endobridge&lt;/p&gt;" />
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<meta name="citation_author_institution" content="From the Department of Neuroradiology, Clinical Neuroscience Center, University Hospital Zürich, Zürich, Switzerland (D.T., J.W., R.L., P.T., M.P., M.K., S.W., Z.K., T.S.), Siemens Healthcare, Zürich, Switzerland (S.S., M.K.), and Advanced Clinical Imaging Technology (ACIT), Siemens Healthcare, Lausanne, Switzerland (S.S.), Department of Radiology, University Hospital Zürich, Zürich, Switzerland (R.G., T.F.)." />
<meta name="citation_author" content="Zsolt Kulcsar" />
<meta name="citation_author_institution" content="From the Department of Neuroradiology, Clinical Neuroscience Center, University Hospital Zürich, Zürich, Switzerland (D.T., J.W., R.L., P.T., M.P., M.K., S.W., Z.K., T.S.), Siemens Healthcare, Zürich, Switzerland (S.S., M.K.), and Advanced Clinical Imaging Technology (ACIT), Siemens Healthcare, Lausanne, Switzerland (S.S.), Department of Radiology, University Hospital Zürich, Zürich, Switzerland (R.G., T.F.)." />
<meta name="citation_author" content="Tilman Schubert" />
<meta name="citation_author_institution" content="From the Department of Neuroradiology, Clinical Neuroscience Center, University Hospital Zürich, Zürich, Switzerland (D.T., J.W., R.L., P.T., M.P., M.K., S.W., Z.K., T.S.), Siemens Healthcare, Zürich, Switzerland (S.S., M.K.), and Advanced Clinical Imaging Technology (ACIT), Siemens Healthcare, Lausanne, Switzerland (S.S.), Department of Radiology, University Hospital Zürich, Zürich, Switzerland (R.G., T.F.)." />
<meta name="twitter:title" content="Visualization of intracranial aneurysms treated with Woven EndoBridge (WEB) devices using Ultrashort Echo Time Magnetic Resonance Imaging (UTE-MRI)" />
<meta name="twitter:card" content="summary" />
<meta name="twitter:description" content="BACKGROUND AND PURPOSE: Assessing treatment success of intracranial aneurysms treated with Woven EndoBridge (WEB) devices using MRI is important in follow-up imaging. Depicting both the device configuration as well as reperfusion is challenging due to susceptibility artefacts. We evaluated the usefulness of contrast-enhanced 3D-Ultrashort Echo-Time (UTE) sequence in this setting.

MATERIALS AND METHODS: In this prospective study, 12 patients (9 female) with 15 treated aneurysms were included. These 12 patients underwent 18 MRI examinations. Follow-up UTE-MRI controls were performed on the same 3-Tesla scanner. We compared the visualization of device configuration, artifact-related virtual stenosis of the parent vessel and WEB occlusion scale in 3D isotropic UTE-MRI post-contrast with standard time-of-flight (TOF) MR-angiography with (CE) and without intravenous contrast as well as DSA. Two interventional neuroradiologists rated the images separately and in consensus.

RESULTS: Visualization of the WEB device position and configuration was rated superior or highly superior using the UTE sequence in 17/18 MRIs compared to TOF-MRA. Artifact-related virtual stenosis of the parent vessel was significantly lower in UTE-MRI compared to TOF and CE-TOF. Reperfusion was visible in 8/18 controls in DSA. TOF was able to grade reperfusion correctly in 16 cases, CE-TOF in 16 cases and UTE in 17 cases.

CONCLUSIONS: Contrast-enhanced UTE is a novel MRI sequence that shows benefit compared to standard sequences in non-invasive and radiation-free follow-up imaging of intracranial aneurysms treated using the WEB-device.

ABBREVIATIONS: ACoA = anterior communicating artery, BA = basilar artery, CEA = contrast enhanced angiography, ICA = internal carotid artery, MCA = middle cerebral artery, PCom = posterior communicating artery TOF-CE = contrast enhanced time-of-flight angiography, UTE = ultra-short echo time, WEB = woven endobridge" />
<meta name="og-title" property="og:title" content="Visualization of intracranial aneurysms treated with Woven EndoBridge (WEB) devices using Ultrashort Echo Time Magnetic Resonance Imaging (UTE-MRI)" />
<meta name="og-url" property="og:url" content="http://ajnr-stage2.stage.highwire.org/content/early/2024/07/03/ajnr.A8401" />
<meta name="og-site-name" property="og:site_name" content="American Journal of Neuroradiology" />
<meta name="og-description" property="og:description" content="BACKGROUND AND PURPOSE: Assessing treatment success of intracranial aneurysms treated with Woven EndoBridge (WEB) devices using MRI is important in follow-up imaging. Depicting both the device configuration as well as reperfusion is challenging due to susceptibility artefacts. We evaluated the usefulness of contrast-enhanced 3D-Ultrashort Echo-Time (UTE) sequence in this setting.

MATERIALS AND METHODS: In this prospective study, 12 patients (9 female) with 15 treated aneurysms were included. These 12 patients underwent 18 MRI examinations. Follow-up UTE-MRI controls were performed on the same 3-Tesla scanner. We compared the visualization of device configuration, artifact-related virtual stenosis of the parent vessel and WEB occlusion scale in 3D isotropic UTE-MRI post-contrast with standard time-of-flight (TOF) MR-angiography with (CE) and without intravenous contrast as well as DSA. Two interventional neuroradiologists rated the images separately and in consensus.

RESULTS: Visualization of the WEB device position and configuration was rated superior or highly superior using the UTE sequence in 17/18 MRIs compared to TOF-MRA. Artifact-related virtual stenosis of the parent vessel was significantly lower in UTE-MRI compared to TOF and CE-TOF. Reperfusion was visible in 8/18 controls in DSA. TOF was able to grade reperfusion correctly in 16 cases, CE-TOF in 16 cases and UTE in 17 cases.

CONCLUSIONS: Contrast-enhanced UTE is a novel MRI sequence that shows benefit compared to standard sequences in non-invasive and radiation-free follow-up imaging of intracranial aneurysms treated using the WEB-device.

ABBREVIATIONS: ACoA = anterior communicating artery, BA = basilar artery, CEA = contrast enhanced angiography, ICA = internal carotid artery, MCA = middle cerebral artery, PCom = posterior communicating artery TOF-CE = contrast enhanced time-of-flight angiography, UTE = ultra-short echo time, WEB = woven endobridge" />
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    <title>Visualization of intracranial aneurysms treated with Woven EndoBridge (WEB) devices using Ultrashort Echo Time Magnetic Resonance Imaging (UTE-MRI) | American Journal of Neuroradiology</title>  
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      <div class="highwire-cite-overline"><span  class="highwire-cite-metadata-article-type highwire-cite-metadata">Research Article</span><span class="separator-pipe"></span><span  class="highwire-cite-metadata-art-cat highwire-cite-metadata"><span class="wrapper">ORIGINAL RESEARCH</span></span></div>
  
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      <h1 class="highwire-cite-title" id="page-title">Visualization of intracranial aneurysms treated with Woven EndoBridge (WEB) devices using Ultrashort Echo Time Magnetic Resonance Imaging (UTE-MRI)</h1>  
    	<div class="highwire-cite-authors"><span  class="highwire-citation-authors"><span class="highwire-citation-author first" data-delta="0">Daniel Toth</span>, <span class="highwire-citation-author" data-delta="1">Stefan Sommer</span>, <span class="highwire-citation-author" data-delta="2">Riccardo Ludovichetti</span>, <span class="highwire-citation-author" data-delta="3">Markus Klarhöfer</span>, <span class="highwire-citation-author" data-delta="4">Jawid Madjidyar</span>, <span class="highwire-citation-author" data-delta="5">Patrick Thurner</span>, <span class="highwire-citation-author" data-delta="6">Marco Piccirelli</span>, <span class="highwire-citation-author" data-delta="7">Miklos Krepuska</span>, <span class="highwire-citation-author" data-delta="8">Tim Finkenstädt</span>, <span class="highwire-citation-author" data-delta="9">Roman Guggenberger</span>, <span class="highwire-citation-author" data-delta="10">Sebastian Winklhofer</span>, <span class="highwire-citation-author" data-delta="11">Zsolt Kulcsar</span> and <span class="highwire-citation-author" data-delta="12">Tilman Schubert</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">July 2024,  </span><span  class="highwire-cite-metadata-pages highwire-cite-metadata">ajnr.A8401; </span><span  class="highwire-cite-metadata-doi highwire-cite-metadata">DOI: https://doi.org/10.3174/ajnr.A8401 </span></div>
  
  
  
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<div id="hw-article-author-popups-top-node-108739--8191941291" style="display: none;"><div class="author-tooltip-0"><div class="author-tooltip-name">Daniel Toth </div><div class="author-tooltip-affiliation"><span class="author-tooltip-text"><div class='author-affiliation'>From the Department of Neuroradiology, Clinical Neuroscience Center, University Hospital Zürich, Zürich, Switzerland (D.T., J.W., R.L., P.T., M.P., M.K., S.W., Z.K., T.S.), Siemens Healthcare, Zürich, Switzerland (S.S., M.K.), and Advanced Clinical Imaging Technology (ACIT), Siemens Healthcare, Lausanne, Switzerland (S.S.), Department of Radiology, University Hospital Zürich, Zürich, Switzerland (R.G., T.F.).</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=Daniel%2BToth%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=Toth%20D&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 last"><a href="/search/author1%3ADaniel%2BToth%2B" rel="nofollow" class="" data-icon-position="" data-hide-link-title="0">Search for this author on this site</a></li></ul></div><div class="author-tooltip-1"><div class="author-tooltip-name">Stefan Sommer </div><div class="author-tooltip-affiliation"><span class="author-tooltip-text"><div class='author-affiliation'>From the Department of Neuroradiology, Clinical Neuroscience Center, University Hospital Zürich, Zürich, Switzerland (D.T., J.W., R.L., P.T., M.P., M.K., S.W., Z.K., T.S.), Siemens Healthcare, Zürich, Switzerland (S.S., M.K.), and Advanced Clinical Imaging Technology (ACIT), Siemens Healthcare, Lausanne, Switzerland (S.S.), Department of Radiology, University Hospital Zürich, Zürich, Switzerland (R.G., T.F.).</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=Stefan%2BSommer%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=Sommer%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 last"><a href="/search/author1%3AStefan%2BSommer%2B" rel="nofollow" class="" data-icon-position="" data-hide-link-title="0">Search for this author on this site</a></li></ul></div><div class="author-tooltip-2"><div class="author-tooltip-name">Riccardo Ludovichetti </div><div class="author-tooltip-affiliation"><span class="author-tooltip-text"><div class='author-affiliation'>From the Department of Neuroradiology, Clinical Neuroscience Center, University Hospital Zürich, Zürich, Switzerland (D.T., J.W., R.L., P.T., M.P., M.K., S.W., Z.K., T.S.), Siemens Healthcare, Zürich, Switzerland (S.S., M.K.), and Advanced Clinical Imaging Technology (ACIT), Siemens Healthcare, Lausanne, Switzerland (S.S.), Department of Radiology, University Hospital Zürich, Zürich, Switzerland (R.G., T.F.).</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=Riccardo%2BLudovichetti%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=Ludovichetti%20R&amp;link_type=AUTHORSEARCH" target="_blank" class="" data-icon-position="" data-hide-link-title="0">Find this author on 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href="/lookup/google-scholar?link_type=googlescholar&amp;gs_type=author&amp;author%5B0%5D=Markus%2BKlarh%C3%B6fer%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=Klarh%C3%B6fer%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 last"><a href="/search/author1%3AMarkus%2BKlarh%25C3%25B6fer%2B" rel="nofollow" class="" data-icon-position="" data-hide-link-title="0">Search for this author on this site</a></li></ul></div><div class="author-tooltip-4"><div class="author-tooltip-name">Jawid Madjidyar </div><div class="author-tooltip-affiliation"><span class="author-tooltip-text"><div class='author-affiliation'>From the Department of Neuroradiology, Clinical Neuroscience Center, University Hospital Zürich, Zürich, Switzerland (D.T., J.W., R.L., P.T., M.P., M.K., S.W., Z.K., T.S.), Siemens Healthcare, Zürich, Switzerland (S.S., M.K.), and Advanced Clinical Imaging Technology (ACIT), Siemens Healthcare, Lausanne, Switzerland (S.S.), Department of Radiology, University Hospital Zürich, Zürich, Switzerland (R.G., T.F.).</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=Jawid%2BMadjidyar%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=Madjidyar%20J&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 last"><a href="/search/author1%3AJawid%2BMadjidyar%2B" rel="nofollow" class="" data-icon-position="" 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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">Daniel Toth</span>, </li><li class="contributor" id="contrib-2"><span class="name">Stefan Sommer</span>, </li><li class="contributor" id="contrib-3"><span class="name">Riccardo Ludovichetti</span>, </li><li class="contributor" id="contrib-4"><span class="name">Markus Klarhöfer</span>, </li><li class="contributor" id="contrib-5"><span class="name">Jawid Madjidyar</span>, </li><li class="contributor" id="contrib-6"><span class="name">Patrick Thurner</span>, </li><li class="contributor" id="contrib-7"><span class="name">Marco Piccirelli</span>, </li><li class="contributor" id="contrib-8"><span class="name">Miklos Krepuska</span>, </li><li class="contributor" id="contrib-9"><span class="name">Tim Finkenstädt</span>, </li><li class="contributor" id="contrib-10"><span class="name">Roman Guggenberger</span>, </li><li class="contributor" id="contrib-11"><span class="name">Sebastian Winklhofer</span>, </li><li class="contributor" id="contrib-12"><span class="name">Zsolt Kulcsar</span> and </li><li class="last" id="contrib-13"><span class="name">Tilman Schubert</span></li></ol><ol class="affiliation-list"><li class="aff"><a id="aff-1" name="aff-1"></a><address>From the Department of Neuroradiology, Clinical Neuroscience Center, University Hospital Zürich, Zürich, Switzerland (D.T., J.W., R.L., P.T., M.P., M.K., S.W., Z.K., T.S.), Siemens Healthcare, Zürich, Switzerland (S.S., M.K.), and Advanced Clinical Imaging Technology (ACIT), Siemens Healthcare, Lausanne, Switzerland (S.S.), Department of Radiology, University Hospital Zürich, Zürich, Switzerland (R.G., T.F.).</address></li></ol><ol class="corresp-list"><li class="corresp" id="corresp-1">Please address correspondence to Tilman Schubert, MD, Department of Neuroradiology, Clinical Neuroscience Center, University Hospital Zürich, Frauenklinikstrasse 10, 8091 Zürich, Switzerland, e-mail: <span class="em-link"><span class="em-addr">tilman.schubert{at}usz.ch</span></span>.</li></ol></div></div></div>  </div>

  
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