• Title/Summary/Keyword: Digital subtraction angiography

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Comparative Evaluation of North American Symptomatic Carotid Endarterectomy Trial and Warfarin-Aspirin Symptomatic Intracranial Disease Methods for Measurement of Middle Cerebral Artery Stenosis in Digital Subtraction Angiography and Magnetic Resonance Angiography (디지털 감산 혈관조영술과 자기 공명 혈관조영술에서 중대뇌동맥의 협착 측정을 위한 North American Symptomatic Carotid Endarterectomy Trial 및 Warfarin-Aspirin Symptomatic Intracranial Disease 방법의 비교 평가)

  • Lee, Jung-Hoon;Kim, Sang-Hyun
    • Journal of radiological science and technology
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    • v.42 no.5
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    • pp.351-356
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    • 2019
  • This study aimed to determine whether there was a difference in measurements between North American Symptomatic Carotid Endarterectomy Trial(NASCET) and Warfarin-Aspirin Symptomatic Intracranial Disease(WASID) methods that measure the middle cerebral artery stenosis in Digital Subtraction Angiography (DSA) and Magnetic Resonance Angiography (MRA). It involved 24 patients who had completed both DSA and MRA among patients with Middle Cerebral Artery (MCA) stenosis. The Middle Cerebral Artery (MCA) stenosis was measured using the NASCET and WASID methods through a retrospective analysis. For the NASCET and WASID methods, they performed measurements on normal blood vessels located far from and close to the stenosis, respectively. The mean value and standard deviation of the Digital Subtraction Angiography (DSA) measured by the NASCET method were 59.23% and 13.27%. On the other hand, those of the Digital Subtraction Angiography (DSA) measured by the WASID method were 66.64% and 12.47%. And, the mean value and standard deviation of the Magnetic Resonance Angiography (MRA) measured by the NASCET method were 49.82% and 12.06%. By contrast, those of the Magnetic Resonance Angiography (MRA) measured by the WASID method were 56.63% and 10.67%. All the p-values obtained by the Pearson and Spearman correlation tests in the Digital Subtraction Angiography (DSA) and the Magnetic Resonance Angiography (MRA) were <0.01. In conclusion, this study suggests that both the NASCET and WASID methods to measure the middle cerebral artery stenosis in the Digital Subtraction Angiography (DSA) and the Magnetic Resonance Angiography (MRA) can be used if they are not used interchangeably.

A Study on Non-Subtraction and Subtraction Technique in 3-Dimensional Angiography of the Cerebral Aneurysm (뇌동맥자루 3차원 혈관조영술에서 비감산 및 감산 기법에 관한 연구)

  • Kim, Kyung-Wan;Im, In-Chul;Lee, Hyo-Yeong
    • Journal of the Korean Society of Radiology
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    • v.12 no.4
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    • pp.511-518
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    • 2018
  • The purpose of this study was to measured the diameter, maximum diameter, maximum area and volume of the cerebral aneurysm in 53 patients who underwent three-dimensional digital angiography and three-dimensional digital subtraction angiography, which were used for the clinical diagnosis of cerebral aneurysm, image noise and radiation exposure dose of each test method were analyzed to compare clinical diagnosis differences in the cerebral aneurysm diagnosis. Three-dimensional digital angiography and three-dimensional digital subtraction angiography showed that the neck diameter, maximum diameter, maximum area, volume, and noise of the cerebral aneurysm were identical or very small. However, the three-dimensional digital angiography significantly decreased the radiation exposure dose compared to three-dimensional digital subtraction angiography. Therefore, in case of clinical diagnosis of cerebral aneurysm, three-dimensional digital angiography should be preferentially used to reduce radiation exposure dose of patient.

Dose Reduction According to Geometric Parameters of Digital Cerebral Angiography (두개부 혈관 조영검사 시 기하학적 특성에 따른 선량 감소 방안)

  • Park, Chan Woo;Cho, Pyong Kon
    • Journal of the Korean Society of Radiology
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    • v.13 no.3
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    • pp.399-406
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    • 2019
  • This study aims to find geometric parameters that the radiologist can change from time to time to reduce dose in angiography examinations. Depending on the geometric characteristics, the values calculated by effective dose were compared, while filming in fluoroscopy mode and Digital subtraction angiography, respectively. The study found that the lower the dose was in FPS mode, the lower the dose was reduced to 30-40%. Doses according to the X-ray angle were measured highest in AP View and lower as the angle went in the head direction. The greater the FOV, the higher the dose was 1.2-1.6 times, and the closer the distance between the X-ray tube and the table, the greater the dose was about 10%. Source-image intensifier distance (SID) get longer to 100 mm, dose of each fluoroscopy and Digital subtraction angiography increase up to 25-30%. In conclusion, various geometric characteristics in angiography examinations are parameters that can be applied by radiographers as frequently as possible, and appropriate geometric properties can be considered and applied in various situations, resulting in appropriate dose reduction.

Flexible Background-Texture Analysis for Coronary Artery Extraction Based on Digital Subtraction Angiography (유동적인 배경 텍스쳐 분석을 통한 DSA 기반의 관상동맥 검출)

  • Park Sung-Ho;Lee Joong-Jae;Lee Geun-Soo;Kim Gye-Young
    • The KIPS Transactions:PartB
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    • v.12B no.5 s.101
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    • pp.543-552
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    • 2005
  • This paper proposes the extraction of coronary arteries based on DSA(Digital Subtraction Angiography) through a texture analysis of background in the angiography. DSA is a well established modality for the visualization of coronary arteries. DSA involves the subtraction of a mask image - an image of the heart before injection of contrast medium - from live image. However, this technique is sensitive to the movement of background and can result to a wrong detection by the variance of background gray-level intensity between two images. Therefore, this paper solves a structural problem resulted from a background movement bV selecting an image which has the least difference of movement through an analysis of the similarity of background texture and proposes a method to extract only the blood vessel efficiently through local gray-level correction of the selected image. Using the coronary angiogram of 5 patients clinical data, we proved that the proposed method has the lower false-detection rate, approximately $2\%$, and the higher accuracy than the existing methods.

Quantitative Digital Subtraction Angiography in Pediatric Moyamoya Disease

  • Cheon, Jung-Eun
    • Journal of Korean Neurosurgical Society
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    • v.57 no.6
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    • pp.432-435
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    • 2015
  • Moyamoya disease is a unique cerebrovascular disorder characterized by idiopathic progressive stenosis at the terminal portion of the internal carotid artery (ICA) and fine vascular network. The aim of this review is to present the clinical application of quantitative digital subtraction angiography (QDSA) in pediatric moyamoya disease. Using conventional angiographic data and postprocessing software, QDSA provides time-contrast intensity curves and then displays the peak time ($T_{max}$) and area under the curve (AUC). These parameters of QDSA can be used as surrogate markers for the hemodynamic evaluation of disease severity and quantification of postoperative neovascularization in moyamoya disease.

A study on the applications of the digital subtraction angiography imaging technique (디지탈 혈관 조영 장치의 영상기술 응용에 관한 연구)

  • 남문현;김성룡
    • 제어로봇시스템학회:학술대회논문집
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    • 1987.10b
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    • pp.684-689
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    • 1987
  • Digital Subtraction Angiography(DSA) technique has been widely used to detect vascular diseases and hemodynamic parameters noninvasively. However, there are few quantitative studies on the factors in fluencing the resultant DSA image quality. In this paper, several important factors are suggested to improved the DSA image quality based on mathematical analysis. Experimental DSA images for different filters are shown and also discussed the difference between original and processed image quality.

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Extracting Blood Vessels through Similarity Analysis and Intensity Correction (유사도 분석과 명암 보정을 통한 혈관 추출)

  • Jang Seok-Woo
    • Journal of Internet Computing and Services
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    • v.7 no.4
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    • pp.33-43
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    • 2006
  • This paper proposes a method to extract coronary arteries effectively in the angiography, In general. DSA(Digital Subtraction Angiography) is a well-established technique for the visualization of coronary arteries, DSA involves the subtraction of a mask image, an image of a heart before the injection of contrast medium, from a live image, However, this technique is sensitive to the movement of background and can cause wrong detection due to the variance of background intensity between two images. Therefore, this paper solves the structural problem resulted from background movement by selecting an image which has the least difference of movement through the similarity analysis of background texture, and it extracts only the blood vessels effectively through local intensity correction of the selected images, Experimental results show that the proposed method has the lower false-detection rate and higher accuracy rate than existing methods.

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