Advantages of 3D-DSA in Neurointervention

Kai HOU; Ying-na GONG; Bin LI; Chong-bin LIU; Hong LIU; Yi LI; Jian-feng ZHONG

doi:10.12259/j.issn.2095-610X.S20210424

Volume 42 Issue 4

Apr. 2021

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Article Navigation > Journal of Kunming Medical University > 2021 > 42(4): 128-133

Kai HOU, Ying-na GONG, Bin LI, Chong-bin LIU, Hong LIU, Yi LI, Jian-feng ZHONG. Advantages of 3D-DSA in Neurointervention[J]. Journal of Kunming Medical University, 2021, 42(4): 128-133. doi: 10.12259/j.issn.2095-610X.S20210424

Citation:

Kai HOU, Ying-na GONG, Bin LI, Chong-bin LIU, Hong LIU, Yi LI, Jian-feng ZHONG. Advantages of 3D-DSA in Neurointervention[J]. Journal of Kunming Medical University, 2021, 42(4): 128-133. doi: 10.12259/j.issn.2095-610X.S20210424

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Advantages of 3D-DSA in Neurointervention

doi: 10.12259/j.issn.2095-610X.S20210424

Kai HOU^{1, 2},
Ying-na GONG³,
Bin LI^{2, 4},
Chong-bin LIU^{1, 2
,
,},
Hong LIU^{1, 2},
Yi LI^{1, 2},
Jian-feng ZHONG^{2, 4}

1.
Dept. of Radiology，Yan’an Hospital of Kunming City
2.
Yunnan Key Laboratory of Tumor IMmunoprophylaxis and Treatment ，Kunming Yunnan 650051
3.
Dept. of Radiology，The 2nd Affiliated Hospital of Kunming Medical University ，Kunming Yunnan 650101
4.
Dept. of Neurosurgery，Yan’an Hospital of Kunming City，Kunming Yunnan 650051，China

Received Date: 2020-12-24
Publish Date: 2021-04-25

Abstract

Abstract

Objective To analyse the diagnostic advantages and therapeutic value of 3D-DSA compared with conventional 2D-DSA in nerointervention in the “Gold Standard”. Methods A total of 277 cases who underwent neurointerventional therapy using 2D and 3D-DSA were collected from the Affiliated Yan’ an Hospital of Kunming Medical University from January 2018 to December 2019, including 111 cases of cerebral thrombectomy, 106 cases/137 aneurysms （97 common cystic aneurysms in 75 cases, 6 giant aneurysms in 5 cases, 29 wide neck aneurysms in 21 cases, 2 dissecting aneurysms in 2 cases, 2 spindle aneurysms in 2 cases, 1 complex aneurysm in 1 case）, 45 cases of arteriovenous malformation and 15 cases of carotid artery stenosis stent implantation. The 2D and 3D images were retrospectively analyzed and measured by two experienced radiologists using double-blind method, and then the difference of the measured data and the detection rate of the disease were compared. Results There was no significant difference between 2D-DSA and 3D-DSA in the detection rate of each segment of cerebral thrombosis （P > 0.05）. 122 aneurysms （93 cases） were detected by 2D-DSA, 137 aneurysms （106 cases） were detected by 3D-DSA （ P < 0.05）, excepted 2 false positive cases. 44 cases of AVM were detected by 2D-DSA and 45 cases were detected by 3D-DSA （ P > 0.05）. 2D-DSA showed carotid artery stenosis in 15 cases and 3D-DSA showed carotid artery stenosis in 15 cases, the difference was not statistically significant （ P > 0.05）. 3D-DSA is significantly better than 2D-DSA in the detection rate of intracranial aneurysm, tumor neck, tumor shape, tumor diameter, tumor tumor-bearing vessels, perforator vessel, etc. Conclusion 3D-DSA technology improves the detection rate of neurological diseases, improves the accuracy of qualitative and quantitative diagnosis of neurological diseases; therefore it has important guiding significance for the further treatment of diseases.
- 3D-DSA,
- Neurointervention,
- Cerebral angiography

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