ArticleAJNR. American journal of neuroradiology2011
Contrast-enhanced angiographic cone-beam CT of cerebrovascular stents: experimental optimization and clinical application.
Article in AJNR. American journal of neuroradiology, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
36 citing papers in PubMed.
- Added Value of 3D Proton-Density Weighted Images in Diagnosis of Intracranial Arterial Dissection.PloS one · 2016Trial
- Role of C-arm VasoCT in the use of endovascular WEB flow disruption in intracranial aneurysm treatment.AJNR. American journal of neuroradiology · 2014Trial
- The effect of intracranial stent implantation on the curvature of the cerebrovasculature.AJNR. American journal of neuroradiology · 2012Trial
- Optimizing Image Quality in Cerebral 3D Rotational Angiography: A Study on the Impact of Voxel Size.AJNR. American journal of neuroradiology · 2025Article
- Cranial and spinal computed tomography (CT) angiography with photon-counting detector CT: comparison with angiographic and operative findings.Japanese journal of radiology · 2025Review
- Endovascular Treatment for Kissing and Mirror Image Aneurysms Arising from the Bilateral Distal Anterior Cerebral Arteries: A Technical Note.Journal of neuroendovascular therapy · 2025Article
- Balloon-Assisted Stent Visualization: A Simple Technique for Precise Measurement of Previously Placed Stent Diameter.Asian journal of neurosurgery · 2024Article
- A Comparison and Evaluation of Two Commercially Available Metal Artifact Reduction Applications.Journal of neuroendovascular therapy · 2024Article
- Identification of Carotid Artery Microstructure and Plaque Rupture Using C-Arm Cone-Beam CT: A Case Report.Frontiers in neurology · 2021Article
- A technical note on intra-arterial cone-beam computed tomography for the evaluation of flow-diverter stents: Image quality differences between diluted and non-diluted contrast medium.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2020Article
- Combination of high-resolution cone beam computed tomography and metal artefact reduction software: a new image fusion technique for evaluating intracranial stent apposition after aneurysm treatment.BMJ case reports · 2019Article
- Optimizing contrast-enhanced cone-beam CT protocol to facilitate simultaneous visualization of neurovascular pathologies and surrounding structures of interest.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2019Article
- Usefulness of Cone Beam Intra-Arterial CTA for Evaluation of Flow Diverters: A Practical Approach for Daily Use.Interventional neurology · 2018Article
- Open-cell stent and use of cone-beam CT enables a safe and effective coil embolization of true ophthalmic artery and anterior choroidal artery aneurysms with preservation of parent vessel: Clinical and angiographic results.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2018Article
- Radiation Dosimetry of 3D Rotational Neuroangiography and 2D-DSA in Children.AJNR. American journal of neuroradiology · 2018Article
- Quantitative Analysis of Conebeam CT for Delineating Stents in Stent-Assisted Coil Embolization.AJNR. American journal of neuroradiology · 2018Article
- CT reconstruction and MRI fusion of 3D rotational angiography in the evaluation of pediatric cerebrovascular lesions.Neuroradiology · 2017Article
- Wall Apposition Is a Key Factor for Aneurysm Occlusion after Flow Diversion: A Histologic Evaluation in 41 Rabbits.AJNR. American journal of neuroradiology · 2016Article
- Dose reduction in cone-beam CT scanning for intracranial stent deployment before coil embolization of intracranial wide-neck aneurysms.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2016Article
- Photon-counting hexagonal pixel array CdTe detector: Spatial resolution characteristics for image-guided interventional applications.Medical physics · 2016Article
Corrections and comments
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Authors and funding
9 authors.
Funding
Abstract
background and purposeWith modern imaging techniques, visualization of neurovascular stents remains challenging. We present a method for contrast-enhanced C-arm CBCT that provides detailed and simultaneous visualization of neurovascular stents and host arteries. MATERIALS AND
methodsCBCT was performed with a rotational angiography system by acquiring 620 projection frames over a 200° arc at 80 kVp and a total of 260 mAs. A superselective intra-arterial contrast injection protocol was optimized in swine experiments and implemented in 57 clinical examinations. High-resolution 3D reconstructions were evaluated by 3 blinded interventional neuroradiologists. Reviewers rated the images by answering questions related to both the quality of the stent and artery visualization and the clinical utility of the images. Raw agreement statistics, ICC, and κ statistics were computed for the questionnaire results.
resultsOf 57 clinical evaluations, 5 were not evaluated due to the use of large balloon-mounted stents (n = 4) and a failed contrast injection (n = 1). In 50 of 52 evaluated examinations, the reviewers agreed that simultaneous stent and vessel visualization was of diagnostic quality. There was strong agreement that stent-vessel wall apposition could be assessed (κ = 0.79). CBCT detected contrast filling defects (κ = 0.85) and vascular calcification (κ = 0.68). Artifacts resulting from the aneurysm coil mass impaired the delineation of adjacent structures (κ = 0.72).
conclusionsWe have developed a technique that enables simultaneous clinically useful imaging of neurovascular stents and their host arteries that is unobtainable with other current imaging modalities. Further improvements are required to reduce artifacts from large coil masses due to x-ray scattering.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.