ArticleAJNR. American journal of neuroradiology2017
Intracranial Arteriovenous Shunting: Detection with Arterial Spin-Labeling and Susceptibility-Weighted Imaging Combined.
Article in AJNR. American journal of neuroradiology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 2 of them syntheses that pooled it.
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Who cites it
25 citing papers in PubMed, 2 syntheses or guidelines pooled it, 42 citations in OpenAlex.
- Diagnostic Performance of TOF, 4D MRA, Arterial Spin-Labeling, and Susceptibility-Weighted Angiography Sequences in the Post-Radiosurgery Monitoring of Brain AVMs.AJNR. American journal of neuroradiology · 2025Pooled it
- A comparison of arterial spin labelling with catheter angiography in evaluating arteriovenous malformations: a systematic review.The British journal of radiology · 2020Pooled it
- Arterial Spin Labeling and Dynamic Susceptibility Contrast-enhanced MR Imaging for evaluation of arteriovenous shunting and tumor hypoxia in glioblastoma.Scientific reports · 2019Trial
- Stroke-Mimic: An Intracranial Dural Arteriovenous Fistula Revealed by New-Onset Seizures and Post-Ictal Deficit.Clinical case reports · 2026Article
- Giant serpentine aneurysm: Imaging features including potential diagnostic utility of arterial spin labeling.Radiology case reports · 2026Article
- Narrower jugular bulbs and their tributaries are associated with skull base venous hyperintensity on arterial spin-labeling MRI.Scientific reports · 2026Article
- Neuroimaging for neurovascular complications of traumatic brain injury.Critical care (London, England) · 2025Review
- Evaluating post-treatment residual intracranial arteriovenous shunting: a comparison of arterial spin labeling MRI and digital subtraction angiography.Neuroradiology · 2025Article
- Foix-Alajouanine syndrome: a comprehensive overview of rare but relevant diagnosis.Annals of medicine and surgery (2012) · 2024Review
- Arterial Spin-Labeling MR Imaging in the Detection of Intracranial Arteriovenous Malformations in Patients with Hereditary Hemorrhagic Telangiectasia.AJNR. American journal of neuroradiology · 2024Article
- Arterial Spin-Labeling MR Imaging for the Differential Diagnosis of Venous-Predominant AVMs and Developmental Venous Anomalies.AJNR. American journal of neuroradiology · 2023Article
- Current state and guidance on arterial spin labeling perfusion MRI in clinical neuroimaging.Magnetic resonance in medicine · 2023Article
- Efficacy of repeat arterial spin labeling for angiogram-negative ruptured micro-arteriovenous malformation: A case report.Surgical neurology international · 2023Article
- Comparison of Single- and Multi-Echo Susceptibility-Weighted Imaging in Detecting Cerebral Arteriovenous Shunts: A Preliminary Study.Journal of the Korean Society of Radiology · 2023Article
- MRI and MR angiography evaluation of pulsatile tinnitus: A focused, physiology-based protocol.Journal of neuroimaging : official journal of the American Society of Neuroimaging · 2022Article
- Efficacy of arterial spin labeling for detection of the ruptured micro-arteriovenous malformation: illustrative cases.Journal of neurosurgery. Case lessons · 2022Article
- Rare Neurovascular Diseases in Korea: Classification and Related Genetic Variants.Korean journal of radiology · 2021Review
- Article
- Jugular venous reflux may mimic type I dural arterio-venous fistula on arterial spin labeling magnetic resonance images.Neuroradiology · 2020Article
- Follow-Up MRI for Small Brain AVMs Treated by Radiosurgery: Is Gadolinium Really Necessary?AJNR. American journal of neuroradiology · 2020Article
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Authors and funding
11 authors at 6 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
background and purposeArterial spin-labeling and susceptibility-weighted imaging are 2 MR imaging techniques that do not require gadolinium. The study aimed to assess the accuracy of arterial spin-labeling and SWI combined for detecting intracranial arteriovenous shunting in comparison with conventional MR imaging. MATERIALS AND
methodsNinety-two consecutive patients with a known (n = 24) or suspected arteriovenous shunting (n = 68) underwent digital subtraction angiography and brain MR imaging, including arterial spin-labeling/SWI and conventional angiographic MR imaging (3D TOF, 4D time-resolved, and 3D contrast-enhanced MRA). Arterial spin-labeling/SWI and conventional MR imaging were reviewed separately in a randomized order by 2 blinded radiologists who judged the presence or absence of arteriovenous shunting. The accuracy of arterial spin-labeling/SWI for the detection of arteriovenous shunting was calculated by using the area under receiver operating curve with DSA as reference standard. κ coefficients were computed to determine interobserver and intermodality agreement.
resultsOf the 92 patients, DSA showed arteriovenous shunting in 63 (arteriovenous malformation in 53 and dural arteriovenous fistula in 10). Interobserver agreement was excellent (κ =0.83-0.95). In 5 patients, arterial spin-labeling/SWI correctly detected arteriovenous shunting, while the conventional angiographic MR imaging did not. Compared with conventional MR imaging, arterial spin-labeling/SWI was significantly more sensitive (0.98 versus 0.90, P = .04) and equally specific (0.97) and showed significantly higher agreement with DSA (κ = 0.95 versus 0.84, P = .01) and higher area under the receiver operating curve (0.97 versus 0.93, P = .02).
conclusionsOur study showed that the combined use of arterial spin-labeling and SWI may be an alternative to contrast-enhanced MRA for the detection of intracranial arteriovenous shunting.
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