Evidence map›Paper›PMID 31339613›Full record

ArticleJournal of neuroimaging : official journal of the American Society of Neuroimaging2019

High-Definition Zoom Mode: A High Resolution X-ray Microscope for Neurointerventional Treatment Procedures.

Swetadri Vasan Setlur Nagesh, Kunal Vakharia, Muhammad Waqas, Vernard S Fennell, Gursant S Atwal, Hussain Shallwani, Daniel R Bednarek, Jason M Davies, Kenneth V Snyder, Maxim Mokin and 3 more

Abstract read
In one paragraph

Article in Journal of neuroimaging : official journal of the American Society of Neuroimaging, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Swetadri Vasan Setlur NageshCanon Stroke and Vascular Research Center, University at Buffalo, Buffalo, NY.
Kunal VakhariaDepartment of Neurosurgery, Jacobs School of Medicine and Biomedical Sciences, University at Buffalo, Buffalo, NY.
Muhammad WaqasDepartment of Neurosurgery, Jacobs School of Medicine and Biomedical Sciences, University at Buffalo, Buffalo, NY.ORCID 0000-0003-4500-7954
Vernard S FennellDepartment of Neurosurgery, Jacobs School of Medicine and Biomedical Sciences, University at Buffalo, Buffalo, NY.ORCID 0000-0002-2208-5880
Gursant S AtwalDepartment of Neurosurgery, Jacobs School of Medicine and Biomedical Sciences, University at Buffalo, Buffalo, NY.ORCID 0000-0002-1903-4097
Hussain ShallwaniDepartment of Neurosurgery, Jacobs School of Medicine and Biomedical Sciences, University at Buffalo, Buffalo, NY.ORCID 0000-0002-9481-3082
Daniel R BednarekCanon Stroke and Vascular Research Center, University at Buffalo, Buffalo, NY.ORCID 0000-0002-6096-3568
Jason M DaviesCanon Stroke and Vascular Research Center, University at Buffalo, Buffalo, NY.ORCID 0000-0002-5225-3072
Kenneth V SnyderCanon Stroke and Vascular Research Center, University at Buffalo, Buffalo, NY.ORCID 0000-0002-0842-9026
Maxim MokinDepartment of Neurosurgery and Brain Repair, University of South Florida, Tampa, FL.ORCID 0000-0003-4270-8667
Stephen RudinCanon Stroke and Vascular Research Center, University at Buffalo, Buffalo, NY.ORCID 0000-0002-2481-7520
Elad I LevyCanon Stroke and Vascular Research Center, University at Buffalo, Buffalo, NY.ORCID 0000-0002-6208-3724
Adnan H SiddiquiCanon Stroke and Vascular Research Center, University at Buffalo, Buffalo, NY.ORCID 0000-0002-9519-0059

Funding

Micro-Radiographic Imager for Neuroovascular InterventionsR01EB002873 · NIBIB · STATE UNIVERSITY OF NEW YORK AT BUFFALO · PI RUDIN, STEPHEN · 2003 to 2015
$5.6M
Institutional Career DevelopmentKL2TR001413 · NCATS · STATE UNIVERSITY OF NEW YORK AT BUFFALO · PI DUBOCOVICH, MARGARITA L · 2015 to 2024
$4.2M
NCATS NIH HHS KL2 TR001413NIBIB NIH HHS R01 EB002873NIH HHS R01EB2873
6 · The paper itself

Abstract

background and purposeVisualization of structural details of treatment devices during neurointerventional procedures can be challenging. A new true two-resolution imaging X-ray detector system features a 194 µm pixel conventional flat-panel detector (FPD) mode and a 76 µm pixel high-resolution high-definition (Hi-Def) zoom mode in one detector panel. The Hi-Def zoom mode was developed for use in interventional procedures requiring superior image quality over a small field of view (FOV). We report successful use of this imaging system during intracranial aneurysm treatment in 1 patient with a Pipeline-embolization device and 1 patient with a low-profile visualized intramural support (LVIS Blue) device plus adjunctive coiling.

methodsA guide catheter was advanced from the femoral artery insertion site to the proximity of each lesion using standard FPD mode. Under magnified small FOV Hi-Def imaging mode, an intermediate catheter and microcatheters were guided to the treatment site, and the PED and LVIS Blue plus coils were deployed. Radiation doses were tracked intraprocedurally.

resultsCritical details, including structural changes in the PED and LVIS Blue and position and movement of the microcatheter tip within the coil mass, were more readily apparent in Hi-Def mode. Skin-dose mapping indicated that Hi-Def mode limited radiation exposure to the smaller FOV of the treatment area.

conclusionsVisualization of device structures was much improved in the high-resolution Hi-Def mode, leading to easier, more controlled deployment of stents and coils than conventional FPD mode.

Indexed as

Blood Vessel ProsthesisStentsEmbolization, TherapeuticEndovascular ProceduresFemaleHumansIntracranial AneurysmMaleMiddle AgedNeurosurgical ProceduresTreatment OutcomeX-Raysaneurysmscoilsflat-panel modeflow-diversion deviceshigh-definition mode

Identifiers

PMID31339613
PMCPMC7150547

What OpenQuestion holds

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Read underepoch 390

Registered trials

None linked

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.