Vojnosanitetski pregled 2013 Volume 70, Issue 12, Pages: 1117-1123
https://doi.org/10.2298/VSP1312117N
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Assessing the quality of angiographic display of brain blood vessels aneurysms compared to intraoperative state
Nikolić Igor M. 
(Clinical Center of Serbia, Clinic of Neurosurgery, Belgrade + Faculty of Medicine, Belgrade)
Tasić Goran M. (Clinical Center of Serbia, Clinic of Neurosurgery, Belgrade + Faculty of Medicine, Belgrade)
Jovanović Vladimir T. (Clinical Center of Serbia, Clinic of Neurosurgery, Belgrade + Faculty of Medicine, Belgrade)
Repac Nikola R. (Clinical Center of Serbia, Clinic of Neurosurgery, Belgrade)
Janićijević Aleksandar M. (Clinical Center of Serbia, Clinic of Neurosurgery, Belgrade)
Šćepanović Vuk D. (Clinical Center of Serbia, Clinic of Neurosurgery, Belgrade)
Nestorović Branislav D. (Clinical Center of Serbia, Clinic of Neurosurgery, Belgrade + Faculty of Medicine, Belgrade)
Background/Aim. Aneurysms in brain blood vessels are expanding bags composed
of a neck, body and fundus. Clear visibility of the neck, the position of the
aneurysm and surrounding structures are necessary for a proper choice of
methods for excluding the aneurysm from the circulation. The aim of this
study was to evaluate the reliability of spatial reconstruction of blood
vessels of the brain based on the original software for 3D reconstruction of
the equipment manufacturer and a personal computer model developed earlier in
the Clinic for Neurosurgery, Clinical Center of Serbia, Belgrade, compared to
intraoperative identification of these aneurysms. Methods. This study
included 137 patients of both sexes. The presence of an aneurysm was verified
by angiographic methods [computed tomographic angiography (CTA), multislice
computed tomography angiography (MSCTA), magnetic resonance imaging
angiography (MRA), or digital subtraction angiography (DSA)]. Results. The
quality score (0 to 5) for CTA was 3.180 ± 0.961, MSCTA 4.062 ± 0.928, and
for DSA 4.588 ± 0.758 (p < 0.01). The results of this study favorite
conventional angiography as the gold standard for diagnostic of intracranial
aneurysms. Conclusion. The results of this study are consistent with current
publications review and clearly recognize the advantages and disadvantages of
diagnostic neuroradiological procedures, with DSA of brain blood vessels as a
binding preoperative diagnostic procedure in cases in who it is not possible
to clearly visualize the supporting blood vessel and neck of the aneurysm by
using the findings of CTA, MRA and MSCTA.
Keywords: intracranial aneurysm, diagnosis, angiography, tomography, x-ray computed, magnetic resonance angiography, angiography, digital subtraction