Application of susceptibility weighted imaging (SWI) for evaluation of draining veins of arteriovenous malformation: Utility of magnitude images

Toshiteru Miyasaka, Toshiaki Taoka, Hiroyuki Nakagawa, Takeshi Wada, Katsutoshi Takayama, Kaoru Myochin, Masahiko Sakamoto, Tomoko Ochi, Toshiaki Akashi, Kimihiko Kichikawa

Research output: Contribution to journalArticlepeer-review

17 Citations (Scopus)

Abstract

Introduction: The current study evaluated the signal characteristics of susceptibility weighted imaging (SWI) of arteriovenous malformation (AVM), especially for draining veins. For this purpose, we identified the draining veins of the AVM on angiography and evaluated the signal on magnitude image for SWI (SWI-mag) and minimum intensity projection image (SWI-minIP). Methods: Subjects were 14 cases with angiographically proven AVM. SWI-mag, SWI-minIP, and time-of-flight (TOF) magnetic resonance angiography were acquired. For the draining veins of the AVM identified on angiography, we analyzed signal intensity on the images listed above, and classified it into hyperintensity (hyper), mixed intensity (mixed), hypointensity (hypo), and no visualization. Results: On the analysis of 27 angiographically proven draining veins, 19 draining veins were classified as hyper, 3 as mixed, 0 as hypo, and 6 as no visualization on SWI-mag. On TOF images, 21 draining veins were classified as hyper, 2 as mixed, 0 as hypo, and 4 as no visualization, while 6 draining veins did not show hyperintensity on TOF, and SWI-mag visualized 3 of these 6 veins as hyper. Conclusion: SWI-mag depicted most draining veins of AVM as hyperintensity. We speculate that this is mainly due to the higher concentration of oxygenated hemoglobin (oxy-Hb) and inflow effect of the draining vein. SWI-mag seems to be useful in the analysis and follow-up for AVM as the signal on the image may reflect physiological status.

Original languageEnglish
Pages (from-to)1221-1227
Number of pages7
JournalNeuroradiology
Volume54
Issue number11
DOIs
Publication statusPublished - 2012 Nov

Keywords

  • Arteriovenous malformation
  • Magnetic resonance imaging
  • Magnitude image
  • Susceptibility weighted image

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Clinical Neurology
  • Cardiology and Cardiovascular Medicine

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