Visualisation of lenticulostriate arteries using contrast-enhanced time-of-flight magnetic resonance angiography at 7 Tesla

Abstract 7 Tesla-field-strength (7 T) Magnetic Resonance Imaging allows the small perforating arteries in the brain to be visualised, and this modality may allow visualisation of the arterial pathology in cerebral small vessel disease. Most studies have used standard Time-of-Flight (ToF) Magnetic Re...

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Main Authors: Christopher N. Osuafor, Catarina Rua, Andrew D. Mackinnon, Marco Egle, Philip Benjamin, Daniel J. Tozer, Christopher T. Rodgers, Hugh S. Markus
Format: Article
Language:English
Published: Nature Portfolio 2022-11-01
Series:Scientific Reports
Online Access:https://doi.org/10.1038/s41598-022-24832-z
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author Christopher N. Osuafor
Catarina Rua
Andrew D. Mackinnon
Marco Egle
Philip Benjamin
Daniel J. Tozer
Christopher T. Rodgers
Hugh S. Markus
author_facet Christopher N. Osuafor
Catarina Rua
Andrew D. Mackinnon
Marco Egle
Philip Benjamin
Daniel J. Tozer
Christopher T. Rodgers
Hugh S. Markus
author_sort Christopher N. Osuafor
collection DOAJ
description Abstract 7 Tesla-field-strength (7 T) Magnetic Resonance Imaging allows the small perforating arteries in the brain to be visualised, and this modality may allow visualisation of the arterial pathology in cerebral small vessel disease. Most studies have used standard Time-of-Flight (ToF) Magnetic Resonance Angiography (MRA). Whether the use of contrast enhancement improves perforating artery visualisation at 7 T remains unclear. In a prospective study, we compared standard ToF MRA with contrast-enhanced (CE) ToF MRA at 7 T for the visualisation of the lenticulostriate arteries (LSAs). Ten patients with symptomatic lacunar stroke were recruited (mean age, SD, 64 ± 9.9 years). Visualisation was assessed using a visual rating scale administered by two independent expert readers and length of the LSAs visible. Visualisation of the LSAs was improved with CE ToF MRA. The mean Visibility and Sharpness Score was higher for CE ToF MRA over standard ToF MRA (2.55 ± 0.64 vs. 1.75 ± 0.68; P = 0.0008). The mean length of LSA visualised was significantly longer with CE ToF MRA compared to standard ToF MRA (24.4 ± 4.5 vs. 21.9 ± 4.0 mm; P = 0.01). CE ToF MRA offers improved visualisation of the LSAs over standard ToF MRA. The addition of contrast may improve the ability to visualise cerebral small vessel disease arterial pathology.
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spelling doaj.art-edec8c3a7f954c6e8ed75f0e4f82e61a2022-12-22T04:20:22ZengNature PortfolioScientific Reports2045-23222022-11-011211910.1038/s41598-022-24832-zVisualisation of lenticulostriate arteries using contrast-enhanced time-of-flight magnetic resonance angiography at 7 TeslaChristopher N. Osuafor0Catarina Rua1Andrew D. Mackinnon2Marco Egle3Philip Benjamin4Daniel J. Tozer5Christopher T. Rodgers6Hugh S. Markus7Stroke Research Group, Department of Clinical Neurosciences, University of CambridgeDepartment of Clinical Neurosciences, University of CambridgeAtkinson Morley Regional Neuroscience Centre, St George’s University Hospitals NHS Foundation TrustStroke Research Group, Department of Clinical Neurosciences, University of CambridgeAtkinson Morley Regional Neuroscience Centre, St George’s University Hospitals NHS Foundation TrustStroke Research Group, Department of Clinical Neurosciences, University of CambridgeWolfson Brain Imaging Centre, Department of Clinical Neurosciences, University of CambridgeStroke Research Group, Department of Clinical Neurosciences, University of CambridgeAbstract 7 Tesla-field-strength (7 T) Magnetic Resonance Imaging allows the small perforating arteries in the brain to be visualised, and this modality may allow visualisation of the arterial pathology in cerebral small vessel disease. Most studies have used standard Time-of-Flight (ToF) Magnetic Resonance Angiography (MRA). Whether the use of contrast enhancement improves perforating artery visualisation at 7 T remains unclear. In a prospective study, we compared standard ToF MRA with contrast-enhanced (CE) ToF MRA at 7 T for the visualisation of the lenticulostriate arteries (LSAs). Ten patients with symptomatic lacunar stroke were recruited (mean age, SD, 64 ± 9.9 years). Visualisation was assessed using a visual rating scale administered by two independent expert readers and length of the LSAs visible. Visualisation of the LSAs was improved with CE ToF MRA. The mean Visibility and Sharpness Score was higher for CE ToF MRA over standard ToF MRA (2.55 ± 0.64 vs. 1.75 ± 0.68; P = 0.0008). The mean length of LSA visualised was significantly longer with CE ToF MRA compared to standard ToF MRA (24.4 ± 4.5 vs. 21.9 ± 4.0 mm; P = 0.01). CE ToF MRA offers improved visualisation of the LSAs over standard ToF MRA. The addition of contrast may improve the ability to visualise cerebral small vessel disease arterial pathology.https://doi.org/10.1038/s41598-022-24832-z
spellingShingle Christopher N. Osuafor
Catarina Rua
Andrew D. Mackinnon
Marco Egle
Philip Benjamin
Daniel J. Tozer
Christopher T. Rodgers
Hugh S. Markus
Visualisation of lenticulostriate arteries using contrast-enhanced time-of-flight magnetic resonance angiography at 7 Tesla
Scientific Reports
title Visualisation of lenticulostriate arteries using contrast-enhanced time-of-flight magnetic resonance angiography at 7 Tesla
title_full Visualisation of lenticulostriate arteries using contrast-enhanced time-of-flight magnetic resonance angiography at 7 Tesla
title_fullStr Visualisation of lenticulostriate arteries using contrast-enhanced time-of-flight magnetic resonance angiography at 7 Tesla
title_full_unstemmed Visualisation of lenticulostriate arteries using contrast-enhanced time-of-flight magnetic resonance angiography at 7 Tesla
title_short Visualisation of lenticulostriate arteries using contrast-enhanced time-of-flight magnetic resonance angiography at 7 Tesla
title_sort visualisation of lenticulostriate arteries using contrast enhanced time of flight magnetic resonance angiography at 7 tesla
url https://doi.org/10.1038/s41598-022-24832-z
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