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Clinical Article
Clinical value of high-resolution compressed sensing TOF-MRA in assessing Suzuki classification and the dilatation of hemorrhage related vascular in patients with moyamoya disease
LI Qing  SU Chunqiu  WU Pengfei  WU Wei  LU Shanshan 

Cite this article as: LI Q, SU C Q, WU P F, et al. Clinical value of high-resolution compressed sensing TOF-MRA in assessing Suzuki classification and the dilatation of hemorrhage related vascular in patients with moyamoya disease[J]. Chin J Magn Reson Imaging, 2023, 14(4): 29-33. DOI:10.12015/issn.1674-8034.2023.04.006.


[Abstract] Objective To explore the applied value of high-resolution compressed sensing (CS) time-of-fight magnetic resonance angiography (TOF-MRA) in assessing Suzuki classification and the dilatation of hemorrhage related vascular in patients with moyamoya disease (MMD).Materials and Methods A retrospective analysis of twenty-one receivers who underwent both CS TOF-MRA and computed tomography angiography (CTA) within 2 weeks. The scan time of CS TOF-MRA was 5 min 4 s, with a reconstructed resolution of 0.4 mm×0.4 mm×0.4 mm. Visualization of Suzuki classification, moyamoya vessel (MMV), anterior choroidal artery (AChA), and posterior communicating artery (PComA) were independently ranked by two neuroradiologists on CS TOF-MRA and CTA, respectively. The unilateral cerebral hemisphere as a unit, the dilatation of AChA and PComA were graded using both CS TOF-MRA and CTA. Wilcoxon rank sum test was used to compare the evaluation results of CS TOF-MRA and CTA.Results The evaluation ability of Suzuki classification, CS TOF-MRA was equivalent to CTA (Z=-1.000, P>0.05). The MMV, AChA and PComA were better visualized on CS TOF-MRA than CTA (both P<0.05). Thirty-seven hemisphere were enrolled (5 cases of unilateral MMD and 16 cases of bilateral MMD), the dilatation of AChA and PComA, were comparable to CTA (both P<0.05).Conclusions Within a clinically reasonable time, high-resolution CS TOF-MRA outperforms CTA for visualization of hemorrhage related vascular and is equivalent to CTA for Suzuki classification and the dilatation of hemorrhage related vascular in MMD patients. High-resolution CS TOF-MRA can be used as a priority imaging examination for follow-up review of MMD patients, and has well applied value in clinical practice.
[Keywords] cerebrovascular disorders;moyamoya disease;intracranial hemorrhage;high-resolution compressed sensing;magnetic resonance angiography;magnetic resonance imaging

LI Qing1   SU Chunqiu1   WU Pengfei1   WU Wei2   LU Shanshan1*  

1 Department of Radiology, the First Affiliated Hospital of Nanjing Medical University, Nanjing 210029, China

2 Department of Neurosurgery, the First Affiliated Hospital of Nanjing Medical University, Nanjing 210029, China

Corresponding author: Lu SS, E-mail: lushan1118@163.com

Conflicts of interest   None.

ACKNOWLEDGMENTS National Natural Science Foundation of China (No. 82171907).
Received  2022-11-18
Accepted  2023-04-14
DOI: 10.12015/issn.1674-8034.2023.04.006
Cite this article as: LI Q, SU C Q, WU P F, et al. Clinical value of high-resolution compressed sensing TOF-MRA in assessing Suzuki classification and the dilatation of hemorrhage related vascular in patients with moyamoya disease[J]. Chin J Magn Reson Imaging, 2023, 14(4): 29-33. DOI:10.12015/issn.1674-8034.2023.04.006.

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