Technical Developments

Spinal Dural Arteriovenous Fistula Localization with a Technique of First-Pass Gadolinium-enhanced MR Angiography: Initial Experience

Published Online:Mar 1 2002https://doi.org/10.1148/radiol.2223010826

Abstract

Nine patients with initial magnetic resonance (MR) imaging and clinical findings suggestive of spinal dural arteriovenous fistula (AVF) underwent spinal MR angiography with an autotriggered elliptic centric ordered three-dimensional gadolinium-enhanced technique (hereafter, this MR angiographic technique) before conventional intraarterial angiography. In all nine patients, findings with this MR angiographic technique correctly and precisely localized the spinal dural AVF. Observer error resulted in one case in which the site of the fistula was not prospectively reported but was easily identified retrospectively on the spinal MR angiogram.

References

1 Gilbertson JR, Miller GM, Goldman MS, Marsh WR. Spinal dural arteriovenous fistulas: MR and myelographic findings. AJNR Am J Neuroradiol 1995; 16:2049-2057. Medline, Google Scholar
2 Rosenblum B, Oldfield EH, Doppman JL, Di Chiro G. Spinal arteriovenous malformations: a comparison of dural arteriovenous fistulas and intradural AVM’s in 81 patients. J Neurosurg 1987; 67:795-802. Crossref, Medline, Google Scholar
3 Berenstein A, Lasjaunias P. Endovascular treatment of spine and spinal cord lesions New York, NY: Springer-Verlag, 1992; 4-24. Google Scholar
4 Aminoff MJ, Barnard RO, Logue V. The pathophysiology of spinal vascular malformations. J Neurol Sci 1974; 23:255-263. Crossref, Medline, Google Scholar
5 Symon L, Kuyama H, Kendall B. Dural arteriovenous malformations of the spine: clinical features and surgical results in 55 cases. J Neurosurg 1984; 60:238-247. Crossref, Medline, Google Scholar
6 Farb RI, McGregor C, Kim JK, et al. Intracranial arteriovenous malformations: real-time auto-triggered elliptic centric-ordered 3D gadolinium-enhanced MR angiography—initial assessment. Radiology 2001; 220:244-251. Link, Google Scholar
7 Derbyshire JA, Kim JK, Farb RI, Wright GA. Automated contrast bolus detection and triggered true centric 3D MRA of the carotid arteries (abstr). Proceedings of the Sixth Meeting of the International Society for Magnetic Resonance in Medicine Berkeley, Calif: International Society for Magnetic Resonance in Medicine, 1998; 766. Google Scholar
8 Maki JH, Prince MR, Londy FJ, Chenevert TL. The effects of time varying intravascular signal intensity and k-space acquisition order on three-dimensional MR angiography image quality. J Magn Reson Imaging 1996; 6:642-651. Crossref, Medline, Google Scholar
9 Wilman AH, Riederer SJ, King BF, Debbins JP, Rossman PJ, Ehman RL. Fluoroscopically triggered contrast-enhanced three-dimensional MR angiography with elliptical centric view order: application to the renal arteries. Radiology 1997; 205:137-146. Link, Google Scholar
10 Willinsky R, Lasjaunias P, Terbrugge K, Hurth M. Angiography in the investigation of spinal dural arteriovenous fistula: a protocol with application of the venous phase. Neuroradiology 1990; 32:114-116. Crossref, Medline, Google Scholar
11 Masaryk TJ, Ross JS, Modic MT, Ruff RL, Selman WR, Ratcheson RA. Radiculomeningeal vascular malformations of the spine: MR imaging. Radiology 1987; 164:845-849. Link, Google Scholar
12 Bowen BC, Pattany PM. Contrast-enhanced MR angiography of spinal vessels. Magn Reson Imaging Clin N Am 2000; 8:597-614. Crossref, Medline, Google Scholar
13 Terwey B, Becker H, Thron AK, Vahldiek G. Gadolinium-DTPA enhanced MR imaging of spinal dural arteriovenous fistulas. J Comput Assist Tomogr 1989; 13:30-37. Crossref, Medline, Google Scholar
14 Willinsky RA, terBrugge K, Montanera W, Mikulis D, Wallace MC. Posttreatment MR findings in spinal dural arteriovenous malformations. AJNR Am J Neuroradiol 1995; 16:2063-2071. Medline, Google Scholar
15 McCutcheon IE, Doppman JL, Oldfield EH. Microvascular anatomy of dural arteriovenous abnormalities of the spine: a microangiographic study. J Neurosurg 1996; 84:215-220. Crossref, Medline, Google Scholar
16 Bowen BC, Fraser K, Kochan JP, Pattany PM, Green BA, Quencer RM. Spinal dural arteriovenous fistulas: evaluation with MR angiography. AJNR Am J Neuroradiol 1995; 16:2029-2043. Medline, Google Scholar
17 Mascalchi M, Ferrito G, Quilici N, et al. Spinal vascular malformations: MR angiography after treatment. Radiology 2001; 219:346-353. Link, Google Scholar
18 Thorpe JW, Kendall BE, MacManus DG, McDonald WI, Miller DH. Dynamic gadolinium-enhanced MRI in the detection of spinal arteriovenous malformations. Neuroradiology 1994; 36:522-529. Crossref, Medline, Google Scholar
19 Binkert CA, Kollias SS, Valavanis A. Spinal cord vascular disease: characterization with fast three-dimensional contrast-enhanced MR angiography. AJNR Am J Neuroradiol 1999; 20:1785-1793. Medline, Google Scholar
20 Shigematsu Y, Korogi Y, Yoshizumi K, et al. Three cases of spinal dural AVF: evaluation with first-pass, gadolinium-enhanced, three-dimensional MR angiography. J Magn Reson Imaging 2000; 12:949-952. Crossref, Medline, Google Scholar
21 Wiesmann M, Padovan CS, Pfister HW, Yousry TA. Intracranial dural arteriovenous fistula with spinal medullary venous drainage. Eur Radiol 2000; 10:1606-1609. Crossref, Medline, Google Scholar
22 Willinsky R, TerBrugge K, Lasjaunias P, Montanera W. The variable presentations of craniocervical and cervical dural arteriovenous malformations. Surg Neurol 1990; 34:118-123. Crossref, Medline, Google Scholar
23 Aggarwal S, Willinsky R, Montanera W, Terbrugge K, Wallace MC. Superselective angiography of a spinal dural arteriovenous fistula having a common segmental origin with the artery of Adamkiewicz. Neuroradiology 1992; 34:352-354. Crossref, Medline, Google Scholar

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Published in print: Mar 2002

Vol. 222, No. 3

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