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PubMed · 11801907

Centroid-based maximum intensity projections.

Abstract

PURPOSE: Maximum intensity projection (MIP) is a three-dimensional visualization technique for tomographic angiograms. While conventional MIPs display contralateral vascular anatomy, this study uses centroid calculations to remove this information. It is necessary to provide accurate, unambiguous vessel depiction and identical projections regardless of slice orientation. METHOD: A mathematical model was formed using parameters from clinical images of the head. The vessel widths from the resulting projections were measured and compared with the model. To test the consistency of the projection process, a clinical image set was reformatted and projections of the same view were compared. RESULTS: The vessel widths were smaller than in the model while varying interpolation and noise. Similar projection views were generated for all slice orientations, but some misalignment was present. CONCLUSION: Vessel width is affected by the ray's path length and interpolation method. Some slight misalignment is present because the reformatting process alters the centroid calculations.

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David M Cash, Michelle G Palmisano, Robert L Galloway. Centroid-based maximum intensity projections.. https://doi.org/10.1097/00004728-200201000-00011

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Encephaloduroarteriosynangiosis with bifrontal encephalogaleo(periosteal)synangiosis in the pediatric moyamoya disease: the surgical technique and its outcomes.

METHODS: To increase the blood flow of the anterior cerebral artery (ACA) and the middle cerebral artery (MCA) territories, we modified the "ribbon" procedure in combination with encephaloduroarteriosynangiosis (EDAS). This is referred to as "EDAS with bifrontal encephalogaleo(periosteal)synangiosis (EGS)." The surgical technique, clinical outcomes, complications, extent of revascularization, and changes in CBF in 67 pediatric MMD patients were retrospectively reviewed. RESULTS: The excellent and good clinical recovery rates were 57% and 31%. The rate for complete disappearance of TIA was 63%. All the bifrontal EGS made abundant collateral vessels in the ACA territory. When the EDAS with bifrontal EGS was performed in the first operation, collaterals of EGS sites developed more on the contralateral side of the EDAS. The arachnoid opening of the medial frontal lobe in the EGS site had no effect on the results. There was a positive correlation between the clinical outcome and the extent of angiographic revascularization. Improvements in the CBF and the reserve in ACA territory were observed in 57%. CONCLUSIONS: EDAS with bifrontal EGS resulted in excellent revascularization in both the MCA and ACA territories. The clinical and hemodynamic results were also excellent. This procedure may be an effective and safe surgical modality for the prevention of ischemia in the whole territory of the anterior circulation of the brain in pediatric MMD.

Cerebral Angiography↗