Central Retinal Artery Visualization with Cone-Beam CT Angiography.

Autor:	Raz E; From the Departments of Radiology (E.R., M.S., T.M.S., O.M., M.H., M.G.Y., P.K.N.), Neurology (M.S., S.Y., D.M.G., K.I., J.C.R., S.A., S.L.G.), Neurosurgery (E.N., P.K.N.), and Ophthalmology (J.C.R., I.B., E.K., S.L.G.), Bernard and Irene Schwartz Neurointerventional Section (E.R., M.S., P.K.N.), NYU Langone Health, 660 First Ave, 7th Floor, New York, NY 10016; Department of Neurology, Brown University, Providence, RI (S.Y.); and Department of Neurology, Duke University School of Medicine, Durham, NC (B.M.G.)., Shapiro M; From the Departments of Radiology (E.R., M.S., T.M.S., O.M., M.H., M.G.Y., P.K.N.), Neurology (M.S., S.Y., D.M.G., K.I., J.C.R., S.A., S.L.G.), Neurosurgery (E.N., P.K.N.), and Ophthalmology (J.C.R., I.B., E.K., S.L.G.), Bernard and Irene Schwartz Neurointerventional Section (E.R., M.S., P.K.N.), NYU Langone Health, 660 First Ave, 7th Floor, New York, NY 10016; Department of Neurology, Brown University, Providence, RI (S.Y.); and Department of Neurology, Duke University School of Medicine, Durham, NC (B.M.G.)., Shepherd TM; From the Departments of Radiology (E.R., M.S., T.M.S., O.M., M.H., M.G.Y., P.K.N.), Neurology (M.S., S.Y., D.M.G., K.I., J.C.R., S.A., S.L.G.), Neurosurgery (E.N., P.K.N.), and Ophthalmology (J.C.R., I.B., E.K., S.L.G.), Bernard and Irene Schwartz Neurointerventional Section (E.R., M.S., P.K.N.), NYU Langone Health, 660 First Ave, 7th Floor, New York, NY 10016; Department of Neurology, Brown University, Providence, RI (S.Y.); and Department of Neurology, Duke University School of Medicine, Durham, NC (B.M.G.)., Nossek E; From the Departments of Radiology (E.R., M.S., T.M.S., O.M., M.H., M.G.Y., P.K.N.), Neurology (M.S., S.Y., D.M.G., K.I., J.C.R., S.A., S.L.G.), Neurosurgery (E.N., P.K.N.), and Ophthalmology (J.C.R., I.B., E.K., S.L.G.), Bernard and Irene Schwartz Neurointerventional Section (E.R., M.S., P.K.N.), NYU Langone Health, 660 First Ave, 7th Floor, New York, NY 10016; Department of Neurology, Brown University, Providence, RI (S.Y.); and Department of Neurology, Duke University School of Medicine, Durham, NC (B.M.G.)., Yaghi S; From the Departments of Radiology (E.R., M.S., T.M.S., O.M., M.H., M.G.Y., P.K.N.), Neurology (M.S., S.Y., D.M.G., K.I., J.C.R., S.A., S.L.G.), Neurosurgery (E.N., P.K.N.), and Ophthalmology (J.C.R., I.B., E.K., S.L.G.), Bernard and Irene Schwartz Neurointerventional Section (E.R., M.S., P.K.N.), NYU Langone Health, 660 First Ave, 7th Floor, New York, NY 10016; Department of Neurology, Brown University, Providence, RI (S.Y.); and Department of Neurology, Duke University School of Medicine, Durham, NC (B.M.G.)., Gold DM; From the Departments of Radiology (E.R., M.S., T.M.S., O.M., M.H., M.G.Y., P.K.N.), Neurology (M.S., S.Y., D.M.G., K.I., J.C.R., S.A., S.L.G.), Neurosurgery (E.N., P.K.N.), and Ophthalmology (J.C.R., I.B., E.K., S.L.G.), Bernard and Irene Schwartz Neurointerventional Section (E.R., M.S., P.K.N.), NYU Langone Health, 660 First Ave, 7th Floor, New York, NY 10016; Department of Neurology, Brown University, Providence, RI (S.Y.); and Department of Neurology, Duke University School of Medicine, Durham, NC (B.M.G.)., Ishida K; From the Departments of Radiology (E.R., M.S., T.M.S., O.M., M.H., M.G.Y., P.K.N.), Neurology (M.S., S.Y., D.M.G., K.I., J.C.R., S.A., S.L.G.), Neurosurgery (E.N., P.K.N.), and Ophthalmology (J.C.R., I.B., E.K., S.L.G.), Bernard and Irene Schwartz Neurointerventional Section (E.R., M.S., P.K.N.), NYU Langone Health, 660 First Ave, 7th Floor, New York, NY 10016; Department of Neurology, Brown University, Providence, RI (S.Y.); and Department of Neurology, Duke University School of Medicine, Durham, NC (B.M.G.)., Rucker JC; From the Departments of Radiology (E.R., M.S., T.M.S., O.M., M.H., M.G.Y., P.K.N.), Neurology (M.S., S.Y., D.M.G., K.I., J.C.R., S.A., S.L.G.), Neurosurgery (E.N., P.K.N.), and Ophthalmology (J.C.R., I.B., E.K., S.L.G.), Bernard and Irene Schwartz Neurointerventional Section (E.R., M.S., P.K.N.), NYU Langone Health, 660 First Ave, 7th Floor, New York, NY 10016; Department of Neurology, Brown University, Providence, RI (S.Y.); and Department of Neurology, Duke University School of Medicine, Durham, NC (B.M.G.)., Belinsky I; From the Departments of Radiology (E.R., M.S., T.M.S., O.M., M.H., M.G.Y., P.K.N.), Neurology (M.S., S.Y., D.M.G., K.I., J.C.R., S.A., S.L.G.), Neurosurgery (E.N., P.K.N.), and Ophthalmology (J.C.R., I.B., E.K., S.L.G.), Bernard and Irene Schwartz Neurointerventional Section (E.R., M.S., P.K.N.), NYU Langone Health, 660 First Ave, 7th Floor, New York, NY 10016; Department of Neurology, Brown University, Providence, RI (S.Y.); and Department of Neurology, Duke University School of Medicine, Durham, NC (B.M.G.)., Kim E; From the Departments of Radiology (E.R., M.S., T.M.S., O.M., M.H., M.G.Y., P.K.N.), Neurology (M.S., S.Y., D.M.G., K.I., J.C.R., S.A., S.L.G.), Neurosurgery (E.N., P.K.N.), and Ophthalmology (J.C.R., I.B., E.K., S.L.G.), Bernard and Irene Schwartz Neurointerventional Section (E.R., M.S., P.K.N.), NYU Langone Health, 660 First Ave, 7th Floor, New York, NY 10016; Department of Neurology, Brown University, Providence, RI (S.Y.); and Department of Neurology, Duke University School of Medicine, Durham, NC (B.M.G.)., Mac Grory B; From the Departments of Radiology (E.R., M.S., T.M.S., O.M., M.H., M.G.Y., P.K.N.), Neurology (M.S., S.Y., D.M.G., K.I., J.C.R., S.A., S.L.G.), Neurosurgery (E.N., P.K.N.), and Ophthalmology (J.C.R., I.B., E.K., S.L.G.), Bernard and Irene Schwartz Neurointerventional Section (E.R., M.S., P.K.N.), NYU Langone Health, 660 First Ave, 7th Floor, New York, NY 10016; Department of Neurology, Brown University, Providence, RI (S.Y.); and Department of Neurology, Duke University School of Medicine, Durham, NC (B.M.G.)., Mir O; From the Departments of Radiology (E.R., M.S., T.M.S., O.M., M.H., M.G.Y., P.K.N.), Neurology (M.S., S.Y., D.M.G., K.I., J.C.R., S.A., S.L.G.), Neurosurgery (E.N., P.K.N.), and Ophthalmology (J.C.R., I.B., E.K., S.L.G.), Bernard and Irene Schwartz Neurointerventional Section (E.R., M.S., P.K.N.), NYU Langone Health, 660 First Ave, 7th Floor, New York, NY 10016; Department of Neurology, Brown University, Providence, RI (S.Y.); and Department of Neurology, Duke University School of Medicine, Durham, NC (B.M.G.)., Hagiwara M; From the Departments of Radiology (E.R., M.S., T.M.S., O.M., M.H., M.G.Y., P.K.N.), Neurology (M.S., S.Y., D.M.G., K.I., J.C.R., S.A., S.L.G.), Neurosurgery (E.N., P.K.N.), and Ophthalmology (J.C.R., I.B., E.K., S.L.G.), Bernard and Irene Schwartz Neurointerventional Section (E.R., M.S., P.K.N.), NYU Langone Health, 660 First Ave, 7th Floor, New York, NY 10016; Department of Neurology, Brown University, Providence, RI (S.Y.); and Department of Neurology, Duke University School of Medicine, Durham, NC (B.M.G.)., Agarwal S; From the Departments of Radiology (E.R., M.S., T.M.S., O.M., M.H., M.G.Y., P.K.N.), Neurology (M.S., S.Y., D.M.G., K.I., J.C.R., S.A., S.L.G.), Neurosurgery (E.N., P.K.N.), and Ophthalmology (J.C.R., I.B., E.K., S.L.G.), Bernard and Irene Schwartz Neurointerventional Section (E.R., M.S., P.K.N.), NYU Langone Health, 660 First Ave, 7th Floor, New York, NY 10016; Department of Neurology, Brown University, Providence, RI (S.Y.); and Department of Neurology, Duke University School of Medicine, Durham, NC (B.M.G.)., Young MG; From the Departments of Radiology (E.R., M.S., T.M.S., O.M., M.H., M.G.Y., P.K.N.), Neurology (M.S., S.Y., D.M.G., K.I., J.C.R., S.A., S.L.G.), Neurosurgery (E.N., P.K.N.), and Ophthalmology (J.C.R., I.B., E.K., S.L.G.), Bernard and Irene Schwartz Neurointerventional Section (E.R., M.S., P.K.N.), NYU Langone Health, 660 First Ave, 7th Floor, New York, NY 10016; Department of Neurology, Brown University, Providence, RI (S.Y.); and Department of Neurology, Duke University School of Medicine, Durham, NC (B.M.G.)., Galetta SL; From the Departments of Radiology (E.R., M.S., T.M.S., O.M., M.H., M.G.Y., P.K.N.), Neurology (M.S., S.Y., D.M.G., K.I., J.C.R., S.A., S.L.G.), Neurosurgery (E.N., P.K.N.), and Ophthalmology (J.C.R., I.B., E.K., S.L.G.), Bernard and Irene Schwartz Neurointerventional Section (E.R., M.S., P.K.N.), NYU Langone Health, 660 First Ave, 7th Floor, New York, NY 10016; Department of Neurology, Brown University, Providence, RI (S.Y.); and Department of Neurology, Duke University School of Medicine, Durham, NC (B.M.G.)., Nelson PK; From the Departments of Radiology (E.R., M.S., T.M.S., O.M., M.H., M.G.Y., P.K.N.), Neurology (M.S., S.Y., D.M.G., K.I., J.C.R., S.A., S.L.G.), Neurosurgery (E.N., P.K.N.), and Ophthalmology (J.C.R., I.B., E.K., S.L.G.), Bernard and Irene Schwartz Neurointerventional Section (E.R., M.S., P.K.N.), NYU Langone Health, 660 First Ave, 7th Floor, New York, NY 10016; Department of Neurology, Brown University, Providence, RI (S.Y.); and Department of Neurology, Duke University School of Medicine, Durham, NC (B.M.G.).
Jazyk:	angličtina
Zdroj:	Radiology [Radiology] 2022 Feb; Vol. 302 (2), pp. 419-424. Date of Electronic Publication: 2021 Nov 16.
DOI:	10.1148/radiol.2021210520
Abstrakt:	Background There are multiple tools available to visualize the retinal and choroidal vasculature of the posterior globe. However, there are currently no reliable in vivo imaging techniques that can visualize the entire retrobulbar course of the retinal and ciliary vessels. Purpose To identify and characterize the central retinal artery (CRA) using cone-beam CT (CBCT) images obtained as part of diagnostic cerebral angiography. Materials and Methods In this retrospective study, patients with catheter DSA performed between October 2019 and October 2020 were included if CBCT angiography included the orbit in the field of view. The CBCT angiography data sets were postprocessed with a small field-of-view volume centered in the posterior globe to a maximum resolution of 0.2 mm. The following were evaluated: CRA origin, CRA course, CRA point of penetration into the optic nerve sheath, bifurcation of the CRA at the papilla, visualization of anatomic variants, and visualization of the central retinal vein. Descriptive statistical analysis was performed. Results Twenty-one patients with 24 visualized orbits were included in the analysis (mean age, 55 years ± 15; 14 women). Indications for angiography were as follows: diagnostic angiography ( n = 8), aneurysm treatment ( n = 6), or other ( n = 7). The CRA was identified in all orbits; the origin, course, point of penetration of the CRA into the optic nerve sheath, and termination in the papilla were visualized in all orbits. The average length of the intraneural segment was 10.6 mm (range, 7-18 mm). The central retinal vein was identified in six of 24 orbits. Conclusion Cone-beam CT, performed during diagnostic angiography, consistently demonstrated the in vivo central retinal artery, demonstrating excellent potential for multiple diagnostic and therapeutic applications. © RSNA, 2021 Online supplemental material is available for this article.
Databáze:	MEDLINE
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