Sensitivity of three-dimensional time-of-flight 3.0 ​T magnetic resonance angiography in visualizing the number and course of lenticulostriate arteries in patients with insular gliomas

Autor: Andrey E. Bykanov, David I. Pitskhelauri, Artem I. Batalov, Robert Young, Maxim A. Trube, Andrei I. Holodny, Igor N. Pronin, Timur Zagidullin
Jazyk: angličtina
Rok vydání: 2022
Předmět:
Zdroj: Brain and Spine, Vol 2, Iss , Pp 100856- (2022)
Druh dokumentu: article
ISSN: 2772-5294
DOI: 10.1016/j.bas.2021.100856
Popis: Background: Neurosurgical resection of insular gliomas is complicated by the possibility of iatrogenic injury to the lenticulostriate arteries (LSAs) and is associated with devastating neurological complications, hence the need to accurately assess the number of LSAs and their relationship to the tumor preoperatively. Methods: The study included 24 patients with insular gliomas who underwent preoperative 3D-TOF MRA to visualize LSAs. The agreement of preoperative magnetic resonance imaging with intraoperative data in terms of the number of LSAs and their invasion by the tumor was assessed using the Kendall rank correlation coefficient and Cohen's Kappa with linear weighting. Agreement between experts performing image analysis was estimated using Cohen's Kappa with linear weighting. Results: The number of LSAs arising from the M1 segment varied from 0 to 9 (mean 4.3 ​± ​0.37) as determined by 3D-TOF MRA and 2–6 (mean 4.25 ​± ​0.25) as determined intraoperatively, κ ​= ​0.51 (95% CI: 0.25–0.76) and τ ​= ​0.64 (p ​
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