OJMI  Vol.3 No.1 , March 2013
Intracranial Dural Arteriovenous Fistula: Preliminary Report of Arterial Spin Labeling
ABSTRACT
Purpose: We report the results of applying arterial spin labeling (ASL) to intracranial dural arteriovenous fistula (DAVF). Methods: Sixteen patients with angiographically confirmed DAVF underwent ASL on a clinical 1.5 T or 3 T MR system. ASL was performed by Q2TIPS (second version of quantitative imaging of perfusion by using a single subtraction MRI pulse sequence with thin-slice TI1 periodic saturation) with echo-planar imaging. Draining veins such as dural venous sinus and cortical veins were evaluated on ASL. Results: ASL clearly depicted draining dural venous sinus in all patients with DAVF Borden type I (6/6, 100%) and type II (4/4, 100%). ASL depicted cortical venous reflux in only one patient with DAVF Borden type II (1/4, 25%). ASL depicted drainage directly into cortical veins in all patients with Borden type III (6/6, 100%). Conclusion: Our preliminary study suggests that ASL can depict draining veins in patients with DAVF.

Cite this paper
K. Noguchi, H. Kawabe and H. Seto, "Intracranial Dural Arteriovenous Fistula: Preliminary Report of Arterial Spin Labeling," Open Journal of Medical Imaging, Vol. 3 No. 1, 2013, pp. 1-6. doi: 10.4236/ojmi.2013.31001.
References
[1]   P. Lasjaunias, M. Chiu, K. TerBrugge, A. Tolia, M. Hurth, M. Bernstein, “Neurological Manifestations of Intracranial Dural Arteriovenous Malformations,” Journal of Neurosurgery, Vol. 64, No. 5, 1986, pp. 724-730. doi:10.3171/jns.1986.64.5.0724

[2]   I. Awad, J. Little, W. Akrawi and J. Ahl, “Intracranial Dural Arteriovenous Malformations: Factors Predisposing to an Aggressive Neurological Course,” Journal of Neurosurgery, Vol. 72, No. 6, 1990, pp. 839-850. doi:10.3171/jns.1990.72.6.0839

[3]   J. A. Borden, J. K. Wu and W. A. Shucart, “A Proposed Classification for Spinal and Cranial Dural Arteriovenous Fistulous Malformations and Implications for Treatment,” Journal of Neurosurgery, Vol. 82, No. 2, 1995, pp. 166-179. doi:10.3171/jns.1995.82.2.0166

[4]   C. Cognard, Y. Gobin, L. Pierot, et al., “Cerebral Dural Arteriovenous Fistulas: Clinical and Angiographic Correlation with a Revised Classification of Venous Drainage,” Radiology, Vol. 194, 1995, pp. 671-680.

[5]   J. M. van Dijk, K. G. terBrugge, R. A. Willinsky and M. C. Wallace, “Clinical Course of Cranial Dural Arteriovenous Fistulas with Long-Term Persistent Cortical Venous Reflux,” Stroke, Vol. 33, No. 5, 2002, pp. 1233-1236. doi:10.1161/01.STR.0000014772.02908.44

[6]   A. R. Deibler, J. M. Pollock, R. A. Kraft, H. Tan, J. H. Burdette and J. A. Maldjian, “Arterial Spin-Labeling in Routine Clinical Practice, Part 1: Technique and Artifacts,” American Journal of Neuroradiology, Vol. 29, No. 7, 2008, pp. 1228-1234. doi:10.3174/ajnr.A1030

[7]   A. R. Deibler, J. M. Pollock, R. A. Kraft, H. Tan, J. H. Burdette and J. A. Maldjian, “Arterial Spin-Labeling in Routine Clinical Practice, Part 2: Hypoperfusion Patterns,” American Journal of Neuroradiology, Vol. 29, 2008, 235-1241. doi:10.3174/ajnr.A1033

[8]   A. R. Deibler, J. M. Pollock, R. A. Kraft, H. Tan, J. H. Burdette and J. A. Maldjian, “Arterial Spin-Labeling in Routine Clinical Practice, Part 3: Hyperperfusion Patterns,” American Journal of Neuroradiology, Vol. 29, 2008, pp. 1428-1435. doi:10.3174/ajnr.A1034

[9]   E. T. Petersen, I. Zimine, Y. C. Ho and X. Golay, “NonInvasive Measurement of Perfusion: A Critical Review of Arterial Spin Labeling Techniques,” The British Journal of Radiology, Vol. 79, No. 944, 2006, pp. 688-701. doi:10.1259/bjr/67705974

[10]   T. T. Le, N. J. Fischbein, J. B. Andre, C. Wijman, J. Rosenberg and G. Zaharchuk, “Identification of Venous Signal on Arterial Spin Labeling Improves Diagnosis of Dural Arterioveninous Fistulas and Small Arteriovenous Malformations,” American Journal of Neuroradiology, Vol. 33, 2012, pp. 61-68. doi:10.3174/ajnr.A2761

[11]   W. M. Luh, E. C. Wong, P. A. Badettini and J. S. Hyde, “QUIPSS II with Thin-Slice TI1 Periodic Saturation: A Method for Improving Accuracy of Quantitative Perfusion Imaging Using Pulsed Arterial Spin Labeling,” Magnetic Resonance in Medicine, Vol. 41, No. 6, 1996, pp. 1246-1254. doi:10.1002/(SICI)1522-2594(199906)41:6<1246::AID-MRM22>3.0.CO;2-N

[12]   K. DeMarco, W. P. Dillon, V. V. Halbach and J. S. Tsuruda, “Dural Arteriovenous Fistula: Evaluation with MR Imaging,” Radiology, Vol. 175, No. 1, 1990, pp. 193-199.

[13]   R. Willinsky, K. Terbrugge, W. Montanera, D. Mikulis and C. Wallace, “Venous Congestion: An MR Finding in Dural Arteriovenous Malformations with Cortical Venous Drainage,” American Journal of Neuroradiology, Vol. 15, 1994, pp. 1501-1507.

[14]   R. Willinsky, M. Goyal, K. terBrugge and W. Montanera, “Tortuous, Enlarged Pial Veins in Intracranial Dural Arteriovenous Fistulas: Correlations with Presentation, Location, and MR Findings in 122 Patients,” American Journal of Neuroradiology, Vol. 20, No. 6, 1996, pp. 1031-1036.

[15]   J. C. Chen, J. S. Tsuruda and V. V. Halbach, “Suspected Dural Arteriovenous Fistula: Results with Screening MR Angiography in Seven Patients,” Radiology, Vol. 183, 1992, pp. 265-271.

[16]   K. Noguchi, E. R. Melhem, T. Kanazawa, M. Kubo, N. Kuwayama and H. Seto, “Intracranial Dural Arteriovenous Fistulas: Evaluation with Combined 3D Time-ofFlight MR Angiography and MR Digital Subtraction Angiography,” American Journal of Roentgenology, Vol. 182, No. 1, 2004, pp. 183-190.

[17]   S. C. Coley, C. A. J. Romanowski, T. J. Hodgson and P. D. Griffiths, “Dural Arteriovenous Fistulae: Noninvasive Diagnosis with Dynamic MR Digital Subtraction Angiography,” American Journal of Neuroradiology, Vol. 23, 2002, pp. 404-407.

[18]   N. Horie, M. Morikawa, N. Kitigawa, K. Tsutsumi, M. Kaminogo and I. Nagata, “2D Thick-Section MR Digital Subtraction Angiography for the Assessment of Dural Arteriovenous Fistulas,” American Journal of Neuroradiology, Vol. 27, No. 2, 2006, pp. 264-269.

[19]   K. Noguchi, N. Kuwayama, M. Kubo, et al., “Dural Arteriovenous Fistula Involving the Transverse Sigmoid Sinus after Treatment: Assessment with Magnetic Resonance Digital Subtraction Angiography,” Neuroradiology, Vol. 49, No. 8, 2007, pp. 639-643. doi:10.1007/s00234-007-0230-4

[20]   R. I. Farb, R. Agid, R. A. Willinsky, D. M. Johnstone and K. G. terBrugge, “Cranial Dural Arteriovenous Fistula: Diagnosis and Classification with Time-Resolved MR Angiography at 3 T,” American Journal of Neuroradiology, Vol. 30, No. 8, 2009, pp. 1546-1551. doi:10.3174/ajnr.A1646

[21]   S. Nishimura, T. Hirai, A. Sasao, et al., “Evaluation of Dural Arteriovenous Fistulas with 4D Contrast-Enhanced MR Angiography at 3 T,” American Journal of Neuroradiology, Vol. 31, No. 1, 2010, pp. 80-85. doi:10.3174/ajnr.A1898

[22]   R. L. Wolf, J. Wang, J. A. Detre, E. L. Zager and R. W. Hurst, “Arteriovenous Shunt Visualization in Arteriovenous Malformations with Arterial Spin-Labeling MR Imaging,” American Journal of Neuroradiology, Vol. 29, 2008, pp. 681-687. doi:10.3174/ajnr.A0901

[23]   J. M. Pollock, C. T. Whitlow, J. Simonds, et al., “Response of Arteriovenous Malformations to Gamma Knife Therapy Evaluated with Pulsed Arterial Spin-Labeling MRI Perfusion,” American Journal of Roentgenology, Vol. 196, No. 1, 2011, pp. 15-22. doi:10.2214/AJR.10.5290

[24]   K. Noguchi, N. Kuwayama, M. Kubo, et al., “Flow-Sensitive Alternating Inversion Recovery (FAIR) Imaging for Retrograde Cortical Venous Drainage Related to Intracranial Dural Arteriovenous Fistula,” Neuroradiology, Vol. 53, No. 3, 2011, pp. 153-158. doi:10.1007/s00234-010-0711-8

[25]   K. Noguchi, N. Kuwayama, M. Kubo, et al., “Intracranial Dural Arteriovenous Fistula with Retrograde Cortical Venous Drainage: Use of Susceptibility-Weighted Imaging in Combination with Dynamic Susceptibility Contrast Imaging,” American Journal of Neuroradiology, Vol. 31, 2010, pp. 1903-1910. doi:10.3174/ajnr.A2231

[26]   J. Hodel, S. Gerber, M. Zins, M. Rodallec, X. Leclerc, R. Blanc and A. Rahmouni, “MR Imaging Findings in Intracranial Dural Arteriovenous Shunt with Retrograde Cortical Venous Drainage Using Susceptibility-Weighted Angiography,” American Journal of Neuroradiology, Vol. 32, 2011, pp. 196-197. doi:10.3174/ajnr.A2875

[27]   L. Letourneau-Guillon and T. Krings, “Simultaneous Arteriovenous Shunting and Venous Congestion Identification in Dural Arteriovenous Fistulas Using SusceptibilityWeighted Imaging: Initial Experience,” American Journal of Neuroradiology, Vol. 33, 2012, pp. 301-307. doi:10.3174/ajnr.A2777

 
 
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