Elaboration of a semi-automated algorithm for brain arteriovenous malformation segmentation: initial results.

Objectives: The purpose of our study was to distinguish the different components of a brain arteriovenous malformation (bAVM) on 3D rotational angiography (3D-RA) using a semi-automated segmentation algorithm.Materials and Methods: Data from 3D-RA of 15 patients (8 males, 7 females; 14 supratentoria...

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Publicado en:European Radiology Vol. 25; no. 2; pp. 436 - 444
Autores principales: Clarençon, Frédéric, Maizeroi-Eugène, Franck, Bresson, Damien, Maingreaud, Flavien, Sourour, Nader, Couquet, Claude, Ayoub, David, Chiras, Jacques, Yardin, Catherine, Mounayer, Charbel
Formato: research Journal Article
Publicado: Springer Nature Feb2015
Acceso en línea:Ver este registro en EBSCOhost
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      pub: Springer Nature
      place: New York, New York
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        atl: Elaboration of a semi-automated algorithm for brain arteriovenous malformation segmentation: initial results.
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        au:
          Clarençon, Frédéric
          Maizeroi-Eugène, Franck
          Bresson, Damien
          Maingreaud, Flavien
          Sourour, Nader
          Couquet, Claude
          Ayoub, David
          Chiras, Jacques
          Yardin, Catherine
          Mounayer, Charbel
        affil: Department of Interventional Neuroradiology, Pitié-Salpêtrière Hospital, Paris VI University, 47, Bd de l'Hôpital, 75013, Paris, France, fredclare5@msn.com.
      sug:
        subj:
          Algorithms
          Angiography, Digital Subtraction Methods
          Cerebral Angiography Methods
          Imaging, Three-Dimensional
          Arteriovenous Malformations Radiography
          Adolescence
          Adult
          Aged
          Child
          Female
          Human
          Male
          Middle Age
          Reproducibility of Results
          Young Adult
          Adolescent: 13-18 years
          Adult: 19-44 years
          Aged: 65+ years
          Child: 6-12 years
          Middle Aged: 45-64 years
          Female
          Male
      ab: Objectives: The purpose of our study was to distinguish the different components of a brain arteriovenous malformation (bAVM) on 3D rotational angiography (3D-RA) using a semi-automated segmentation algorithm.Materials and Methods: Data from 3D-RA of 15 patients (8 males, 7 females; 14 supratentorial bAVMs, 1 infratentorial) were used to test the algorithm. Segmentation was performed in two steps: (1) nidus segmentation from propagation (vertical then horizontal) of tagging on the reference slice (i.e., the slice on which the nidus had the biggest surface); (2) contiguity propagation (based on density and variance) from tagging of arteries and veins distant from the nidus. Segmentation quality was evaluated by comparison with six frame/s DSA by two independent reviewers. Analysis of supraselective microcatheterisation was performed to dispel discrepancy.Results: Mean duration for bAVM segmentation was 64 ± 26 min. Quality of segmentation was evaluated as good or fair in 93% of cases. Segmentation had better results than six frame/s DSA for the depiction of a focal ectasia on the main draining vein and for the evaluation of the venous drainage pattern.Conclusion: This segmentation algorithm is a promising tool that may help improve the understanding of bAVM angio-architecture, especially the venous drainage.Key Points: • The segmentation algorithm allows for the distinction of the AVM's components • This algorithm helps to see the venous drainage of bAVMs more precisely • This algorithm may help to reduce the treatment-related complication rate.
      pubtype: Academic Journal
      doctype:
        research
        Journal Article
      ougenre: Article
    language: English
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