دورية أكاديمية
The difference of functional MR imaging in evaluating outcome of patients with diffuse and compact brain arteriovenous malformation.
| العنوان: | The difference of functional MR imaging in evaluating outcome of patients with diffuse and compact brain arteriovenous malformation. |
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| المؤلفون: | Wen Z; Department of Neurosurgery, Beijing Tiantan hospital, Capital Medical University, Beijing, China.; China National Clinical Research Center for Neurological Diseases, Beijing, China., Zheng K; Department of Neurosurgery, Beijing Tiantan hospital, Capital Medical University, Beijing, China.; China National Clinical Research Center for Neurological Diseases, Beijing, China., Guo S; Department of Neurosurgery, Beijing Tiantan hospital, Capital Medical University, Beijing, China.; China National Clinical Research Center for Neurological Diseases, Beijing, China., Liu Y; Department of Neurosurgery, Beijing Tiantan hospital, Capital Medical University, Beijing, China.; China National Clinical Research Center for Neurological Diseases, Beijing, China., Wang K; Department of Neurosurgery, Beijing Tiantan hospital, Capital Medical University, Beijing, China.; China National Clinical Research Center for Neurological Diseases, Beijing, China., Liu Q; Department of Neurosurgery, Beijing Tiantan hospital, Capital Medical University, Beijing, China.; China National Clinical Research Center for Neurological Diseases, Beijing, China., Wu J; Department of Neurosurgery, Beijing Tiantan hospital, Capital Medical University, Beijing, China.; China National Clinical Research Center for Neurological Diseases, Beijing, China., Wang S; Department of Neurosurgery, Beijing Tiantan hospital, Capital Medical University, Beijing, China. captain9858@126.com.; China National Clinical Research Center for Neurological Diseases, Beijing, China. captain9858@126.com. |
| المصدر: | Neurosurgical review [Neurosurg Rev] 2024 Jul 24; Vol. 47 (1), pp. 347. Date of Electronic Publication: 2024 Jul 24. |
| نوع المنشور: | Journal Article; Multicenter Study |
| اللغة: | English |
| بيانات الدورية: | Publisher: Springer Berlin Heidelberg Country of Publication: Germany NLM ID: 7908181 Publication Model: Electronic Cited Medium: Internet ISSN: 1437-2320 (Electronic) Linking ISSN: 03445607 NLM ISO Abbreviation: Neurosurg Rev Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: Berlin : Springer Berlin Heidelberg Original Publication: Berlin : Walter De Gruyter |
| مواضيع طبية MeSH: | Intracranial Arteriovenous Malformations*/surgery , Intracranial Arteriovenous Malformations*/diagnostic imaging , Magnetic Resonance Imaging*/methods, Humans ; Male ; Female ; Adult ; Middle Aged ; Treatment Outcome ; Prospective Studies ; Young Adult ; Adolescent ; Microsurgery/methods ; Neurosurgical Procedures/methods ; Brain/diagnostic imaging ; Brain/surgery |
| مستخلص: | Microsurgical resection is an effective method to treat brain arteriovenous malformations (BAVMs). Functional magnetic resonance imaging (fMRI) can evaluate the spatial relationship of nidus and eloquent. Diffuse BAVMs are related to poor outcomes postoperatively. The role of fMRI in evaluating outcomes in patients with different nidus types remains unclear. BAVM patients received microsurgical resection were included from a prospective, multicenter cohort study. All patients underwent fMRI evaluation preoperatively and were regularly followed up postoperatively. Diffuse BAVM is radiologically identified as nidus containing normal brain tissue interspersing between malformed vessels. Lesion-to-eloquent distance (LED) was calculated based on the relationship between nidus and eloquent. The primary outcome was 180-day unfavorable neurological status postoperatively. The risk of primary outcome was investigated within different BAVM nidus types. The LED's performance to predict poor outcome was evaluated using area under curve (AUC). 346 BAVM patients were included in this study. 93 (26.9%) patients were found to have a 180-day unfavorable outcome. Multivariate logistic analysis demonstrated LED (odd ratio [OR], 0.44; 0.34-0.57; P < 0.001) and mRS at admission (OR, 2.59; 1.90-3.54; P < 0.001) as factors of unfavorable outcome. Subgroup analysis showed LED and mRS at admission as factors of unfavorable outcome for patients with compact BAVMs (all P < 0.05), but not for patients with diffuse BAVMs. Subsequent analysis showed that LED performed poorly to predict the unfavorable outcome for patients with diffuse BAVMs, compared with patients with compact BAVMs (AUC as 0.69 vs. 0.86, P < 0.05). A larger cutoff value of LED to unfavorable outcome was found in patients with diffuse BAVMs (15 mm) compared with patients with compact BAVMs (4.7 mm). Usage of LED to evaluate postoperative outcome of patients with diffuse BAVMs differs from its use in patients with compact BAVMs. Specific assessment strategy considering BAVM nidus types could help improve patients' outcome. MITASREAVM cohort (unique identifier: NCT02868008, https://clinicaltrials.gov/study/NCT02868008?term=NCT02868008&rank=1 ). (© 2024. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.) |
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| معلومات مُعتمدة: | 2021YFC2501100 National Key Research and Development Program of the 14th Five-Year Plan; 2021YFC2501100 National Key Research and Development Program of the 14th Five-Year Plan; 2021YFC2501100 National Key Research and Development Program of the 14th Five-Year Plan; 2021YFC2501100 National Key Research and Development Program of the 14th Five-Year Plan; 2021YFC2501100 National Key Research and Development Program of the 14th Five-Year Plan; 2021YFC2501100 National Key Research and Development Program of the 14th Five-Year Plan; 2021YFC2501100 National Key Research and Development Program of the 14th Five-Year Plan; 2021YFC2501100 National Key Research and Development Program of the 14th Five-Year Plan |
| فهرسة مساهمة: | Keywords: Brain arteriovenous malformation; Functional magnetic resonance image; Outcome; Surgery |
| سلسلة جزيئية: | ClinicalTrials.gov NCT02868008 |
| تواريخ الأحداث: | Date Created: 20240723 Date Completed: 20240723 Latest Revision: 20240913 |
| رمز التحديث: | 20240914 |
| DOI: | 10.1007/s10143-024-02593-9 |
| PMID: | 39043982 |
| قاعدة البيانات: | MEDLINE |
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Full Text Finder | تدمد: | 1437-2320 |
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| DOI: | 10.1007/s10143-024-02593-9 |