DOI: 10.3171/jns.1992.76.3.0408. Three-dimensional computerized tomography angiography in the diagnosis of cerebrovascular disease

Three-dimensional computerized tomography angiography in the diagnosis of cerebrovascular disease

10.3171/jns.1992.76.3.0408

Crossref journal-article

Journal of Neurosurgery Publishing Group (JNSPG)

Journal of Neurosurgery (1754)

Abstract

✓ Computer-generated three-dimensional reconstruction of the intracranial vascular system obtained by contrast-enhanced computerized tomography (CT) has been used in the diagnosis of 20 patients with known or suspected intracranial cerebrovascular disease. This technique allows visualization of the intracranial vasculature without exposing patients to the risks associated with intra-arterial angiography. The color prints and videotape images generated have been used to diagnose the presence of intracranial aneurysms, arteriovenous malformations, and venous angiomas. They have also been used to rule out structural abnormalities in patients with suspected intracranial vascular pathology and to screen patients with a strong family history of intracranial aneurysm. In 11 patients who underwent both three-dimensional CT angiography and intra-arterial angiography, the diagnostic correlation was 100%. No complications from the procedures or from incorrect diagnosis have been encountered. Although this technique requires further development and clinical evaluation, the authors' early experience with three-dimensional CT angiography suggests that this may become a valuable tool in the diagnosis of patients with cerebrovascular disease.

Bibliography

Harbaugh, R. E., Schlusselberg, D. S., Jeffery, R., Hayden, S., Cromwell, L. D., & Pluta, D. (1992). Three-dimensional computerized tomography angiography in the diagnosis of cerebrovascular disease. Journal of Neurosurgery, 76(3), 408â414.

Authors 6

Robert E. Harbaugh (first)
Daniel S. Schlusselberg (additional)
Robert Jeffery (additional)
Shawn Hayden (additional)
Laurence D. Cromwell (additional)
Daniel Pluta (additional)

References 15 Referenced 81

10.3171/jns.1982.57.4.0527 / J Neurosurg / Delineation of unruptured cerebral aneurysms by computerized angiotomography. by Asari (1982)
10.1001/archneur.1985.04060090051013 / Arch Neurol / Complications of intravenous digital subtraction angiography. by Ball (1985)
10.1148/radiology.176.2.2367661 / Radiology / MR angiography with oblique gradient-recalled echo technique. by Brown (1990)
10.1148/radiology.161.3.3786721 / Radiology / Magnetic resonance angiography. by Dumoulin (1986)
10.1148/radiology.177.1.2399337 / Radiology / Extracranial carotid arteries: evaluation with “black blood” MR angiography. by Edelman (1990)
{'key': 'b6', 'series-title': 'Fundamentals of Interactive Computer Graphics.', 'first-page': '267', 'author': 'Foley', 'year': '1982'} / Fundamentals of Interactive Computer Graphics. by Foley (1982)
{'key': 'b7', 'series-title': 'Radiology', 'first-page': '364', 'article-title': 'Three-dimensional angioimaging with helical scanning CT.', 'volume': '177(P)', 'author': 'Katada', 'year': '1990'} / Radiology / Three-dimensional angioimaging with helical scanning CT. by Katada (1990)
10.1148/radiology.175.3.2343107 / Radiology / Adverse reactions to ionic and nonionic contrast media. A report from the Japanese Committee on the Safety of Contrast Media. by Katayama (1990)
10.2214/ajr.130.6.1097 / AJR / Cerebral ischemia. I. Current angiographic techniques, complications and safety. by Kerber (1978)
10.2214/ajr.131.5.871 / AJR / Complications of catheter cerebral arteriography: analysis of 5,000 procedures. III. Assessment of arteries injected, contrast medium used, duration of procedure, and age of patient. by Mani (1978)
10.2214/ajr.131.5.867 / AJR / Complications of catheter cerebral arteriography: analysis of 5,000 procedures. II. Relation of complication rates to clinical and arteriographic diagnoses. by Mani (1978)
10.2214/ajr.131.5.861 / AJR / Complications of catheter cerebral arteriography: analysis of 5,000 procedures. I. Criteria and incidence. by Mani (1978)
10.3171/jns.1989.71.2.0175 / J Neurosurg / CT infusion scanning for the detection of cerebral aneurysms. by Newell (1989)
10.1161/01.STR.16.3.528 / Stroke / Digital subtraction angiography: current clinical applications. by Pelz (1985)
{'key': 'b15', 'series-title': 'Surgery', 'first-page': '662', 'article-title': '“Angiography” by magnetic resonance imaging: detailed vascular anatomy without ionizing radiation or contrast media.', 'volume': '105', 'author': 'Rapp', 'year': '1989'} / Surgery / “Angiography” by magnetic resonance imaging: detailed vascular anatomy without ionizing radiation or contrast media. by Rapp (1989)

Dates

Type	When
Created	16 years, 3 months ago (May 26, 2009, 4:21 p.m.)
Deposited	2 years, 5 months ago (March 19, 2023, 8:29 p.m.)
Indexed	2 months, 3 weeks ago (June 4, 2025, 7:02 p.m.)
Issued	33 years, 5 months ago (March 1, 1992)
Published	33 years, 5 months ago (March 1, 1992)
Published Print	33 years, 5 months ago (March 1, 1992)

Funders 0

None

BibTeX

@article{Harbaugh_1992, title={Three-dimensional computerized tomography angiography in the diagnosis of cerebrovascular disease}, volume={76}, ISSN={0022-3085}, url={http://dx.doi.org/10.3171/jns.1992.76.3.0408}, DOI={10.3171/jns.1992.76.3.0408}, number={3}, journal={Journal of Neurosurgery}, publisher={Journal of Neurosurgery Publishing Group (JNSPG)}, author={Harbaugh, Robert E. and Schlusselberg, Daniel S. and Jeffery, Robert and Hayden, Shawn and Cromwell, Laurence D. and Pluta, Daniel}, year={1992}, month=mar, pages={408–414} }

JSON

{
  "indexed": {
    "date-parts": [
      [
        2025,
        6,
        4
      ]
    ],
    "date-time": "2025-06-04T23:02:04Z",
    "timestamp": 1749078124393
  },
  "reference-count": 15,
  "publisher": "Journal of Neurosurgery Publishing Group (JNSPG)",
  "issue": "3",
  "content-domain": {
    "domain": [],
    "crossmark-restriction": false
  },
  "published-print": {
    "date-parts": [
      [
        1992,
        3
      ]
    ]
  },
  "abstract": "<jats:p content-type=\"fine-print\">\u2713 Computer-generated three-dimensional reconstruction of the intracranial vascular system obtained by contrast-enhanced computerized tomography (CT) has been used in the diagnosis of 20 patients with known or suspected intracranial cerebrovascular disease. This technique allows visualization of the intracranial vasculature without exposing patients to the risks associated with intra-arterial angiography. The color prints and videotape images generated have been used to diagnose the presence of intracranial aneurysms, arteriovenous malformations, and venous angiomas. They have also been used to rule out structural abnormalities in patients with suspected intracranial vascular pathology and to screen patients with a strong family history of intracranial aneurysm. In 11 patients who underwent both three-dimensional CT angiography and intra-arterial angiography, the diagnostic correlation was 100%. No complications from the procedures or from incorrect diagnosis have been encountered. Although this technique requires further development and clinical evaluation, the authors' early experience with three-dimensional CT angiography suggests that this may become a valuable tool in the diagnosis of patients with cerebrovascular disease.</jats:p>",
  "DOI": "10.3171/jns.1992.76.3.0408",
  "type": "journal-article",
  "created": {
    "date-parts": [
      [
        2009,
        5,
        26
      ]
    ],
    "date-time": "2009-05-26T20:21:50Z",
    "timestamp": 1243369310000
  },
  "page": "408-414",
  "source": "Crossref",
  "is-referenced-by-count": 81,
  "title": "Three-dimensional computerized tomography angiography in the diagnosis of cerebrovascular disease",
  "prefix": "10.3171",
  "volume": "76",
  "author": [
    {
      "given": "Robert E.",
      "family": "Harbaugh",
      "sequence": "first",
      "affiliation": []
    },
    {
      "given": "Daniel S.",
      "family": "Schlusselberg",
      "sequence": "additional",
      "affiliation": []
    },
    {
      "given": "Robert",
      "family": "Jeffery",
      "sequence": "additional",
      "affiliation": []
    },
    {
      "given": "Shawn",
      "family": "Hayden",
      "sequence": "additional",
      "affiliation": []
    },
    {
      "given": "Laurence D.",
      "family": "Cromwell",
      "sequence": "additional",
      "affiliation": []
    },
    {
      "given": "Daniel",
      "family": "Pluta",
      "sequence": "additional",
      "affiliation": []
    }
  ],
  "member": "1754",
  "reference": [
    {
      "key": "b1",
      "series-title": "J Neurosurg",
      "doi-asserted-by": "publisher",
      "first-page": "527",
      "DOI": "10.3171/jns.1982.57.4.0527",
      "article-title": "Delineation of unruptured cerebral aneurysms by computerized angiotomography.",
      "volume": "57",
      "author": "Asari",
      "year": "1982"
    },
    {
      "key": "b2",
      "series-title": "Arch Neurol",
      "doi-asserted-by": "publisher",
      "first-page": "969",
      "DOI": "10.1001/archneur.1985.04060090051013",
      "article-title": "Complications of intravenous digital subtraction angiography.",
      "volume": "42",
      "author": "Ball",
      "year": "1985"
    },
    {
      "key": "b3",
      "series-title": "Radiology",
      "doi-asserted-by": "publisher",
      "first-page": "461",
      "DOI": "10.1148/radiology.176.2.2367661",
      "article-title": "MR angiography with oblique gradient-recalled echo technique.",
      "volume": "176",
      "author": "Brown",
      "year": "1990"
    },
    {
      "key": "b4",
      "series-title": "Radiology",
      "doi-asserted-by": "publisher",
      "first-page": "717",
      "DOI": "10.1148/radiology.161.3.3786721",
      "article-title": "Magnetic resonance angiography.",
      "volume": "161",
      "author": "Dumoulin",
      "year": "1986"
    },
    {
      "key": "b5",
      "series-title": "Radiology",
      "doi-asserted-by": "publisher",
      "first-page": "45",
      "DOI": "10.1148/radiology.177.1.2399337",
      "article-title": "Extracranial carotid arteries: evaluation with \u201cblack blood\u201d MR angiography.",
      "volume": "177",
      "author": "Edelman",
      "year": "1990"
    },
    {
      "key": "b6",
      "series-title": "Fundamentals of Interactive Computer Graphics.",
      "first-page": "267",
      "author": "Foley",
      "year": "1982"
    },
    {
      "key": "b7",
      "series-title": "Radiology",
      "first-page": "364",
      "article-title": "Three-dimensional angioimaging with helical scanning CT.",
      "volume": "177(P)",
      "author": "Katada",
      "year": "1990"
    },
    {
      "key": "b8",
      "series-title": "Radiology",
      "doi-asserted-by": "publisher",
      "first-page": "621",
      "DOI": "10.1148/radiology.175.3.2343107",
      "article-title": "Adverse reactions to ionic and nonionic contrast media. A report from the Japanese Committee on the Safety of Contrast Media.",
      "volume": "175",
      "author": "Katayama",
      "year": "1990"
    },
    {
      "key": "b9",
      "series-title": "AJR",
      "doi-asserted-by": "publisher",
      "first-page": "1097",
      "DOI": "10.2214/ajr.130.6.1097",
      "article-title": "Cerebral ischemia. I. Current angiographic techniques, complications and safety.",
      "volume": "130",
      "author": "Kerber",
      "year": "1978"
    },
    {
      "key": "b10",
      "series-title": "AJR",
      "doi-asserted-by": "publisher",
      "first-page": "871",
      "DOI": "10.2214/ajr.131.5.871",
      "article-title": "Complications of catheter cerebral arteriography: analysis of 5,000 procedures. III. Assessment of arteries injected, contrast medium used, duration of procedure, and age of patient.",
      "volume": "131",
      "author": "Mani",
      "year": "1978"
    },
    {
      "key": "b11",
      "series-title": "AJR",
      "doi-asserted-by": "publisher",
      "first-page": "867",
      "DOI": "10.2214/ajr.131.5.867",
      "article-title": "Complications of catheter cerebral arteriography: analysis of 5,000 procedures. II. Relation of complication rates to clinical and arteriographic diagnoses.",
      "volume": "131",
      "author": "Mani",
      "year": "1978"
    },
    {
      "key": "b12",
      "series-title": "AJR",
      "doi-asserted-by": "publisher",
      "first-page": "861",
      "DOI": "10.2214/ajr.131.5.861",
      "article-title": "Complications of catheter cerebral arteriography: analysis of 5,000 procedures. I. Criteria and incidence.",
      "volume": "131",
      "author": "Mani",
      "year": "1978"
    },
    {
      "key": "b13",
      "series-title": "J Neurosurg",
      "doi-asserted-by": "publisher",
      "first-page": "175",
      "DOI": "10.3171/jns.1989.71.2.0175",
      "article-title": "CT infusion scanning for the detection of cerebral aneurysms.",
      "volume": "71",
      "author": "Newell",
      "year": "1989"
    },
    {
      "key": "b14",
      "series-title": "Stroke",
      "doi-asserted-by": "publisher",
      "first-page": "528",
      "DOI": "10.1161/01.STR.16.3.528",
      "article-title": "Digital subtraction angiography: current clinical applications.",
      "volume": "16",
      "author": "Pelz",
      "year": "1985"
    },
    {
      "key": "b15",
      "series-title": "Surgery",
      "first-page": "662",
      "article-title": "\u201cAngiography\u201d by magnetic resonance imaging: detailed vascular anatomy without ionizing radiation or contrast media.",
      "volume": "105",
      "author": "Rapp",
      "year": "1989"
    }
  ],
  "container-title": "Journal of Neurosurgery",
  "original-title": [],
  "link": [
    {
      "URL": "https://thejns.org/view/journals/j-neurosurg/76/3/article-p408.xml",
      "content-type": "text/html",
      "content-version": "vor",
      "intended-application": "text-mining"
    },
    {
      "URL": "https://thejns.org/downloadpdf/journals/j-neurosurg/76/3/article-p408.xml",
      "content-type": "text/html",
      "content-version": "vor",
      "intended-application": "syndication"
    },
    {
      "URL": "https://thejns.org/downloadpdf/journals/j-neurosurg/76/3/article-p408.xml",
      "content-type": "unspecified",
      "content-version": "vor",
      "intended-application": "similarity-checking"
    }
  ],
  "deposited": {
    "date-parts": [
      [
        2023,
        3,
        20
      ]
    ],
    "date-time": "2023-03-20T00:29:20Z",
    "timestamp": 1679272160000
  },
  "score": 1,
  "resource": {
    "primary": {
      "URL": "https://thejns.org/view/journals/j-neurosurg/76/3/article-p408.xml"
    }
  },
  "subtitle": [],
  "short-title": [],
  "issued": {
    "date-parts": [
      [
        1992,
        3
      ]
    ]
  },
  "references-count": 15,
  "journal-issue": {
    "issue": "3"
  },
  "URL": "http://dx.doi.org/10.3171/jns.1992.76.3.0408",
  "relation": {},
  "ISSN": [
    "0022-3085"
  ],
  "subject": [],
  "published": {
    "date-parts": [
      [
        1992,
        3
      ]
    ]
  }
}