{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,4,23]],"date-time":"2025-04-23T04:13:19Z","timestamp":1745381599256,"version":"3.40.4"},"reference-count":17,"publisher":"Oxford University Press (OUP)","issue":"1169","license":[{"start":{"date-parts":[[2025,3,4]],"date-time":"2025-03-04T00:00:00Z","timestamp":1741046400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"funder":[{"name":"National Science and Technology Innovation"},{"name":"Brain Science and Brain-Like Research","award":["2022ZD0211800"],"award-info":[{"award-number":["2022ZD0211800"]}]},{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"publisher","award":["82271965","81971596","82302172","82271334"],"award-info":[{"award-number":["82271965","81971596","82302172","82271334"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"publisher"}]},{"name":"Medical Science and technology development Foundation"},{"name":"Nanjing Department of Health","award":["YKK21075","YKK22083","YKK23103"],"award-info":[{"award-number":["YKK21075","YKK22083","YKK23103"]}]},{"name":"Jiangsu Funding Program for Excellent Postdoctoral Talent","award":["2022ZB694"],"award-info":[{"award-number":["2022ZB694"]}]},{"name":"Clinical Trials from the Affiliated Drum Tower Hospital"},{"name":"Medical School of Nanjing University","award":["2023-LCYJ-PY-27","2022-LCYJ-PY-15","2022-LCYJ-MS-03","2021-LCYJ-PY-36","2022-LCYJ-MS-25","2021-LCYJ-PY-20"],"award-info":[{"award-number":["2023-LCYJ-PY-27","2022-LCYJ-PY-15","2022-LCYJ-MS-03","2021-LCYJ-PY-36","2022-LCYJ-MS-25","2021-LCYJ-PY-20"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,5,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Objectives<\/jats:title>\n                  <jats:p>To compare the blood vessel visualization with spiral MRA (MRAspiral) and compressed SENSE accelerated Cartesian MRA (MRACS) in moyamoya disease (MMD) patients, with digital subtraction angiography (DSA) as the reference standard.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>We prospectively collected MRAspiral with different acquisition windows (\u03c4\u2009=\u20094, 6, 10\u2009ms), MRACS, and DSA in MMD patients. Contrast-to-noise ratio (CNR) was measured in the M1, M2, M3, and M4 segments of the middle cerebral artery (MCA) for each MRA sequence. Vessel visualization of the distal MCA, leptomeningeal artery (LMA) collaterals, distal external carotid artery (ECA), and internal carotid artery (ICA) steno-occlusion was qualitatively analysed using three- and four-point Likert scales compared to DSA. A linear fixed-effects model was used to determine differences among the 4 sequences.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>A total of 98 hemispheres from 55 MMD patients were included. CNR in the M2, M3, and M4 segments of the MCA was not significantly different between MRACS and MRA\u03c44 or MRA\u03c46, but it was significantly higher in MRACS than MRA\u03c410 (M2: P\u2009&amp;lt;\u2009.001, M3: P\u2009&amp;lt;\u2009.001, M4: P\u2009=\u2009.013). MRAspiral sequences provided better visualization of the distal MCA, LMA collaterals, and distal ECA compared to MRACS (all P\u2009&amp;lt;\u2009.001).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>MRAspiral offers improved vessel visualization in distal arteries with adequate image quality for patients with MMD. Compared to MRACS, MRAspiral can reduce scan time by 32.31% when the \u03c4 value is set to 6\u2009ms, while also providing superior image quality.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Advances in knowledge<\/jats:title>\n                  <jats:p>Spiral MRA performs well in visualizing collateral vessels in moyamoya disease with shorter scan time.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/bjr\/tqaf038","type":"journal-article","created":{"date-parts":[[2025,3,5]],"date-time":"2025-03-05T02:08:30Z","timestamp":1741140510000},"page":"770-776","source":"Crossref","is-referenced-by-count":0,"title":["Enhanced blood vessel visualization and accelerated image acquisition using spiral magnetic resonance angiography in moyamoya disease: a comparative study with Cartesian magnetic resonance angiograhy"],"prefix":"10.1093","volume":"98","author":[{"given":"Maoxue","family":"Wang","sequence":"first","affiliation":[{"name":"Department of Radiology, Nanjing Drum Tower Hospital, Affiliated Hospital of Medical School, Nanjing University , Nanjing 210008, Jiangsu,","place":["China"]},{"name":"Institute of Medical Imaging and Artificial Intelligence, Nanjing University , Nanjing 210008, Jiangsu,","place":["China"]},{"name":"Department of Radiology, Medical Imaging Center, Nanjing Drum Tower Hospital, Affiliated Hospital of Medical School, Nanjing University , Nanjing 210008, Jiangsu,","place":["China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yongbo","family":"Yang","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Nanjing Drum Tower Hospital, Affiliated Hospital of Medical School, Nanjing University , Nanjing 210008, Jiangsu,","place":["China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yujie","family":"Yu","sequence":"additional","affiliation":[{"name":"Department of Radiology, Nanjing Drum Tower Hospital, Affiliated Hospital of Medical School, Nanjing University , Nanjing 210008, Jiangsu,","place":["China"]},{"name":"Institute of Medical Imaging and Artificial Intelligence, Nanjing University , Nanjing 210008, Jiangsu,","place":["China"]},{"name":"Department of Radiology, Medical Imaging Center, Nanjing Drum Tower Hospital, Affiliated Hospital of Medical School, Nanjing University , Nanjing 210008, Jiangsu,","place":["China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chuyue","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Radiology, Nanjing Drum Tower Hospital, Affiliated Hospital of Medical School, Nanjing University , Nanjing 210008, Jiangsu,","place":["China"]},{"name":"Institute of Medical Imaging and Artificial Intelligence, Nanjing University , Nanjing 210008, Jiangsu,","place":["China"]},{"name":"Department of Radiology, Medical Imaging Center, Nanjing Drum Tower Hospital, Affiliated Hospital of Medical School, Nanjing University , Nanjing 210008, Jiangsu,","place":["China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kun","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Radiology, Nanjing Drum Tower Hospital, Affiliated Hospital of Medical School, Nanjing University , Nanjing 210008, Jiangsu,","place":["China"]},{"name":"Institute of Medical Imaging and Artificial Intelligence, Nanjing University , Nanjing 210008, Jiangsu,","place":["China"]},{"name":"Department of Radiology, Medical Imaging Center, Nanjing Drum Tower Hospital, Affiliated Hospital of Medical School, Nanjing University , Nanjing 210008, Jiangsu,","place":["China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7798-8158","authenticated-orcid":false,"given":"Mahmud","family":"Mossa-Basha","sequence":"additional","affiliation":[{"name":"Departement of Radiology, University of Washington , Seattle, 98195, Washington,","place":["United States"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Baochen","family":"Chu","sequence":"additional","affiliation":[{"name":"Departement of Radiology, University of Washington , Seattle, 98195, Washington,","place":["United States"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pin","family":"Lv","sequence":"additional","affiliation":[{"name":"Department of Radiology, Nanjing Drum Tower Hospital, Affiliated Hospital of Medical School, Nanjing University , Nanjing 210008, Jiangsu,","place":["China"]},{"name":"Institute of Medical Imaging and Artificial Intelligence, Nanjing University , Nanjing 210008, Jiangsu,","place":["China"]},{"name":"Department of Radiology, Medical Imaging Center, Nanjing Drum Tower Hospital, Affiliated Hospital of Medical School, Nanjing University , Nanjing 210008, Jiangsu,","place":["China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mei","family":"Yao","sequence":"additional","affiliation":[{"name":"Department of Radiology, Nanjing Drum Tower Hospital, Affiliated Hospital of Medical School, Nanjing University , Nanjing 210008, Jiangsu,","place":["China"]},{"name":"Institute of Medical Imaging and Artificial Intelligence, Nanjing University , Nanjing 210008, Jiangsu,","place":["China"]},{"name":"Department of Radiology, Medical Imaging Center, Nanjing Drum Tower Hospital, Affiliated Hospital of Medical School, Nanjing University , Nanjing 210008, Jiangsu,","place":["China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wen","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Radiology, Nanjing Drum Tower Hospital, Affiliated Hospital of Medical School, Nanjing University , Nanjing 210008, Jiangsu,","place":["China"]},{"name":"Institute of Medical Imaging and Artificial Intelligence, Nanjing University , Nanjing 210008, Jiangsu,","place":["China"]},{"name":"Department of Radiology, Medical Imaging Center, Nanjing Drum Tower Hospital, Affiliated Hospital of Medical School, Nanjing University , Nanjing 210008, Jiangsu,","place":["China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xin","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Radiology, Nanjing Drum Tower Hospital, Affiliated Hospital of Medical School, Nanjing University , Nanjing 210008, Jiangsu,","place":["China"]},{"name":"Institute of Medical Imaging and Artificial Intelligence, Nanjing University , Nanjing 210008, Jiangsu,","place":["China"]},{"name":"Department of Radiology, Medical Imaging Center, Nanjing Drum Tower Hospital, Affiliated Hospital of Medical School, Nanjing University , Nanjing 210008, Jiangsu,","place":["China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zhengyang","family":"Zhu","sequence":"additional","affiliation":[{"name":"Department of Radiology, Nanjing Drum Tower Hospital, Affiliated Hospital of Medical School, Nanjing University , Nanjing 210008, Jiangsu,","place":["China"]},{"name":"Institute of Medical Imaging and Artificial Intelligence, Nanjing University , Nanjing 210008, Jiangsu,","place":["China"]},{"name":"Department of Radiology, Medical Imaging Center, Nanjing Drum Tower Hospital, Affiliated Hospital of Medical School, Nanjing University , Nanjing 210008, Jiangsu,","place":["China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xiance","family":"Zhao","sequence":"additional","affiliation":[{"name":"Department of clinical & technical support, Philips Healthcare , Shanghai 200072,","place":["China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lei","family":"Zhou","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, People\u2019s Hospital of Fengyang County , Chuzhou 233100, Anhui,","place":["China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3953-0290","authenticated-orcid":false,"given":"Bing","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Radiology, Nanjing Drum Tower Hospital, Affiliated Hospital of Medical School, Nanjing University , Nanjing 210008, Jiangsu,","place":["China"]},{"name":"Institute of Medical Imaging and Artificial Intelligence, Nanjing University , Nanjing 210008, Jiangsu,","place":["China"]},{"name":"Department of Radiology, Medical Imaging Center, Nanjing Drum Tower Hospital, Affiliated Hospital of Medical School, Nanjing University , Nanjing 210008, Jiangsu,","place":["China"]},{"name":"State Key Laboratory of Pharmaceutical Biotechnology, Nanjing University , Nanjing 210008, Jiangsu,","place":["China"]},{"name":"Department of Radiology, Jiangsu Key Laboratory of Molecular Medicine , Nanjing 210008, Jiangsu,","place":["China"]},{"name":"Institute of brain Science, Nanjing University , Nanjing 210008, Jiangsu,","place":["China"]},{"name":"Jiangsu Provincial Medical Key Discipline , Nanjing 210008, Jiangsu,","place":["China"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2025,3,4]]},"reference":[{"key":"2025042203522016900_tqaf038-B1","doi-asserted-by":"crossref","first-page":"245","DOI":"10.2176\/nmc.52.245","article-title":"Guidelines for diagnosis and treatment of moyamoya disease (spontaneous occlusion of the circle of Willis)","volume":"52","author":"Research Committee on the Pathology and Treatment of Spontaneous Occlusion of the Circle of Willis","year":"2012","journal-title":"Neurol Med Chir (Tokyo)"},{"key":"2025042203522016900_tqaf038-B2","doi-asserted-by":"crossref","first-page":"165","DOI":"10.2176\/jns-nmc.2021-0382","article-title":"2021 Japanese Guidelines for the Management of Moyamoya Disease: Guidelines from the Research Committee on Moyamoya Disease and Japan Stroke Society","volume":"62","author":"Fujimura","year":"2022","journal-title":"Neurol Med Chir (Tokyo)"},{"key":"2025042203522016900_tqaf038-B3","first-page":"2143","article-title":"Anatomical features of the superficial temporal artery in hemorrhagic moyamoya disease based on CT angiography","volume":"19","author":"Hou","year":"2020","journal-title":"Exp Ther Med"},{"key":"2025042203522016900_tqaf038-B4","doi-asserted-by":"crossref","first-page":"1208","DOI":"10.3174\/ajnr.A7091","article-title":"Acceleration of brain TOF-MRA with compressed sensitivity encoding: a multicenter clinical study","volume":"42","author":"Ding","year":"2021","journal-title":"AJNR Am J 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optimization","volume":"93","author":"Sartoretti","year":"2022","journal-title":"Phys Med"},{"key":"2025042203522016900_tqaf038-B8","doi-asserted-by":"crossref","first-page":"855","DOI":"10.1007\/s00330-019-06442-y","article-title":"Highly accelerated time-of-flight magnetic resonance angiography using spiral imaging improves conspicuity of intracranial arterial branches while reducing scan time","volume":"30","author":"Greve","year":"2020","journal-title":"Eur Radiol"},{"key":"2025042203522016900_tqaf038-B9","doi-asserted-by":"crossref","first-page":"1818","DOI":"10.1002\/mrm.29770","article-title":"Spiral inflow MRA with sliding-slice localized quadratic encoding","volume":"90","author":"Wang","year":"2023","journal-title":"Magn Reson Med"},{"key":"2025042203522016900_tqaf038-B10","doi-asserted-by":"crossref","first-page":"611","DOI":"10.1148\/radiol.2017162279","article-title":"Acceleration-selective arterial spin-labeling MR angiography used to visualize distal cerebral arteries and collateral vessels in moyamoya disease","volume":"286","author":"Togao","year":"2018","journal-title":"Radiology"},{"key":"2025042203522016900_tqaf038-B11","doi-asserted-by":"crossref","first-page":"3417","DOI":"10.21037\/qims-23-1533","article-title":"Spiral time-of-flight magnetic resonance angiography for intracranial vascular imaging: performance compared to conventional Cartesian angiogram","volume":"14","author":"Xu","year":"2024","journal-title":"Quant Imaging Med Surg"},{"key":"2025042203522016900_tqaf038-B12","doi-asserted-by":"crossref","first-page":"159","DOI":"10.1016\/j.pediatrneurol.2024.01.001","article-title":"Risk factors for massive cerebral infarction in pediatric patients with moyamoya disease","volume":"153","author":"Hao","year":"2024","journal-title":"Pediatr Neurol"},{"key":"2025042203522016900_tqaf038-B13","doi-asserted-by":"crossref","first-page":"14","DOI":"10.1111\/cns.13130","article-title":"Clinical characteristics and leptomeningeal collateral status in pediatric and adult patients with ischemic moyamoya disease","volume":"26","author":"Liu","year":"2020","journal-title":"CNS Neurosci Ther"},{"key":"2025042203522016900_tqaf038-B14","doi-asserted-by":"crossref","first-page":"1697","DOI":"10.3171\/2023.4.JNS23294","article-title":"The ivy sign as a radiological marker for follow-up of postoperative cerebral perfusion status in adult moyamoya disease","volume":"139","author":"Lee","year":"2023","journal-title":"J Neurosurg"},{"key":"2025042203522016900_tqaf038-B15","doi-asserted-by":"crossref","first-page":"77","DOI":"10.1016\/j.jocn.2024.03.026","article-title":"Development of the external carotid artery system including the middle temporal artery after direct-indirect revascularization surgery for moyamoya disease","volume":"123","author":"Takahashi","year":"2024","journal-title":"J Clin 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