{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,15]],"date-time":"2026-07-15T01:18:57Z","timestamp":1784078337886,"version":"3.55.0"},"reference-count":28,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2022,10,28]],"date-time":"2022-10-28T00:00:00Z","timestamp":1666915200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Neurol."],"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>To explore the value of color Doppler ultrasonography (CDU) to predict preoperatively and evaluate postoperatively the collateral development of two common revascularizations in patients with moyamoya disease (MMD).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We prospectively enrolled 49 patients with MMD who underwent unilateral superficial temporal artery (STA) -middle cerebral artery (MCA) anastomosis or encephalo-duro-arterio-synangiosis (EDAS). The parameters of the extracranial arteries, including STA, internal carotid artery (ICA), external carotid artery (ECA), and vertebral artery (VA), were performed before and at 3\u20136 months after surgery. DSA results were used to assess surgical collateral development.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>To predict good collateral development before STA-MCA anastomosis, the preoperative D &amp;gt; 1.75 mm in the STA had the highest area under the Receiver Operating Characteristic curve (AUC). To predict good collateral development before EDAS, the preoperative EDV &amp;gt; 12.00 cm\/s in the STA had the highest AUC. To evaluate the good collateral development after STA-MCA anastomosis, the postoperative EDV &amp;gt; 16.50 cm\/s in the STA had the highest AUC. To evaluate the good collateral development after EDAS, an increase of D of 0.15 mm in the STA had the highest AUC. Logistic regression analysis showed that the preoperative RI and EDV in the STA were highly correlated with collateral development. Besides, the preoperative RI was an independent risk factor for collateral development.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>CDU could predict preoperatively and evaluate postoperatively the collateral development of STA-MCA anastomosis and EDAS surgery postoperatively by detecting ultrasound parameters of the STA.<\/jats:p><\/jats:sec>","DOI":"10.3389\/fneur.2022.976695","type":"journal-article","created":{"date-parts":[[2022,10,28]],"date-time":"2022-10-28T05:25:02Z","timestamp":1666934702000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":8,"title":["Clinical use of color Doppler ultrasonography to predict and evaluate the collateral development of two common revascularizations in patients with moyamoya disease"],"prefix":"10.3389","volume":"13","author":[{"given":"Jing-Zhe","family":"Wang","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jie","family":"Mu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dong","family":"Zhang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shuai","family":"Zheng","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xun","family":"Zhu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xi","family":"Wei","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2022,10,28]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"1056","DOI":"10.1016\/S1474-4422(08)70240-0","article-title":"Moyamoya disease: current concepts and future perspectives","volume":"7","author":"Kuroda","year":"2008","journal-title":"Lancet Neurol."},{"key":"B2","doi-asserted-by":"publisher","first-page":"288","DOI":"10.1001\/archneur.1969.00480090076012","article-title":"Cerebrovascular \u201cmoyamoya\u201d disease. Disease showing abnormal net-like vessels in base of brain","volume":"20","author":"Suzuki","year":"1969","journal-title":"Arch Neurol."},{"key":"B3","doi-asserted-by":"publisher","first-page":"2","DOI":"10.5853\/jos.2015.01627","article-title":"Moyamoya disease: epidemiology, clinical features, and diagnosis","volume":"18","author":"Kim","year":"2016","journal-title":"J Stroke."},{"key":"B4","doi-asserted-by":"publisher","first-page":"56","DOI":"10.1161\/STROKEAHA.111.621300","article-title":"Moyamoya disease in China: its clinical features and outcomes","volume":"43","author":"Duan","year":"2012","journal-title":"Stroke."},{"key":"B5","doi-asserted-by":"publisher","first-page":"E7","DOI":"10.3171\/2009.01.FOCUS08293","article-title":"Surgical management of moyamoya disease: a review","volume":"26","author":"Baaj","year":"2009","journal-title":"Neurosurg Focus."},{"key":"B6","doi-asserted-by":"publisher","first-page":"1785","DOI":"10.3171\/2017.2.JNS162405","article-title":"Direct versus indirect bypasses for adult ischemic-type moyamoya disease: a propensity score-matched analysis","volume":"128","author":"Deng","year":"2018","journal-title":"J Neurosurg."},{"key":"B7","doi-asserted-by":"publisher","first-page":"1578","DOI":"10.3171\/2020.3.JNS192847","article-title":"Direct versus indirect bypass procedure for the treatment of ischemic moyamoya disease: results of an individualized selection strategy","volume":"134","author":"Nielsen","year":"2020","journal-title":"J Neurosurg."},{"key":"B8","doi-asserted-by":"publisher","first-page":"4548","DOI":"10.1007\/s00330-020-07479-0","article-title":"Validation of choroidal anastomosis on high-resolution magnetic resonance imaging as an imaging biomarker in hemorrhagic moyamoya disease","volume":"31","author":"Wu","year":"2021","journal-title":"Eur Radiol."},{"key":"B9","doi-asserted-by":"publisher","first-page":"240","DOI":"10.1161\/STROKEAHA.115.010512","article-title":"Hemorrhagic moyamoya disease in children: clinical, angiographic features, and long-term surgical outcome","volume":"47","author":"Liu","year":"2016","journal-title":"Stroke."},{"key":"B10","doi-asserted-by":"publisher","first-page":"1358","DOI":"10.1161\/01.STR.22.11.1358","article-title":"Systemic vascular changes in spontaneous occlusion of the circle of Willis","volume":"22","author":"Ikeda","year":"1991","journal-title":"Stroke."},{"key":"B11","doi-asserted-by":"publisher","first-page":"e016670","DOI":"10.1161\/JAHA.120.016670","article-title":"Prospective screening of extracranial systemic arteriopathy in young adults with moyamoya disease","volume":"9","author":"Jee","year":"2020","journal-title":"J Am Heart Assoc."},{"key":"B12","doi-asserted-by":"publisher","first-page":"96","DOI":"10.1007\/BF01842826","article-title":"Encephalo-duro-arterio-synangiosis in children with moyamoya disease","volume":"104","author":"Matsushima","year":"1990","journal-title":"Acta Neurochir."},{"key":"B13","doi-asserted-by":"publisher","first-page":"871","DOI":"10.1007\/s12975-020-00781-5","article-title":"Quantitative angiographic hemodynamic evaluation after revascularization surgery for moyamoya disease","volume":"11","author":"Chen","year":"2020","journal-title":"Transl Stroke Res."},{"key":"B14","doi-asserted-by":"publisher","first-page":"111","DOI":"10.1093\/neuros\/nyw035","article-title":"Hemodynamic changes after unilateral revascularization for moyamoya disease: serial assessment by quantitative magnetic resonance angiography","volume":"81","author":"Kim","year":"2017","journal-title":"Neurosurgery."},{"key":"B15","doi-asserted-by":"publisher","first-page":"e57595","DOI":"10.1371\/journal.pone.0057595","article-title":"Whole-brain CT perfusion and CT angiography assessment of moyamoya disease before and after surgical revascularization: preliminary study with 256-slice CT","volume":"8","author":"Zhang","year":"2013","journal-title":"PLoS ONE."},{"key":"B16","doi-asserted-by":"publisher","first-page":"64","DOI":"10.1186\/s12880-022-00790-w","article-title":"High-resolution compressed sensing time-of-flight MR angiography outperforms CT angiography for evaluating patients with moyamoya disease after surgical revascularization","volume":"22","author":"Ren","year":"2022","journal-title":"BMC Med Imaging."},{"key":"B17","doi-asserted-by":"publisher","first-page":"278","DOI":"10.1024\/0301-1526\/a000363","article-title":"Assessment of extracranial-intracranial bypass in moyamoya disease using 3T time-of-flight MR angiography: comparison with CT angiography","volume":"43","author":"Chen","year":"2014","journal-title":"Vasa."},{"key":"B18","doi-asserted-by":"publisher","first-page":"663","DOI":"10.3171\/2018.6.PEDS18151","article-title":"Greater ultrasonographic changes in pediatric moyamoya patients compared with adults after indirect revascularization surgeries","volume":"22","author":"Yeh","year":"2018","journal-title":"J Neurosurg Pediatr."},{"key":"B19","doi-asserted-by":"publisher","first-page":"e0188948","DOI":"10.1371\/journal.pone.0188948","article-title":"Color Doppler ultrasonography as an alternative tool for postoperative evaluation of collaterals after indirect revascularization surgery in moyamoya disease","volume":"12","author":"Yeh","year":"2017","journal-title":"PLoS ONE."},{"key":"B20","doi-asserted-by":"publisher","first-page":"2573","DOI":"10.1016\/j.jstrokecerebrovasdis.2014.05.024","article-title":"Hemodynamic study with duplex ultrasonography on combined (direct\/indirect) revascularization in adult moyamoya disease","volume":"23","author":"Wang","year":"2014","journal-title":"J Stroke Cerebrovasc Dis."},{"key":"B21","doi-asserted-by":"publisher","first-page":"30","DOI":"10.17116\/oftalma201882230-38","article-title":"Methods to assess competence of indirect cerebral revascularization in children","volume":"82","author":"Khachatryan","year":"2018","journal-title":"Zh Vopr Neirokhir Im N N Burdenko."},{"key":"B22","doi-asserted-by":"publisher","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."},{"key":"B23","doi-asserted-by":"publisher","first-page":"92","DOI":"10.1016\/j.clineuro.2017.06.013","article-title":"Acceleration of blood flow as an indicator of improved hemodynamics after indirect bypass surgery in moyamoya disease","volume":"160","author":"Ogawa","year":"2017","journal-title":"Clin Neurol Neurosurg."},{"key":"B24","doi-asserted-by":"publisher","first-page":"463","DOI":"10.1159\/000088986","article-title":"Superficial temporal artery duplex ultrasonography for improved cerebral hemodynamics after extracranial-intracranial bypass surgery","volume":"20","author":"Hirai","year":"2005","journal-title":"Cerebrovasc Dis."},{"key":"B25","doi-asserted-by":"publisher","first-page":"302","DOI":"10.1016\/j.wneu.2017.07.171","article-title":"Increased ratio of superficial temporal artery flow rate after superficial temporal artery-to-middle cerebral artery anastomosis: can it reflect the extent of collateral flow?","volume":"107","author":"Jin","year":"2017","journal-title":"World Neurosurg."},{"key":"B26","doi-asserted-by":"publisher","first-page":"1","DOI":"10.3171\/2020.9.JNS202709","article-title":"Blood volume flow in the superficial temporal artery assessed by duplex sonography: predicting extracranial-intracranial bypass patency in moyamoya disease","volume":"2021","author":"Connolly","year":"2021","journal-title":"J Neurosurg"},{"key":"B27","doi-asserted-by":"publisher","first-page":"2621","DOI":"10.1002\/jum.14959","article-title":"Changing ischemic lesion patterns and hemodynamics of the posterior cerebral artery in moyamoya disease","volume":"38","author":"Wang","year":"2019","journal-title":"J Ultrasound Med."},{"key":"B28","doi-asserted-by":"publisher","first-page":"2708","DOI":"10.1161\/STROKEAHA.119.024487","article-title":"Collateral circulation in moyamoya disease: a new grading system","volume":"50","author":"Liu","year":"2019","journal-title":"Stroke."}],"container-title":["Frontiers in Neurology"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fneur.2022.976695\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,10,28]],"date-time":"2022-10-28T05:25:03Z","timestamp":1666934703000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fneur.2022.976695\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,10,28]]},"references-count":28,"alternative-id":["10.3389\/fneur.2022.976695"],"URL":"https:\/\/doi.org\/10.3389\/fneur.2022.976695","relation":{},"ISSN":["1664-2295"],"issn-type":[{"value":"1664-2295","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,10,28]]},"article-number":"976695"}}