AVM Nidus Definition via Planar DSA Co-Registration with MRI-based Maximum Intensity Projections

Event: 8th International Conference of the Novalis Circle 2018
Topic: Vascular radiosurgery
Year: 2018

Mohsen Javadpour, MD, from Beaumont Hospital, Dublin, discusses arteriovenous malformation (AVM) nidus definition using planar digital subtraction angiogram (DSA) co-registration with MRI-based maximum intensity projections (MIP). He begins by mentioning that AVM management is probably one of the most varied at different centers around the world. He then gives an overview of the natural history and management options for AVMs. He then talks specifically about stereotactic radiosurgery for the treatment of AVMS and goes into the imaging modalities for assessing AVMs. He poses the question: Do we still need DSA? Dr. Javadpour argues yes, using examples from two studies completed, before demonstrating treatment planning in combination with Elements SmartBrush Angio.

Video Transcript

I'd just like to thank BrainLab, particularly the UK and Ireland branch of BrainLab for inviting me. I think AVM management, as you've heard from the previous speakers, it's probably one of the most variable across different centers around the world. And if we have a good registry, that will probably show the variation in practice between the different centers. But what all the speakers I think would agree is the way we target and the accuracy of targeting of an AVM is very important. Here's an AVM at surgery, and you can basically see the large draining vein. You...

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