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Hyperattenuating Collateral Arteries and Accompanying Cortical Veins as Auxiliary Signs of M2 Occlusion on Dual‐Phase CTA

M2 middle cerebral arterial (MCA) occlusions present a greater radiological challenge when compared to more proximal occlusions and additional signs aiding detection could be helpful. We routinely image patients with… Click to show full abstract

M2 middle cerebral arterial (MCA) occlusions present a greater radiological challenge when compared to more proximal occlusions and additional signs aiding detection could be helpful. We routinely image patients with a dual‐phase CT angiography (CTA) protocol, encompassing a bolus‐tracked arterial/early and then delayed‐phase (40‐s post contrast injection) acquisition. We screened a 12‐month period of our local thrombectomy database as a preliminary investigation into additional signs that can be gleaned to aid M2 occlusion diagnosis when imaged using this technique.

Keywords: hyperattenuating collateral; arteries accompanying; collateral arteries; dual phase; phase; cta

Journal Title: Journal of Neuroimaging
Year Published: 2025

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