TY - JOUR
T1 - Arteriovenous malformation animal model for radiosurgery
T2 - The rete mirabile
AU - De Salles, Antonio A F
AU - Solberg, Timothy D.
AU - Mischel, Paul
AU - Massoud, Tarik F.
AU - Plasencia, Andres
AU - Goetsch, Steven
AU - De Souza, Evandro
AU - Viñuela, Fernando
PY - 1996/9/1
Y1 - 1996/9/1
N2 - PURPOSE: To study the effects of single-dose radiation on the porcine rete mirabile, a tangle of microvessels that mimics human arteriovenous malformations of the brain. METHODS: Eight retia mirabilia received a single dose of radiation under stereotactic location with digital angiography and CT. The following doses were applied: 20, 30, 40, 50, 60, 70, 80, and 90 Gy. The animals were followed up for a period of 7 months. Findings at neurologic examination, serial angiography, and histopathologic examination were analyzed. RESULTS: Progressive occlusion as observed by angiography corresponded to the histopathologic finding of intimal hyperplasia; that is, marked thickening of the vessel wall, progressing to occlusion of the vascular lumen, and associated thrombosis. A direct dose response was noted for these changes. Neurologic findings were related to the dose distribution and to histologic findings in structures adjacent to the fete mirabile. CONCLUSION: The rete mirabile is an excellent model by which to study the radiologic and histologic effects of single-dose radiation to the microvasculature of the central nervous system.
AB - PURPOSE: To study the effects of single-dose radiation on the porcine rete mirabile, a tangle of microvessels that mimics human arteriovenous malformations of the brain. METHODS: Eight retia mirabilia received a single dose of radiation under stereotactic location with digital angiography and CT. The following doses were applied: 20, 30, 40, 50, 60, 70, 80, and 90 Gy. The animals were followed up for a period of 7 months. Findings at neurologic examination, serial angiography, and histopathologic examination were analyzed. RESULTS: Progressive occlusion as observed by angiography corresponded to the histopathologic finding of intimal hyperplasia; that is, marked thickening of the vessel wall, progressing to occlusion of the vascular lumen, and associated thrombosis. A direct dose response was noted for these changes. Neurologic findings were related to the dose distribution and to histologic findings in structures adjacent to the fete mirabile. CONCLUSION: The rete mirabile is an excellent model by which to study the radiologic and histologic effects of single-dose radiation to the microvasculature of the central nervous system.
KW - Animal studies
KW - Arteriovenous malformations, cerebral
KW - Radiation, effects
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M3 - Article
C2 - 8883640
AN - SCOPUS:0029839391
SN - 0195-6108
VL - 17
SP - 1451
EP - 1458
JO - American Journal of Neuroradiology
JF - American Journal of Neuroradiology
IS - 8
ER -