Radiologic Assessment of Brain AVM

Targeted CE per ARRT’s Discipline, Category, and Subcategory classification:
[Note: Discipline-specific Targeted CE credits may be less than the total Category A credits approved for this course.]

Computed Tomography: 2.00
Procedures: 2.00
Head, Spine, and Musculoskeletal: 2.00

Magnetic Resonance Imaging: 2.00
Procedures: 2.00
Neurological: 2.00

Registered Radiologist Assistant: 2.50
Patient Care: 0.50
Patient Management: 0.50
Procedures: 2.00
Neurological, Vascular, and Lymphatic Sections: 2.00

Vascular-Interventional Radiography: 2.00
Procedures: 2.00
Vascular Diagnostic Procedures: 2.00

Outline

1. Introduction
2. Abnormal Intraparenchymal Vessels
   1. Classic Brain AVMs
   2. Cerebrofacial Arteriovenous Metameric Syndrome
   3. Proliferative Angiopathy
3. Abnormal Extraparenchymal Vessels
   1. Pial AVFs
   2. Dural AVFs
   3. Moyamoya Disease
4. Assessment and Management of Brain AVMs
   1. Imaging of Brain AVMs: What the Clinician Needs to Know
   2. Treatment Options
5. Summary

Objectives

Upon completion of this course, students will:

1. define a brain AVM
2. discuss the origin of pial arteries
3. understand how classic brain AVMs and pial AVFs can be managed
4. discuss the treatment of dural AVFs
5. describe the connection of classic brain AVMs
6. define nidus
7. define fistula
8. be familiar with the presentation of the patient with classic brain AVM
9. evaluate the radiographic hallmarks of a nidus of an AVM
10. define proliferative or diffuse nidus
11. discuss the angiographic hallmarks of an unstable classic brain AVM
12. describe the cause of CAMS
13. be familiar with the characteristics of CAMS
14. describe the radiographic presentation of CAMS
15. know the symptoms of patients with CAMS
16. discuss the prevalence of proliferative angiopathy
17. understand the patient’s presentation of symptoms with proliferative angiopathy
18. discuss the angiographic presentation of proliferative angiopathy
19. describe the differentiation of proliferative angiopathy from classic brain AVMs
20. be familiar with the morphology of DVAs
21. define caput medusae
22. describe the anatomy of the caput medusae
23. understand other pathologies that must be investigated in patients with DVA
24. differentiate between pial AVMs and pial AVFs
25. discuss the imaging characteristic of pial AVFs
26. know the arteries involved in dural AVFs
27. distinguish the clinical features of a Borden type 1 dural AVF
28. describe the classification of dural AVFs
29. understand the clinical presentation of children with moyamoya disease
30. describe the appearance of moyamoya disease on angiography
31. know the cause of moyamoya disease
32. discuss the use of DSA in the diagnoses of moyamoya disease
33. be familiar with the complications of AVMs
34. know which AVMs should be treated
35. identify the risks of radiosurgery