{"id":"https://openalex.org/W4319295148","doi":"https://doi.org/10.1227/neu.0000000000002357","title":"Magnetic Resonance Imaging/Angiography Versus Catheter Angiography for Annual Follow-up of Pediatric Moyamoya Patients: A Cost Outcomes Analysis","display_name":"Magnetic Resonance Imaging/Angiography Versus Catheter Angiography for Annual Follow-up of Pediatric Moyamoya Patients: A Cost Outcomes Analysis","publication_year":2023,"publication_date":"2023-02-06","ids":{"openalex":"https://openalex.org/W4319295148","doi":"https://doi.org/10.1227/neu.0000000000002357","pmid":"https://pubmed.ncbi.nlm.nih.gov/36744923"},"language":"en","primary_location":{"id":"doi:10.1227/neu.0000000000002357","doi":"https://doi.org/10.1227/neu.0000000000002357","is_oa":false,"landing_page_url":"https://doi.org/10.1227/neu.0000000000002357","pdf_url":null,"source":{"id":"https://openalex.org/S111727011","display_name":"Neurosurgery","issn_l":"0148-396X","issn":["0148-396X","1081-1281","1524-4040"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-b","doyens","jufo-2","ki-jl-2","medline","norway-2","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310315671","host_organization_name":"Lippincott Williams & Wilkins","host_organization_lineage":["https://openalex.org/P4310315671","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Lippincott Williams & Wilkins","Wolters Kluwer"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Neurosurgery","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5069269132","display_name":"Weston T. Northam","orcid":"https://orcid.org/0000-0002-3019-1296","observed_orcids":["https://orcid.org/0000-0002-3019-1296"]},"institutions":[{"id":"https://openalex.org/I1288882113","display_name":"Boston Children's Hospital","ror":"https://ror.org/00dvg7y05","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1288882113"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Weston T. Northam","raw_affiliation_strings":["Department of Neurosurgery, Boston Children's Hospital, Boston, Massachusetts, USA;"],"raw_orcid":"https://orcid.org/0000-0002-3019-1296","affiliations":[{"raw_affiliation_string":"Department of Neurosurgery, Boston Children's Hospital, Boston, Massachusetts, USA;","institution_ids":["https://openalex.org/I1288882113"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5034196975","display_name":"Anna L. Slingerland","orcid":"https://orcid.org/0000-0001-7216-757X","observed_orcids":["https://orcid.org/0000-0001-7216-757X"]},"institutions":[{"id":"https://openalex.org/I1288882113","display_name":"Boston Children's Hospital","ror":"https://ror.org/00dvg7y05","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1288882113"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Anna L. Slingerland","raw_affiliation_strings":["Department of Neurosurgery, Boston Children's Hospital, Boston, Massachusetts, USA;"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Neurosurgery, Boston Children's Hospital, Boston, Massachusetts, USA;","institution_ids":["https://openalex.org/I1288882113"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5052502269","display_name":"Darren B. Orbach","orcid":"https://orcid.org/0000-0002-1793-3398","observed_orcids":["https://orcid.org/0000-0002-1793-3398"]},"institutions":[{"id":"https://openalex.org/I1288882113","display_name":"Boston Children's Hospital","ror":"https://ror.org/00dvg7y05","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1288882113"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Darren B. Orbach","raw_affiliation_strings":["Department of Neurosurgery, Boston Children's Hospital, Boston, Massachusetts, USA;","Department of Radiology, Boston Children's Hospital, Boston, Massachusetts, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Neurosurgery, Boston Children's Hospital, Boston, Massachusetts, USA;","institution_ids":["https://openalex.org/I1288882113"]},{"raw_affiliation_string":"Department of Radiology, Boston Children's Hospital, Boston, Massachusetts, USA","institution_ids":["https://openalex.org/I1288882113"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5059629301","display_name":"Edward R. Smith","orcid":"https://orcid.org/0000-0002-6317-8450","observed_orcids":["https://orcid.org/0000-0002-6317-8450"]},"institutions":[{"id":"https://openalex.org/I1288882113","display_name":"Boston Children's Hospital","ror":"https://ror.org/00dvg7y05","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1288882113"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Edward R. Smith","raw_affiliation_strings":["Department of Neurosurgery, Boston Children's Hospital, Boston, Massachusetts, USA;"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Neurosurgery, Boston Children's Hospital, Boston, Massachusetts, USA;","institution_ids":["https://openalex.org/I1288882113"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":["https://openalex.org/A5034196975","https://openalex.org/A5052502269","https://openalex.org/A5059629301","https://openalex.org/A5069269132"],"corresponding_institution_ids":["https://openalex.org/I1288882113"],"apc_list":null,"apc_paid":null,"fwci":1.0454,"has_fulltext":false,"cited_by_count":5,"citation_normalized_percentile":{"value":0.73954061,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":93,"max":96},"biblio":{"volume":"92","issue":"6","first_page":"1243","last_page":"1248"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T12747","display_name":"Moyamoya disease diagnosis and treatment","score":1.0,"subfield":{"id":"https://openalex.org/subfields/2745","display_name":"Rheumatology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T12747","display_name":"Moyamoya disease diagnosis and treatment","score":1.0,"subfield":{"id":"https://openalex.org/subfields/2745","display_name":"Rheumatology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10378","display_name":"Advanced MRI Techniques and Applications","score":0.0,"subfield":{"id":"https://openalex.org/subfields/2741","display_name":"Radiology, Nuclear Medicine and Imaging"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11892","display_name":"Kawasaki Disease and Coronary Complications","score":0.0,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/pediatric-moyamoya-disease","display_name":"pediatric moyamoya disease","score":0.9100000262260437},{"id":"https://openalex.org/keywords/magnetic-resonance-angiography","display_name":"magnetic resonance angiography","score":0.6589999794960022},{"id":"https://openalex.org/keywords/digital-subtraction-angiography","display_name":"digital subtraction angiography","score":0.9940000176429749},{"id":"https://openalex.org/keywords/indirect-revascularization","display_name":"indirect revascularization","score":0.8709999918937683},{"id":"https://openalex.org/keywords/postoperative-follow-up","display_name":"postoperative follow-up","score":0.9480000138282776},{"id":"https://openalex.org/keywords/cost-comparison","display_name":"cost comparison","score":0.6859999895095825},{"id":"https://openalex.org/keywords/revascularization","display_name":"revascularization","score":0.6480000019073486},{"id":"https://openalex.org/keywords/cost-effectiveness","display_name":"cost-effectiveness","score":0.4779999852180481}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9701180458068848},{"id":"https://openalex.org/C2778286760","wikidata":"https://www.wikidata.org/wiki/Q1224954","display_name":"Digital subtraction angiography","level":3,"score":0.7365734577178955},{"id":"https://openalex.org/C2779464278","wikidata":"https://www.wikidata.org/wiki/Q7317735","display_name":"Revascularization","level":3,"score":0.6546849608421326},{"id":"https://openalex.org/C126838900","wikidata":"https://www.wikidata.org/wiki/Q77604","display_name":"Radiology","level":1,"score":0.5873302221298218},{"id":"https://openalex.org/C143409427","wikidata":"https://www.wikidata.org/wiki/Q161238","display_name":"Magnetic resonance imaging","level":2,"score":0.5819781422615051},{"id":"https://openalex.org/C2780643987","wikidata":"https://www.wikidata.org/wiki/Q468414","display_name":"Angiography","level":2,"score":0.5491797924041748},{"id":"https://openalex.org/C2778212899","wikidata":"https://www.wikidata.org/wiki/Q907325","display_name":"Magnetic resonance angiography","level":3,"score":0.5130447149276733},{"id":"https://openalex.org/C2776548475","wikidata":"https://www.wikidata.org/wiki/Q1951267","display_name":"Moyamoya disease","level":2,"score":0.4971804916858673},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.3456253409385681},{"id":"https://openalex.org/C164705383","wikidata":"https://www.wikidata.org/wiki/Q10379","display_name":"Cardiology","level":1,"score":0.17838966846466064},{"id":"https://openalex.org/C500558357","wikidata":"https://www.wikidata.org/wiki/Q12152","display_name":"Myocardial infarction","level":2,"score":0.0}],"mesh":[{"descriptor_ui":"D002548","descriptor_name":"Cerebral Revascularization","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":true},{"descriptor_ui":"D002648","descriptor_name":"Child","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005500","descriptor_name":"Follow-Up Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008279","descriptor_name":"Magnetic Resonance Imaging","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":false},{"descriptor_ui":"D009072","descriptor_name":"Moyamoya Disease","qualifier_ui":"Q000000981","qualifier_name":"diagnostic imaging","is_major_topic":true},{"descriptor_ui":"D009072","descriptor_name":"Moyamoya Disease","qualifier_ui":"Q000601","qualifier_name":"surgery","is_major_topic":true},{"descriptor_ui":"D011183","descriptor_name":"Postoperative Complications","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012189","descriptor_name":"Retrospective Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D015901","descriptor_name":"Angiography, Digital Subtraction","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":false},{"descriptor_ui":"D018810","descriptor_name":"Magnetic Resonance Angiography","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":false}],"locations_count":2,"locations":[{"id":"doi:10.1227/neu.0000000000002357","doi":"https://doi.org/10.1227/neu.0000000000002357","is_oa":false,"landing_page_url":"https://doi.org/10.1227/neu.0000000000002357","pdf_url":null,"source":{"id":"https://openalex.org/S111727011","display_name":"Neurosurgery","issn_l":"0148-396X","issn":["0148-396X","1081-1281","1524-4040"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-b","doyens","jufo-2","ki-jl-2","medline","norway-2","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310315671","host_organization_name":"Lippincott Williams & Wilkins","host_organization_lineage":["https://openalex.org/P4310315671","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Lippincott Williams & Wilkins","Wolters Kluwer"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Neurosurgery","raw_type":"journal-article"},{"id":"pmid:36744923","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/36744923","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Neurosurgery","raw_type":"Journal Article"}],"best_oa_location":null,"sustainable_development_goals":[{"display_name":"Good health and well-being","score":0.9940000176429749,"id":"https://metadata.un.org/sdg/3"}],"study_designs":[{"display_name":"Observational Study","id":"https://openalex.org/study-designs/observational-study"}],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":34,"referenced_works":["https://openalex.org/W1606583078","https://openalex.org/W1882484295","https://openalex.org/W1983318613","https://openalex.org/W2014003061","https://openalex.org/W2030373488","https://openalex.org/W2042051796","https://openalex.org/W2053355796","https://openalex.org/W2071151735","https://openalex.org/W2077919221","https://openalex.org/W2079565975","https://openalex.org/W2090129107","https://openalex.org/W2098126126","https://openalex.org/W2099215097","https://openalex.org/W2104536909","https://openalex.org/W2134105999","https://openalex.org/W2139829155","https://openalex.org/W2165917908","https://openalex.org/W2169878140","https://openalex.org/W2560719114","https://openalex.org/W2766848355","https://openalex.org/W2790442332","https://openalex.org/W2792694852","https://openalex.org/W2911497402","https://openalex.org/W2982309469","https://openalex.org/W3020535124","https://openalex.org/W3058233357","https://openalex.org/W3113188254","https://openalex.org/W3155248659","https://openalex.org/W3164727131","https://openalex.org/W3176060152","https://openalex.org/W3201327130","https://openalex.org/W4205881612","https://openalex.org/W4234930871","https://openalex.org/W4250897659"],"related_works":["https://openalex.org/W2766848355","https://openalex.org/W3203610124","https://openalex.org/W1972446632","https://openalex.org/W4396234498","https://openalex.org/W2894038149","https://openalex.org/W2968928700","https://openalex.org/W4283260898","https://openalex.org/W2381974992","https://openalex.org/W2393080737","https://openalex.org/W2031667515"],"abstract_inverted_index":{"BACKGROUND:":[0],"Digital":[1],"subtraction":[2],"angiography":[3,16],"(DSA)":[4],"assesses":[5],"revascularization":[6,53,119,189],"in":[7,33,101,171,228,245],"pediatric":[8,46],"moyamoya":[9,47,185,226],"patients":[10,48,78,84,135,153,186],"after":[11,71,187],"surgery,":[12],"but":[13,193],"MRI":[14],"and":[15,26,38,56,140,202,252,259],"(MRI/A)":[17],"may":[18],"provide":[19],"comparable":[20],"data.":[21],"OBJECTIVE:":[22],"To":[23],"evaluate":[24],"DSA":[25,93,141,176,182,221],"MRI/A":[27,88,139,166,238],"with":[28,158,195],"respect":[29],"to":[30,183,209,216],"clinical":[31,232],"utility":[32],"postoperative":[34,242],"follow-up,":[35],"complication":[36],"profile,":[37],"relative":[39,208],"cost":[40,172,207,258],"at":[41,61,177],"1":[42,62,72,82,178],"year.":[43,179],"METHODS:":[44],"All":[45],"who":[49,65,85,136],"received":[50],"bilateral":[51,225],"indirect":[52,188],"between":[54],"2011":[55],"2020":[57],"were":[58,74,79],"retrospectively":[59],"reviewed":[60],"institution.":[63],"Patients":[64],"underwent":[66,86,137],"MRI/A-only,":[67],"DSA-only,":[68],"or":[69,92,115,234],"both":[70,138,145],"year":[73],"compared.":[75],"RESULTS:":[76],"Eighty-two":[77],"included.":[80],"At":[81],"year,":[83],"either":[87],"(n":[89,94,142],"=":[90,95,113,143],"29)":[91],"40)":[96],"had":[97],"no":[98],"significant":[99],"differences":[100],"detection":[102],"rate":[103,198],"of":[104,165,199,220,231],"new":[105],"at-risk":[106,150],"hypovascular":[107],"territories":[108],"(6.9%":[109],"vs":[110,129,175],"2.5%,":[111],"P":[112,131],".568)":[114],"need":[116],"for":[117],"subsequent":[118],"beyond":[120],"the":[121,148,218,229,240],"mean":[122],"40":[123],"\u00b1":[124],"24-month":[125],"follow-up":[126,243],"period":[127],"(3.4%":[128],"5.0%,":[130],">":[132],".9).":[133],"Among":[134],"13),":[144],"studies":[146],"identified":[147],"same":[149],"territories.":[151],"No":[152],"experienced":[154],"MRI/A-related":[155],"complications,":[156],"compared":[157],"3":[159],"minor":[160,200],"DSA-related":[161],"complications.":[162],"The":[163],"use":[164,219],"yielded":[167],"a":[168,196,203],"6.5-fold":[169,204],"reduction":[170],"per":[173],"study":[174],"CONCLUSION:":[180],"Using":[181,237],"follow":[184],"is":[190],"generally":[191],"safe":[192],"associated":[194],"low":[197],"complications":[201],"greater":[205,253],"financial":[206],"MRI/A.":[210],"These":[211],"data":[212],"support":[213],"changing":[214],"practice":[215],"eliminate":[217],"when":[222],"following":[223],"routine":[224],"cases":[227],"absence":[230],"symptoms":[233],"specific":[235],"concerns.":[236],"as":[239],"primary":[241],"modality":[244],"this":[246],"select":[247],"population":[248],"provides":[249],"noninferior":[250],"care":[251],"patient":[254],"access,":[255],"while":[256],"reducing":[257],"potentially":[260],"decreasing":[261],"risk.":[262]},"counts_by_year":[{"year":2026,"cited_by_count":1},{"year":2025,"cited_by_count":2},{"year":2024,"cited_by_count":2}],"updated_date":"2026-10-31T12:09:11.096373","created_date":"2023-02-07T00:00:00"}
