Simultaneous biplane high speed 1000 fps x-ray angiography (HSAngio)

High-speed 1000-fps x-ray Angiography (HSAngio) images can be used to visualize blood-flow patterns and derive flow velocities during neurointerventional procedures. In this work, we present for the very first-time, orthogonal views of contrast injection in an aneurysm model acquired simultaneously using biplane HSAngio imaging. 3-D printed in-vitro models A and B of two different internal carotid-artery aneurysms were connected to a flow loop (circulation fluid: 60% water, 40% glycerol solution, circulation flow rate: 8 L/s). An automatic programmable injector (KD Scientific Legato 110) injected iodine contrast agent at a rate of 88 mL/min for a duration of 3 sec. With an RQA5 spectrum, 1000 fps HSAngio sequences of the contrast injection were acquired simultaneously on the frontal plane using the Actaeon detector (Direct Conversion, Stockholm) and on the lateral plane using the Aries (Direct Conversion, Stockholm) detector. The start of contrast injection and simultaneous biplane x-ray exposures and detector image acquisitions were manually synchronized to capture the initial inflow of contrast into the aneurysm region. For model A the frontal plane images gave a better visualization of the flow streamlines in the parent artery in the inflow (average velocity 28 cm/s) and outflow (average velocity 24 cm/s) region of the aneurysm. The vortices within the aneurysm region especially within the aneurysm dome were better visualized in the lateral plane images (average velocity 27 cm/s). Biplane HSAngio imaging techniques can give more accurate representations of 3-D blood flow within the complex vascular pathology of the human brain, compared to single-plane imaging.