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Infundibular dilation (ID) and aneurysm at the internal carotid artery (ICA)–posterior communicating artery (PComA) junction can be difficult to distinguish but may differ in clinical significance. Conclusion CTA may be a useful noninvasive modality for differential diagnosis of ID and aneurysm at the ICA–PComA junction.
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The aim of this study was to evaluate the utility of CT angiography (CTA) in differentially diagnosing IDs and small unruptured aneurysms at the ICA– PComA junction.
The intermodality (between CTA and DSA) and interobserver (between the two readers) agreement were determined for each finding.We also evaluated the sensitivity and specificity of CTA for distinguishing ID and aneurysm, using DSA as the reference standard.

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