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September-October 2019 Archives - AJNR News Digest

September-October 2019

ADULT BRAIN

Vessel Wall Enhancement in Unruptured Intracranial Aneurysms: An Indicator for Higher Risk of Rupture? High-Resolution MR Imaging and Correlated Histologic Findings

Naomi Larsen

Naomi Larsen

Counseling of patients with incidental intracranial aneurysms poses a challenge to interventional neuroradiologists and neurosurgeons. Several clinical scoring systems have been in use for the stratification of rupture risk. Analysis of aneurysm morphology and hemodynamic variables not only serves as an important tool for patient-specific rupture risk assessment, but also reveals valuable insight into … more »

Extracranial Vascular

Comparison of 3T Intracranial Vessel Wall MRI Sequences

Arjen Lindenholz

Arjen Lindenholz

Intracranial vessel wall imaging is an emerging MRI technique that is increasingly being used in clinical practice. The ability to depict and analyze the intracranial vessel wall itself, rather than luminal changes, has already shown its value in an increasing number of intracranial arterial diseases, such as vasculitis and intracranial atherosclerosis.

Most of these sequences, … more »

ADULT BRAIN

Gadolinium Enhancement of the Aneurysm Wall in Unruptured Intracranial Aneurysms Is Associated with an Increased Risk of Aneurysm Instability: A Follow-Up Study

Mervyn Vergouwen

Mervyn Vergouwen

The number of incidentally discovered unruptured intracranial aneurysms increases due to the rising availability and use of brain imaging. Currently, the best available tool to predict the risk of aneurysm rupture is the Population, Hypertension, Age, Size of Aneurysm, Earlier Subarachnoid Hemorrhage from Another Aneurysm, and Site of Aneurysm (PHASES) score. This score … more »

ADULT BRAIN

Vessel Wall MRI for Targeting Biopsies of Intracranial Vasculitis

Bruce Wasserman

Bruce Wasserman

Our intracranial vessel wall imaging (VWI) techniques evolved as an extension of our extracranial carotid imaging work, and, consequently, our initial focus had been identifying and characterizing intracranial atherosclerosis.

As we gained experience with this technique, we recognized that another important application was to distinguish atherosclerosis from other intracranial vasculopathies, thereby addressing the relative … more »

Introduction

Vessel Wall MR Imaging

Maria Vittoria Spampinato

High-resolution intracranial vessel wall MR imaging (VW-MRI) has emerged in recent years as the leading imaging modality for the visualization and characterization of the arterial vessel wall.1-3 VW-MRI has a complementary role to luminal imaging techniques, and has been increasingly used as a clinical tool in the diagnosis of intracranial vascular diseases … more »