Intracranial vessel wall imaging
- PMID: 33186244
- DOI: 10.1097/BOR.0000000000000759
Intracranial vessel wall imaging
Abstract
Purpose of review: To give an overview regarding the potential usefulness of vessel wall imaging (VWI) in distinguishing various intracranial vascular diseases, their common imaging features, and potential pitfalls.
Recent findings: VWI provides direct visualization of the vessel wall and allows the discrimination of different diseases such as vasculitis, atherosclerosis, dissection, Moyamoya disease, and reversible cerebral vasoconstriction syndrome. Recent studies showed that concentric and eccentric involvement in the vessel wall, as well as the enhancement pattern were found important for the distinguishing these diseases and evaluating their activity.
Summary: Most of the imaging techniques currently used are based on luminal imaging. However, these imaging methods are not adequate to distinguish different diseases that can demonstrate similar radiological findings. VWI is being increasingly used as a noninvasive imaging method to offset this limitation.
References
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- Lindenholz A, van der Kolk AG, Zwanenburg JJM, Hendrikse J. The use and pitfalls of intracranial vessel wall imaging: how we do it. Radiology 2018; 286:12–28.
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- Harteveld AA, van der Kolk AG, van der Worp HB, et al. High-resolution intracranial vessel wall MRI in an elderly asymptomatic population: comparison of 3T and 7T. Eur Radiol 2017; 27:1585–1595.
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- Mandell DM, Mossa-Basha M, Qiao Y, et al. Intracranial vessel wall MRI: principles and expert consensus recommendations of the American Society of Neuroradiology. AJNR Am J Neuroradiol 2017; 38:218–229.
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- Lindenholz A, Harteveld AA, Zwanenburg JJM, et al. Comparison of 3T intracranial vessel wall MRI sequences. AJNR Am J Neuroradiol 2018; 39:1112–1120.
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- Harteveld AA, Denswil NP, Van Hecke W, et al. Data on vessel wall thickness measurements of intracranial arteries derived from human circle of willis specimens. Data Brief 2018; 19:6–12.
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