Imaging Modalities for Intracranial Aneurysm: More Than Meets the Eye
- PMID: 35242823
- PMCID: PMC8885801
- DOI: 10.3389/fcvm.2022.793072
Imaging Modalities for Intracranial Aneurysm: More Than Meets the Eye
Abstract
Intracranial aneurysms (IA) are often asymptomatic and have a prevalence of 3 to 5% in the adult population. The risk of IA rupture is low, however when it occurs half of the patients dies from subarachnoid hemorrhage (SAH). To avoid this fatal evolution, the main treatment is an invasive surgical procedure, which is considered to be at high risk of rupture. This risk score of IA rupture is evaluated mainly according to its size and location. Therefore, angiography and anatomic imaging of the intracranial aneurysm are crucial for its diagnosis. Moreover, it has become obvious in recent years that several other factors are implied in this complication, such as the blood flow complexity or inflammation. These recent findings lead to the development of new IA imaging tools such as vessel wall imaging, 4D-MRI, or molecular MRI to visualize inflammation at the site of IA in human and animal models. In this review, we will summarize IA imaging techniques used for the patients and those currently in development.
Keywords: hemodynamic imaging; imaging technique; inflammation imaging; intracranial aneurysm; vessel wall imaging.
Copyright © 2022 Maupu, Lebas and Boulaftali.
Conflict of interest statement
The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.
Similar articles
-
Coil embolization for intracranial aneurysms: an evidence-based analysis.Ont Health Technol Assess Ser. 2006;6(1):1-114. Epub 2006 Jan 1. Ont Health Technol Assess Ser. 2006. PMID: 23074479 Free PMC article.
-
Flow-induced, inflammation-mediated arterial wall remodeling in the formation and progression of intracranial aneurysms.Neurosurg Focus. 2019 Jul 1;47(1):E21. doi: 10.3171/2019.5.FOCUS19234. Neurosurg Focus. 2019. PMID: 31261126 Free PMC article. Review.
-
Significance of aneurysm wall enhancement on high-resolution vessel wall magnetic resonance imaging in clinical management of patients with intracranial aneurysms.Neurol Neurochir Pol. 2020;54(6):518-523. doi: 10.5603/PJNNS.a2020.0087. Epub 2020 Oct 22. Neurol Neurochir Pol. 2020. PMID: 33089880
-
Vessel wall enhancement of intracranial aneurysms: fact or artifact?Neurosurg Focus. 2019 Jul 1;47(1):E18. doi: 10.3171/2019.4.FOCUS19236. Neurosurg Focus. 2019. PMID: 31261122
-
Inflammatory changes in the aneurysm wall: a review.J Neurointerv Surg. 2018 Jul;10(Suppl 1):i58-i67. doi: 10.1136/jnis.2009.002055.rep. J Neurointerv Surg. 2018. PMID: 30037960 Review.
Cited by
-
The geometric evolution of aortic dissections: Predicting surgical success using fluctuations in integrated Gaussian curvature.PLoS Comput Biol. 2024 Feb 2;20(2):e1011815. doi: 10.1371/journal.pcbi.1011815. eCollection 2024 Feb. PLoS Comput Biol. 2024. PMID: 38306397 Free PMC article.
-
The relationship between symptomatic status and aneurysm wall enhancement characteristics of single unruptured intracranial aneurysm.Radiologie (Heidelb). 2024 Nov;64(Suppl 1):86-92. doi: 10.1007/s00117-024-01305-0. Epub 2024 Apr 30. Radiologie (Heidelb). 2024. PMID: 38687375 Free PMC article.
-
Imaging of intracranial aneurysms in animals: a systematic review of modalities.Neurosurg Rev. 2023 Feb 14;46(1):56. doi: 10.1007/s10143-023-01953-1. Neurosurg Rev. 2023. PMID: 36786880 Free PMC article.
-
Comparative Study of Automated Algorithms for Brain Arteriovenous Malformation Nidus Extent Identification Using 3DRA.Cardiovasc Eng Technol. 2023 Dec;14(6):801-809. doi: 10.1007/s13239-023-00688-w. Epub 2023 Oct 2. Cardiovasc Eng Technol. 2023. PMID: 37783951
-
Kissing Aneurysms of the Anterior Communicating Artery Treated With Surgical Clipping: A Case Report and Literature Review.Cureus. 2024 May 22;16(5):e60824. doi: 10.7759/cureus.60824. eCollection 2024 May. Cureus. 2024. PMID: 38910700 Free PMC article.
References
-
- Etminan N, Chang H-S, Hackenberg K, de Rooij NK, Vergouwen MDI, Rinkel GJE, et al. . Worldwide incidence of aneurysmal subarachnoid hemorrhage according to region, time period, blood pressure, and smoking prevalence in the population: a systematic review and meta-analysis. JAMA Neurol. (2019) 76:588–97. 10.1001/jamaneurol.2019.0006 - DOI - PMC - PubMed
-
- Thompson BG, Brown RD, Amin-Hanjani S, Broderick JP, Cockroft KM, Connolly ES, et al. . Guidelines for the management of patients with unruptured intracranial aneurysms: a guideline for healthcare professionals from the American heart association/American stroke association. Stroke. (2015) 46:2368–400. 10.1161/STR.0000000000000070 - DOI - PubMed
Publication types
LinkOut - more resources
Full Text Sources
Other Literature Sources