High-resolution magnetic resonance vessel wall imaging in cerebrovascular diseases

Area of Science:

• Neurology
• Radiology
• Medical Imaging

Background:

• Intracranial vascular disorders such as atherosclerosis, vasculitis, and reversible cerebral vasoconstriction syndrome (RCVS) often present with similar findings on conventional imaging (CT, MRI, DSA).
• This diagnostic ambiguity necessitates advanced imaging techniques for accurate identification and timely clinical management.

Purpose of the Study:

• To outline the protocol for high-resolution three-dimensional (3D) vessel wall imaging (VWI).
• To discuss the current applications of high-resolution VWI in diagnosing intracranial vascular disorders.

Main Methods:

• Utilizing advanced three-dimensional (3D) imaging sequences for high-resolution vessel wall imaging (VWI).
• Focusing on the technical aspects and protocol development for VWI acquisition.

Main Results:

• High-resolution VWI provides detailed visualization of the intracranial vessel wall, differentiating it from lumenographic findings.
• The study establishes VWI as a crucial tool for confirming diagnoses that are ambiguous on traditional modalities.

Conclusions:

• High-resolution VWI is essential for accurate diagnosis of complex intracranial vascular conditions.
• Implementing standardized VWI protocols facilitates improved clinical decision-making and patient outcomes.