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The Use of Intracranial Vessel Wall Imaging in Clinical Practice

Abderrahmane Hedjoudje1, Jean Darcourt2, Fabrice Bonneville2

  • 1Department of Diagnostic and Interventional Neuroradiology, Sion Hospital, CHVR, Sion, Switzerland; Laboratoire D'imagerie Biomédicale Multimodale (BioMaps), Université Paris-Saclay, CEA, CNRS, Inserm, Service Hospitalier Frédéric Joliot, Orsay, France.

Radiologic Clinics of North America
|March 17, 2023
PubMed

Insights

Three-dimensional vessel wall MR imaging offers a new perspective for diagnosing cerebrovascular diseases by focusing on vessel wall pathology. This technique is powerful for detecting changes in conditions like vasculitis and moyamoya disease.

Area of Science:

  • Medical Imaging
  • Neurology
  • Radiology

Background:

  • Traditional MR imaging focuses on the vessel lumen, potentially missing critical vessel wall pathologies.
  • Cerebrovascular diseases require detailed assessment of vessel wall changes for accurate diagnosis and management.

Purpose of the Study:

  • To highlight the significance and applications of three-dimensional (3D) vessel wall MR imaging.
  • To emphasize its role in diagnosing and managing various cerebrovascular conditions.

Main Methods:

  • Utilizes advanced three-dimensional Magnetic Resonance (MR) imaging techniques.
  • Focuses on visualizing the vessel wall structure and abnormalities.

Main Results:

  • 3D vessel wall MR imaging provides a distinct view, emphasizing pathology over lumen characteristics.
  • Demonstrates significant utility in detecting vessel wall changes across a spectrum of diseases.

Conclusions:

  • 3D vessel wall MR imaging is a valuable tool in clinical practice for cerebrovascular disease.
  • It enhances diagnostic capabilities for conditions such as central nervous system vasculitis, moyamoya disease, aneurysms, dissections, and intracranial atherosclerotic disease.

Keywords:
AneurysmAtherosclerosisStrokeVasculitisVessel wall MR imaging

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