Intracranial vasculopathy with MR vessel wall imaging: a case series

Area of Science:

• Neurology
• Radiology
• Medical Imaging

Background:

• Conventional luminal imaging is limited in diagnosing complex cerebrovascular diseases, often necessitating invasive histopathological diagnosis.
• Cerebrovascular diseases pose significant diagnostic challenges, requiring advanced imaging techniques for accurate etiological differentiation.

Purpose of the Study:

• To highlight the utility of MR vessel wall imaging in diagnosing challenging cerebrovascular cases.
• To share insights from Tuen Mun Hospital's pioneering experience with MR vessel wall imaging.
• To discuss common pitfalls and interpretation strategies for MR vessel wall imaging.

Main Methods:

• Utilizing advanced MR vessel wall imaging techniques.
• Analyzing challenging clinical cases diagnosed at a dedicated neuroscience center.
• Reviewing imaging findings and their correlation with clinical outcomes.

Main Results:

• MR vessel wall imaging provides enhanced diagnostic capabilities for differentiating cerebrovascular disease etiologies.
• The non-invasive nature of MR vessel wall imaging minimizes patient trauma and facilitates prompt treatment decisions.
• Case examples demonstrate the successful application of MR vessel wall imaging in complex vasculopathies.

Conclusions:

• MR vessel wall imaging is a valuable non-invasive tool for diagnosing cerebrovascular diseases.
• This modality improves diagnostic accuracy and enables timely therapeutic interventions.
• Sharing clinical experiences and interpretation tips can optimize the use of MR vessel wall imaging.