Current Clinical Applications of Intracranial Vessel Wall MR Imaging

Intracranial vessel wall MR imaging (VWI) is increasingly being used as a valuable adjunct to conventional angiographic imaging techniques. This article will provide an updated review on intracranial VWI protocols and image interpretation. We review VWI technical considerations, describe common VWI...

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Bibliographic Details
Published in:Seminars in ultrasound, CT, and MRI Vol. 42; no. 5; pp. 463 - 473
Main Authors: Mattay, Raghav R., Saucedo, Jose F., Lehman, Vance T., Xiao, Jiayu, Obusez, Emmanuel C., Raymond, Scott B., Fan, Zhaoyang, Song, Jae W.
Format: Journal Article
Language:English
Published: Elsevier Inc 01-10-2021
Online Access:Get full text
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Summary:Intracranial vessel wall MR imaging (VWI) is increasingly being used as a valuable adjunct to conventional angiographic imaging techniques. This article will provide an updated review on intracranial VWI protocols and image interpretation. We review VWI technical considerations, describe common VWI imaging features of different intracranial vasculopathies and show illustrative cases. We review the role of VWI for differentiating among steno-occlusive vasculopathies, such as intracranial atherosclerotic plaque, dissections and Moyamoya disease. We also highlight how VWI may be used for the diagnostic work-up and surveillance of patients with vasculitis of the central nervous system and cerebral aneurysms.
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ISSN:0887-2171
1558-5034
DOI:10.1053/j.sult.2021.07.004