Black blood MRI sequences in the acute management of ruptured and unruptured intracranial aneurysms

We present an illustrative case series in which high spatial resolution black blood (BB) MRI sequences were used as an adjunct in the acute management of intracranial aneurysms with diagnostic uncertainty regarding rupture status. Several acute management dilemmas are discussed including the surveil...

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Bibliographic Details
Published in:	British journal of neurosurgery pp. 1 - 6
Main Authors:	El Sheikh, Mustafa, Koh, Shang Peng, Omer, Mustafa, Agyemang, Kevin, Bhattathiri, Parameswaran, Hassan, Samih, Iqbal, Ahmed, Izzath, Wazim, St George, Jerome, Foo, Sin Yee
Format:	Journal Article
Language:	English
Published:	02-12-2023
Online Access:	Get full text
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Summary:	We present an illustrative case series in which high spatial resolution black blood (BB) MRI sequences were used as an adjunct in the acute management of intracranial aneurysms with diagnostic uncertainty regarding rupture status. Several acute management dilemmas are discussed including the surveillance of previously treated ruptured intracranial aneurysms, identifying culprit lesion(s) amongst multiple ruptured intracranial aneurysms, and risk stratifying incidental unruptured intracranial aneurysms. We present our experience which supports the evaluation of this vessel wall imaging technique in larger multi-centre observational studies. MR imaging was performed on a 3.0 Tesla Siemens Somatom Vida system and sequences used included: Susceptibility Weighted Imaging, Diffusion Weighted Imaging & 3D T1 pre- and post-contrast-enhanced BB sequences.
Bibliography:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23
ISSN:	0268-8697 1360-046X
DOI:	10.1080/02688697.2023.2290668