TY - JOUR
T1 - Intracranial vessel wall imaging for evaluation of steno-occlusive diseases and intracranial aneurysms
AU - Brinjikji, Waleed
AU - Mossa-Basha, Mahmud
AU - Huston, John
AU - Rabinstein, Alejandro
AU - Lanzino, Giuseppe
AU - Lehman, Vance T
PY - 2017/3/1
Y1 - 2017/3/1
N2 - Cerebrovascular diseases have traditionally been classified, diagnosed and managed based on their luminal characteristics. However, over the past several years, several advancements in MRI techniques have ushered in high-resolution vessel wall imaging (HR-VWI), enabling evaluation of intracranial vessel wall pathology. These advancements now allow us to differentiate diseases which have a common angiographic appearance but vastly different natural histories (i.e. moyamoya versus atherosclerosis, reversible cerebral vasoconstriction syndrome versus vasculitis, stable versus unstable intracranial aneurysms). In this review, we detail the anatomical, histopathological and imaging characteristics of various intracranial steno-occlusive diseases and types of intracranial aneurysms and describe the role that HR-VWI can play in diagnosis, risk stratification and treatment.
AB - Cerebrovascular diseases have traditionally been classified, diagnosed and managed based on their luminal characteristics. However, over the past several years, several advancements in MRI techniques have ushered in high-resolution vessel wall imaging (HR-VWI), enabling evaluation of intracranial vessel wall pathology. These advancements now allow us to differentiate diseases which have a common angiographic appearance but vastly different natural histories (i.e. moyamoya versus atherosclerosis, reversible cerebral vasoconstriction syndrome versus vasculitis, stable versus unstable intracranial aneurysms). In this review, we detail the anatomical, histopathological and imaging characteristics of various intracranial steno-occlusive diseases and types of intracranial aneurysms and describe the role that HR-VWI can play in diagnosis, risk stratification and treatment.
KW - Aneurysm
KW - MRI
KW - Stenosis
KW - Vessel wall imaging
UR - http://www.scopus.com/inward/record.url?scp=85015161597&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85015161597&partnerID=8YFLogxK
U2 - 10.1016/j.neurad.2016.10.003
DO - 10.1016/j.neurad.2016.10.003
M3 - Review article
C2 - 27836652
AN - SCOPUS:85015161597
SN - 0150-9861
VL - 44
SP - 123
EP - 134
JO - Journal of Neuroradiology
JF - Journal of Neuroradiology
IS - 2
ER -