Intracranial vessel wall imaging for evaluation of steno-occlusive diseases and intracranial aneurysms

Waleed Brinjikji, Mahmud Mossa-Basha, John Huston, Alejandro Rabinstein, Giuseppe Lanzino, Vance T Lehman

Research output: Contribution to journalReview article

10 Scopus citations

Abstract

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.

Original languageEnglish (US)
Pages (from-to)123-134
Number of pages12
JournalJournal of Neuroradiology
Volume44
Issue number2
DOIs
StatePublished - Mar 1 2017

Keywords

  • Aneurysm
  • MRI
  • Stenosis
  • Vessel wall imaging

ASJC Scopus subject areas

  • Radiological and Ultrasound Technology
  • Radiology Nuclear Medicine and imaging
  • Clinical Neurology

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