Vessel Wall Magnetic Resonance Imaging in Cerebrovascular Diseases

被引：29

作者：

Mazzacane, Federico ^{[1
,2
,3
]}

Mazzoleni, Valentina ^{[4
,5
]}

Scola, Elisa ^{[6
]}

Mancini, Sara ^{[6
]}

Lombardo, Ivano ^{[6
]}

Busto, Giorgio ^{[6
]}

Rognone, Elisa ^{[7
]}

Pichiecchio, Anna ^{[3
,7
]}

Padovani, Alessandro ^{[4
,5
]}

Morotti, Andrea ^{[5
]}

Fainardi, Enrico ^{[8
]}

机构：

[1] IRCCS Mondino Fdn, Dept Emergency Neurol, I-27100 Pavia, Italy

[2] IRCCS Mondino Fdn, Stroke Unit, I-27100 Pavia, Italy

[3] Univ Pavia, Dept Brain & Behav Sci, I-27100 Pavia, Italy

[4] Univ Brescia, Dept Clin & Expt Sci, Neurol Unit, I-25121 Brescia, Italy

[5] ASST Spedali Civili, Dept Neurol Sci & Vis, Neurol Unit, I-25123 Brescia, Italy

[6] Careggi Univ Hosp, Dept Radiol, Neuroradiol Unit, I-50134 Florence, Italy

[7] IRCCS Mondino Fdn, Dept Neuroradiol, I-27100 Pavia, Italy

[8] Univ Florence, Dept Expt & Clin Biomed Sci Mario Serio, Neuroradiol Unit, I-50121 Florence, Italy

来源：

DIAGNOSTICS | 2022年 / 12卷 / 02期

关键词：

cerebrovascular disease; vessel wall MRI; intracranial vasculopathy; stroke; atherosclerosis; vasculitis; dissection; HIGH-RESOLUTION MRI; CEREBRAL VASOCONSTRICTION SYNDROME; BRAIN ARTERIOVENOUS-MALFORMATIONS; EXPERT CONSENSUS RECOMMENDATIONS; INTRACRANIAL PLAQUE ENHANCEMENT; ATHEROSCLEROTIC PLAQUES; VERTEBROBASILAR ARTERY; INTRAPLAQUE HEMORRHAGE; DIAGNOSTIC-ACCURACY; CAROTID ARTERIES;

D O I：

10.3390/diagnostics12020258

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Cerebrovascular diseases are a leading cause of disability and death worldwide. The definition of stroke etiology is mandatory to predict outcome and guide therapeutic decisions. The diagnosis of pathological processes involving intracranial arteries is especially challenging, and the visualization of intracranial arteries' vessel walls is not possible with routine imaging techniques. Vessel wall magnetic resonance imaging (VW-MRI) uses high-resolution, multiparametric MRI sequences to directly visualize intracranial arteries walls and their pathological alterations, allowing a better characterization of their pathology. VW-MRI demonstrated a wide range of clinical applications in acute cerebrovascular disease. Above all, it can be of great utility in the differential diagnosis of atherosclerotic and non-atherosclerotic intracranial vasculopathies. Additionally, it can be useful in the risk stratification of intracranial atherosclerotic lesions and to assess the risk of rupture of intracranial aneurysms. Recent advances in MRI technology made it more available, but larger studies are still needed to maximize its use in daily clinical practice.

引用

页数：20

共 133 条

[1] 2017 ESC Guidelines on the Diagnosis and Treatment of Peripheral Arterial Diseases, in collaboration with the European Society for Vascular Surgery (ESVS) [J].