Blood Flow Mimicking Aneurysmal Wall Enhancement: A Diagnostic Pitfall of Vessel Wall MRI Using the Postcontrast 3D Turbo Spin-Echo MR Imaging Sequence

被引:38
作者
Kalsoum, E. [1 ]
Negrier, A. Chabernaud [1 ]
Tuilier, T. [1 ]
Benaissa, A. [1 ]
Blanc, R. [3 ]
Gallas, S. [1 ]
Lefaucheur, J. -P. [2 ]
Gaston, A. [1 ]
Lopes, R. [4 ]
Brugieres, P. [1 ]
Hodel, J. [1 ]
机构
[1] CHU Henri Mondor, Dept Neuroradiol, Creteil, France
[2] CHU Henri Mondor, Dept Neurophysiol, Creteil, France
[3] Rothschild Fdn Hosp, Dept Intervent Neuroradiol, Paris, France
[4] Univ Lille, Degenerat & Vasc Cognit Disorders U1171, INSERM, Neuroradiol Dept,CHU Lille, Lille, France
关键词
INTRACRANIAL ANEURYSMS;
D O I
10.3174/ajnr.A5616
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Our aim was to compare the detectability of aneurysmal wall enhancement in unruptured intracranial aneurysms between conventional and motion-sensitized driven equilibrium-prepared postcontrast 3D T1-weighted TSE sequences (sampling perfection with applicationoptimized contrasts by using different flip angle evolution, SPACE). Twenty-two patients with 30 unruptured intracranial aneurysms were scanned at 3T. Aneurysmal wall enhancement was more significantly detected using conventional compared with motion-sensitized driven equilibrium-prepared SPACE sequences (10/30 versus 2/30, P < .0001). Contrast-to-noise ratio measurements did not differ between conventional and motion-sensitized driven equilibrium-prepared sequences (P = .51). Flowing blood can mimic aneurysmal wall enhancement using conventional SPACE sequences with potential implications for patient care.
引用
收藏
页码:1065 / 1067
页数:3
相关论文
共 15 条
[1]   Fast spin echo sequences with very long echo trains:: Design of variable refocusing flip angle schedules and generation of clinical T2 contrast [J].
Busse, RF ;
Hariharan, H ;
Vu, A ;
Brittain, JH .
MAGNETIC RESONANCE IN MEDICINE, 2006, 55 (05) :1030-1037
[2]   Flow Conditions in the Intracranial Aneurysm Lumen Are Associated with Inflammation and Degenerative Changes of the Aneurysm Wall [J].
Cebral, J. ;
Ollikainen, E. ;
Chung, B. J. ;
Mut, F. ;
Sippola, V. ;
Jahromi, B. R. ;
Tulamo, R. ;
Hernesniemi, J. ;
Niemela, M. ;
Robertson, A. ;
Frosen, J. .
AMERICAN JOURNAL OF NEURORADIOLOGY, 2017, 38 (01) :119-126
[3]   Does Aneurysmal Wall Enhancement on Vessel Wall MRI Help to Distinguish Stable From Unstable Intracranial Aneurysms? [J].
Edjlali, Myriam ;
Gentric, Jean-Christophe ;
Regent-Rodriguez, Christine ;
Trystram, Denis ;
Ben Hassen, Wajih ;
Lion, Stephanie ;
Nataf, Francois ;
Raymond, Jean ;
Wieben, Oliver ;
Turski, Patrick ;
Meder, Jean-Francois ;
Oppenheim, Catherine ;
Naggara, Olivier .
STROKE, 2014, 45 (12) :3704-3706
[4]   Ruptured Cerebral Microaneurysm Diagnosed by 3-Dimensional Fast Spin-Echo T1 Imaging with Variable Flip Angles [J].
Endo, Hidenori ;
Niizuma, Kuniyasu ;
Fujimura, Miki ;
Sato, Kenichi ;
Inoue, Takashi ;
Osawa, Shin-ichiro ;
Tominaga, Teiji .
JOURNAL OF STROKE & CEREBROVASCULAR DISEASES, 2015, 24 (08) :E231-E235
[5]   Clinical Significance of Circumferential Aneurysmal Wall Enhancement in Symptomatic Patients with Unruptured Intracranial Aneurysms: aHigh-resolution MRI Study [J].
Fu, Qichang ;
Guan, Sheng ;
Liu, Chao ;
Wang, Keyan ;
Cheng, Jingliang .
CLINICAL NEURORADIOLOGY, 2018, 28 (04) :509-514
[6]   Wall enhancement on high-resolution magnetic resonance imaging may predict an unsteady state of an intracranial saccular aneurysm [J].
Hu, Peng ;
Yang, Qi ;
Wang, Dan-Dan ;
Guan, Shao-Chen ;
Zhang, Hong-Qi .
NEURORADIOLOGY, 2016, 58 (10) :979-985
[7]   Relationship between aneurysm wall enhancement and conventional risk factors in patients with unruptured intracranial aneurysms: A black-blood MRI study [J].
Liu, Peng ;
Qi, Haikun ;
Liu, Aihua ;
Lv, Xianli ;
Jiang, Yuhua ;
Zhao, Xihai ;
Li, Rui ;
Lu, Bing ;
Lv, Ming ;
Chen, Huijun ;
Li, Youxiang .
INTERVENTIONAL NEURORADIOLOGY, 2016, 22 (05) :501-505
[8]   Intracranial Vessel Wall MRI: Principles and Expert Consensus Recommendations of the American Society of Neuroradiology [J].
Mandell, D. M. ;
Mossa-Basha, M. ;
Qiao, Y. ;
Hess, C. P. ;
Hui, F. ;
Matouk, C. ;
Johnson, M. H. ;
Daemen, M. J. A. P. ;
Vossough, A. ;
Edjlali, M. ;
Saloner, D. ;
Ansari, S. A. ;
Wasserman, B. A. ;
Mikulis, D. J. .
AMERICAN JOURNAL OF NEURORADIOLOGY, 2017, 38 (02) :218-229
[9]   Vessel Wall Magnetic Resonance Imaging Identifies the Site of Rupture in Patients With Multiple Intracranial Aneurysms: Proof of Principle [J].
Matouk, Charles C. ;
Mandell, Daniel M. ;
Guenel, Murat ;
Bulsara, Ketan R. ;
Malhotra, Ajay ;
Hebert, Ryan ;
Johnson, Michele H. ;
Mikulis, David J. ;
Minja, Frank J. .
NEUROSURGERY, 2013, 72 (03) :492-496
[10]   Wall Enhancement of the Intracranial Aneurysms Revealed by Magnetic Resonance Vessel Wall Imaging Using Three-Dimensional Turbo Spin-Echo Sequence with Motion-Sensitized Driven-Equilibrium: A Sign of Ruptured Aneurysm? [J].
Nagahata, S. ;
Nagahata, M. ;
Obara, M. ;
Kondo, R. ;
Minagawa, N. ;
Sato, S. ;
Sato, S. ;
Mouri, W. ;
Saito, S. ;
Kayama, T. .
CLINICAL NEURORADIOLOGY, 2016, 26 (03) :277-283