• Practical neurology · Dec 2020

    Review

    Black blood imaging of intracranial vessel walls.

    • Joga Chaganti, Hannah Woodford, Susan Tomlinson, Sophie Dunkerton, and Bruce Brew.
    • Department of Radiology, St Vincent's Hospital Sydney, Darlinghurst, New South Wales, Australia joga.chaganti@svha.org.au.
    • Pract Neurol. 2020 Dec 29.

    AbstractTraditional vascular imaging focuses on non-invasive cross-sectional imaging to assess luminal morphology; however, the vessel wall itself may be specifically involved in many diseases. Newer pulse sequences, and particularly black blood MRI of intracranial vessels, have brought a paradigm shift in understanding the pathophysiology of many vasculopathies. Black blood MRI of intracranial vessel walls can help in a range of pathologies with differing pathophysiology, including intracranial atherosclerosis, aneurysms, vasculitis and vasculopathy, moyamoya disease, dissection and vertebrobasilar hypoplasia. This review highlights how vessel wall imaging can contribute to the clinical diagnosis and management of patients with intracranial vascular pathology.© Author(s) (or their employer(s)) 2020. No commercial re-use. See rights and permissions. Published by BMJ.

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