Joint blood and cerebrospinal fluid suppression for intracranial vessel wall MRI

Wang, Jinnan; Helle, Michael; Zhou, Zhen; Börnert, Peter; Hatsukami, Thomas S.; Yuan, Chun

doi:10.1002/mrm.25667

Cited by 63 publications

(64 citation statements)

References 26 publications

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“…In these sequences, black blood is achieved by intravoxel dephasing of flowing blood, which is most effective when low-flip-angle refocusing pulses are used (17,24). Alternatively, preparation pulses can be used to obtain blood suppression, such as double inversion recovery (25), motion-sensitizing preparation pulses (26), or delay alternating with nutation for tailored excitation (DANTE) preparation pulses (20). Adding preparation pulses generally increases acquisition time.…”

Section: How I Do It: the Use And Pitfalls Of Intracranial Vessel Walmentioning

confidence: 99%

“…Most intracranial VW imaging sequences rely on the intrinsic "black blood" properties of three-dimensional (3D) turbo spin-echo (TSE) pulse sequences, with variable flip-angle refocusing pulses (17,(19)(20)(21)(22)(23). In these sequences, black blood is achieved by intravoxel dephasing of flowing blood, which is most effective when low-flip-angle refocusing pulses are used (17,24).…”

Section: How I Do It: the Use And Pitfalls Of Intracranial Vessel Walmentioning

confidence: 99%

“…At 3 T, the CNR between VW and lumen is superior to the CNR between VW and CSF on most pulse sequences. Because an inversion-recovery pulse as a CSF-suppressing technique is both time consuming and detrimental to the VW signal-to-noise ratio (SNR), these VW imaging sequences rely implicitly (without use of CSF suppression preparation pulses) or explicitly (with use of DANTE) on CSF flow for CSF suppression (19)(20)(21)31,32). Consequently, suppression of CSF will be lower in compartments where there is a slower flow of CSF, for example, around the VW and at locations where there is little CSF surrounding the vessels.…”

Section: How I Do It: the Use And Pitfalls Of Intracranial Vessel Walmentioning

confidence: 99%

See 2 more Smart Citations

The Use and Pitfalls of Intracranial Vessel Wall Imaging: How We Do It

et al. 2018

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Section: How I Do It: the Use And Pitfalls Of Intracranial Vessel Walmentioning

confidence: 99%

Section: How I Do It: the Use And Pitfalls Of Intracranial Vessel Walmentioning

confidence: 99%

Section: How I Do It: the Use And Pitfalls Of Intracranial Vessel Walmentioning

confidence: 99%

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The Use and Pitfalls of Intracranial Vessel Wall Imaging: How We Do It

et al. 2018

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“…Both 2D and 3D IVWM techniques can be employed depending on the scanning environment and institutional experience [2][3][4][5][6][7][8][9][10][11][12][13] (Table 1). An important consideration for intracranial vessel wall imaging is blood and cerebrospinal fluid (CSF) suppression for better outer wall boundary evaluation.…”

Section: Introductionmentioning

confidence: 99%

“…The delay alternating with nutation for tailored excitation (DANTE) pulse train, which is a series of low flip angle nonselective pulses interleaved with gradient pulses with short repetition times, results in optimized blood and CSF suppression without effects on tissue contrast [10]. DANTE allows for improved vessel wall assessment with 3D VRFA techniques while also minimizing artifacts from turbulent or slow flow.…”

Section: Introductionmentioning

confidence: 99%

Intracranial vessel wall MRI: a review of current indications and future applications

et al. 2016

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Background: Intracranial vessel wall MRI (IVWM) is a new diagnostic imaging approach with the goal of evaluating intracranial vascular pathology by directly visualizing arterial vessel wall abnormalities with MR sequences, preferably at 3 Tesla field strength, that suppress blood and have excellent spatial resolution. Body: The differentiation of intracranial vascular pathology has historically relied on luminal imaging techniques that depict the alteration of flow created by atherosclerotic stenosis or vasospasm. With IVWM, it is possible to identify distinct radiologic findings of the pathology within the intracranial vessel wall itself, ranging from arterial dissection to vasculitis. Futhermore, IVWM imaging characteristics, such as post-contrast enhancement, can elucidate the temporal relationship between imaging findings and clinical pathology; and may predict future behavior of unruptured aneurysms or atherosclerotic plaques. Conclusion: We present a review of the basic IVWM imaging techniques and the relevant published literature on IVWM, with a focus on evidence-based diagnostic indications for IVWM and discussion of the strengths and weaknesses of each indication. Finally, we discuss how IVWM can be used to differentiate between intracranial pathology and future directions for IVWM research.

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Intracranial artery stenosis magnetic resonance imaging aetiology and progression study: Rationale and design

et al. 2018

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BackgroundIt has been shown that intracranial artery stenosis (ICAS) plays a key role in Chinese ischemic stroke or transient ischemic attack (TIA) patients. Many vascular diseases can lead to ICAS, such as atherosclerosis, dissection, vasculitis, moyamoya disease, and reversible cerebral vasoconstriction syndrome (RCVS). In addition, progression of intracranial atherosclerotic disease (ICAD) will increase the risk of ischemic cerebrovascular events. The ICASMAP study primarily aims to determine the etiology and disease distribution of ICAS using noninvasive magnetic resonance (MR) imaging and evaluate the rate for progression of ICAD in symptomatic population.MethodsThe ICASMAP study is a prospective, observational, and multicenter study by recruiting 300 subjects (18–80 years old) with recent stroke or TIA (within 2 weeks after onset of symptoms) in China. All the subjects will undergo MR imaging examination including brain and intracranial artery MR imaging at baseline. In addition, the clinical risk factors will be collected and blood biomarkers will be tested. A subgroup of more than 200 subjects who were diagnosed with ICAD according to baseline MR imaging will be followed up for 2 years. During the follow‐up study, MR imaging examination will be performed at 12 and 24 months. The primary end point is presence of progression of intracranial artery atherosclerotic plaques.ConclusionsThe ICASMAP study investigates the etiology of ICAS and progression of ICAD in Chinese stroke patients and may help to improve the precise diagnosis and intervention of ICAS and stroke prevention.

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Joint blood and cerebrospinal fluid suppression for intracranial vessel wall MRI

Abstract: DANTE prepared MR imaging can significantly improve contrast between the vessel wall and cerebral spinal fluid in major intracranial arteries, holding a good potential to be combined with multicontrast protocol for intracranial wall imaging.

Cited by 63 publications

References 26 publications

The Use and Pitfalls of Intracranial Vessel Wall Imaging: How We Do It

The Use and Pitfalls of Intracranial Vessel Wall Imaging: How We Do It

Intracranial vessel wall MRI: a review of current indications and future applications

Intracranial artery stenosis magnetic resonance imaging aetiology and progression study: Rationale and design

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