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:37
|
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
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