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Review
Advances in intracranial aneurysms by high resolution magnetic resonance vessel wall imaging
ZHU Meng-ying  LI Cheng  CHEN Ya-zheng  CHEN Xiao-hui  ZHAO Deng-ling  PENG Xin-gui 

DOI:10.12015/issn.1674-8034.2018.08.014.


[Abstract] Traditional imaging techniques, such as digital subtraction angiography (DSA), computer tomography angiography (CTA) and magnetic resonance angiography (MRA), can detect and locate intracranial aneurysms and can also evaluate its morphological features. However, these techniques have great limitations in the assessment of the vessel wall characteristics of aneurysm itself. In recent years, high-resolution vessel wall imaging (HR-VWI), combined with the pathological features of the vessel wall, has been gradually applied on the observation and analysis of vessel wall. Then the stability of intracranial aneurysms can be directly evaluated qualitatively. In this review we discuss the application of HR-VWI in various types of intracranial aneurysms.
[Keywords] Magnetic resonance imaging;Vessel wall imaging;Intracranial aneurysm

ZHU Meng-ying Department of Medical Imaging, Zhongda Hospital, Southeast University, Nanjing 210009, China

LI Cheng* Department of Medical Imaging, Zhongda Hospital, Southeast University, Nanjing 210009, China

CHEN Ya-zheng Department of Medical Imaging, Zhongda Hospital, Southeast University, Nanjing 210009, China

CHEN Xiao-hui Department of Medical Imaging, Zhongda Hospital, Southeast University, Nanjing 210009, China

ZHAO Deng-ling Department of Medical Imaging, Zhongda Hospital, Southeast University, Nanjing 210009, China

PENG Xin-gui Department of Medical Imaging, Zhongda Hospital, Southeast University, Nanjing 210009, China

*Corresponding to: Li C, E-mail: cjr.licheng@vip.163.com

Conflicts of interest   None.

ACKNOWLEDGMENTS  This work was part of Health and Family Planning Commission of Jiangsu Province No. H2017008 Natural Science Foundation of Jiangsu Province No. BK20170704
Received  2018-03-20
Accepted  2018-06-01
DOI: 10.12015/issn.1674-8034.2018.08.014
DOI:10.12015/issn.1674-8034.2018.08.014.

[1]
Arimura H, Li Q, Korogi Y, et al. Computerized detection of intracranial aneurysms for three-dimensional MR angiography: Feature extraction of small protrusions based on a shape-based difference image technique. Med Physics, 2006, 33(2): 394-401.
[2]
Gasparotti R, Liserre R. Intracranial aneurysms. Euro Radiol, 2005, 15(3): 441-447.
[3]
Morita A, Kirino T, Hashi K, et al. The natural course of unruptured cerebral aneurysms in a Japanese cohort. N Engl J Med, 2012, 366(26): 2474-2482.
[4]
Lin N, Ho A, Charoenvimolphan N, et al. Analysis of morphological parameters to differentiate rupture status in anterior communicating artery aneurysms. PLoS One, 2013, 8(11): e79635.
[5]
Zhao L, Zhang L, Zhang X, et al. An analysis of 1256 cases of sporadic ruptured cerebral aneurysm in a single Chinese institution. PLoS One, 2014, 9(1): e85668.
[6]
Inoue T, Shimizu H, Fujimura M, et al. Annual rupture risk of growing unruptured cerebral aneurysms detected by magnetic resonance angiography. J Neurosurg, 2012, 117(1): 20-25.
[7]
Bijlenga P, Ebeling C, Jaegersberg M, et al. Risk of rupture of small anterior communicating artery aneurysms is similar to posterior circulation aneurysms. Stroke, 2013, 44(11): 3018-3026.
[8]
Amenta PS, Yadla S, Campbell PG, et al. Analysis of nonmodifiable risk factors for intracranial aneurysm rupture in a large, retrospective cohort. Neurosurgery, 2012, 70(3): 693-701.
[9]
Zhang Y, Mu S, Chen J, et al. Hemodynamic analysis of intracranial aneurysms with daughter blebs. Eur Neurol, 2011, 66(6): 359-367.
[10]
Liu P, Qi H, Liu A, et al. Relationship between aneurysm wall enhancement and conventional risk factors in patients with unruptured intracranial aneurysms: A black-blood MRI study. Interv Neuroradiol, 2016, 22(5): 501-505.
[11]
Edjlali M, Gentric J, Régent-Rodriguez C, et al. Does aneurysmal wall enhancement on vessel wall MRI help to distinguish stable from unstable intracranial aneurysms?. Stroke, 2014, 45(12): 3704-3706.
[12]
Natori T, Sasaki M, Miyoshi M, et al. Evaluating middle cerebral artery atherosclerotic lesions in acute ischemic stroke using magnetic resonance T1-weighted 3-Dimensional vessel wall imaging. J Stroke Cerebrovasc Dis, 2014, 23(4): 706-711.
[13]
Dieleman N, van der Kolk AG, Zwanenburg JJM, et al. Imaging intracranial vessel wall pathology with magnetic resonance imaging: Current prospects and future directions. Circulation, 2014, 130(2): 192-201.
[14]
Endo H, Niizuma K, Fujimura M, et al. Ruptured cerebral microaneurysm diagnosed by 3-Dimensional fast spin-echo T1 imaging with variable flip angles. J Stroke Cerebrovasc Dis, 2015, 24(8): e231-e235.
[15]
Nagahata S, Nagahata M, Obara M, et al. 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?. Clin Neuroradiol, 2016, 26(3): 277-283.
[16]
Kadasi LM, Dent WC, Malek AM. Cerebral aneurysm wall thickness analysis using intraoperative microscopy: effect of size and gender on thin translucent regions. J Neurointerv Surg, 2013, 5(3): 201-206.
[17]
van der Kolk AG, Zwanenburg JJ, Brundel M, et al. Intracranial vessel wall imaging at 7.0-T MRI. Stroke, 2011, 42(9): 2478-2484.
[18]
Qiao Y, Zeiler SR, Mirbagheri S, et al. Intracranial plaque enhancement in patients with cerebrovascular events on high-spatial-resolution MR images. Radiology, 2014, 271(2): 534-542.
[19]
Ryu CW, Kwak HS, Jahng GH, et al. High-resolution MRI of intracranial atherosclerotic disease. Neurointervention, 2014, 9(1): 9-20.
[20]
Kataoka K, Taneda M, Asai T, et al. Structural fragility and inflammatory response of ruptured cerebral aneurysms: A comparative study between ruptured and unruptured cerebral aneurysms. Stroke, 1999, 30(7): 1396-1401.
[21]
Krings T, Piske RL, Lasjaunias PL. Intracranial arterial aneurysm vasculopathies: targeting the outer vessel wall. Neuroradiology, 2005, 47(12): 931-937.
[22]
Iihara K, Murao K, Yamada N, et al. Growth potential and response to multimodality treatment of partially thrombosed large or giant aneurysms in the posterior circulation. Neurosurgery, 2008, 63(5): 832-842, 842-844.
[23]
Hasan DM, Chalouhi N, Jabbour P, et al. Imaging aspirin effect on macrophages in the wall of human cerebral aneurysms using ferumoxytol-enhanced MRI: Preliminary results. J Neuroradiol, 2013, 40(3): 187-191.
[24]
Berge J, Blanco P, Rooryck C, et al. Understanding flow patterns and inflammatory status in intracranial aneurysms: Towards a personalized medicine. J Neuroradiol, 2016, 43(2): 141-147.
[25]
Hasan D, Chalouhi N, Jabbour P, et al. Early change in ferumoxytol-enhanced magnetic resonance imaging signal suggests unstable human cerebral aneurysm: a pilot study. Stroke, 2012, 43(12): 3258-3265.
[26]
Nagahata S, Nagahata M, Obara M, et al. 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?. Clin Neuroradiol, 2016, 26(3): 277-283.
[27]
Omodaka S, Endo H, Niizuma K, et al. Quantitative assessment of circumferential enhancement along the wall of cerebral aneurysms using MR imaging. AJNR Am J Neuroradiol, 2016, 37(7): 1262-1266.
[28]
Wang GX, Wen L, Lei S, et al. Wall enhancement ratio and partial wall enhancement on MRI associated with the rupture of intracranial aneurysms. J Neurointerv Surg, 2018, 10(6): 566-570.
[29]
Kleinloog R, Korkmaz E, Zwanenburg JJM, et al. Visualization of the aneurysm wall. Neurosurgery, 2014, 75(6): 614-622.
[30]
Blankena R, Kleinloog R, Verweij BH, et al. Thinner regions of intracranial aneurysm wall correlate with regions of higher wall shear stress: A 7 T MRI study. AJNR Am J Neuroradiol, 2016, 37(7): 1310-1317.
[31]
Kim S, Kang M, Jo J, et al. Spontaneous regression of an intracranial aneurysm following remote aneurysm clipping: evaluation with high-resolution vessel wall MRI. Cardiovasc Intervent Radiol, 2018, 41(4): 660-663.
[32]
Schievink WI. Spontaneous dissection of the carotid and vertebral arteries. N Engl J Med, 2001, 344(12): 898-906.
[33]
中华医学会.临床诊疗指南(心血管外科分册).北京:人民卫生出版社, 2009: 133-139.
[34]
Kobayashi N, Murayama Y, Yuki I, et al. Natural course of dissecting vertebrobasilar artery aneurysms without stroke. AJNR Am J Neuroradiol, 2014, 35(7): 1371-1375.
[35]
中国医师协会神经外科医师分会神经介入专家委员会,中国卒中学会神经介入分会,中国医师协会神经外科医师分会青年医师委员会.颅内动脉夹层的影像学诊断中国专家共识.中华神经外科杂志, 2016, 32(11): 1085-1094.
[36]
Fusco MR, Harrigan MR. Cerebrovascular dissections--a review part I: Spontaneous dissections. Neurosurgery, 2011, 68(1): 242-257.
[37]
Santos-Franco JA, Zenteno M, Lee A. Dissecting aneurysms of the vertebrobasilar system: A comprehensive review on natural history and treatment options. Neurosurgical Review, 2008, 31(2): 131-140.
[38]
Natori T, Sasaki M, Miyoshi M, et al. Detection of vessel wall lesions in spontaneous symptomatic vertebrobasilar artery dissection using T1-weighted 3-dimensional imaging. J Stroke Cerebrovasc Dis, 2014, 23(9): 2419-2424.
[39]
Sakurai K, Miura T, Sagisaka T, et al. Evaluation of luminal and vessel wall abnormalities in subacute and other stages of intracranial vertebrobasilar artery dissections using the volume isotropic turbo-spin-echo acquisition (VISTA) sequence: A preliminary study. J Neuroradiol, 2013, 40(1): 19-28.
[40]
Wang Y, Lou X, Li Y, et al. Imaging investigation of intracranial arterial dissecting aneurysms by using 3 T high-resolution MRI and DSA: from the interventional neuroradiologists' view. Acta Neurochir (Wien), 2014, 156(3): 515-525.
[41]
Findlay JM, Hao C, Emery D. Non-atherosclerotic fusiform cerebral aneurysms. Can J Neurol Sci, 2002, 29(1): 41-48.
[42]
Krings T, Mandell DM, Kiehl T, et al. Intracranial aneurysms: from vessel wall pathology to therapeutic approach. Neurology, 2011, 7(10): 547.
[43]
Nasr DM, Brinjikji W, Rouchaud A, et al. Imaging characteristics of growing and ruptured vertebrobasilar non-saccular and dolichoectatic aneurysms. Stroke, 2015, 47(1): 106-112.
[44]
Martin AJ, Hetts SW, Dillon WP, et al. MR imaging of partially thrombosed cerebral aneurysms: Characteristics and evolution. AJNR Am J Neuroradiol, 2011, 32(2): 346-351.
[45]
Mangrum WI, Huston RJ, Link MJ, et al. Enlarging vertebrobasilar nonsaccular intracranial aneurysms: frequency, predictors, and clinical outcome of growth. J Neurosurgery, 2005, 102(1): 72.
[46]
Bjorkman J, Frosen J, Tahtinen O, et al. Irregular shape identifies ruptured intracranial aneurysm in subarachnoid hemorrhage patients with multiple aneurysms. Stroke, 2017, 48(7): 1986-1989.
[47]
Lv N, Tang H, Chen S, et al. Morphological parameters related to aneurysm wall enhancement in patients with multiple intracranial aneurysms. World Neurosurg, 2018, 114: 338-343.

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