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Advances of intracranial high-resolution magnetic resonance-vessel wall imaging for precise assessment and prognostic prediction in cerebrovascular disease endovascular interventions
FU Xiaoju  ZENG Li  WANG Yuting 

Cite this article as FU X J, ZENG L, WANG Y T. Advances of intracranial high-resolution magnetic resonance-vessel wall imaging for precise assessment and prognostic prediction in cerebrovascular disease endovascular interventions[J]. Chin J Magn Reson Imaging, 2026, 17(6): 180-187. DOI:10.12015/issn.1674-8034.2026.06.023.


[Abstract] Most cerebrovascular diseases originate from vascular wall pathology. Conventional angiography and vascular imaging techniques, while widely used, exhibit significant limitations in visualizing the microstructural aspects of vascular wall lesions, as their imaging resolution falls short of meeting the demands for precise assessment of pathological features. In contrast, intracranial high-resolution magnetic resonance-vessel wall imaging (MR-VWI), as an advanced imaging technology, enables selective and clear visualization of plaque characteristics in intracranial arterial walls, vascular remodeling patterns, and features of aneurysm walls. Initially, this technique was primarily employed for the detection and differential diagnosis of lesions during the initial evaluation of cerebrovascular diseases. With its expanding clinical applications, MR-VWI has demonstrated significant application value in precise assessment and long-term follow-up in interventional treatments related to cerebrovascular diseases. However, current studies are mostly limited to small-sample, retrospective studies, and the application value of MR-VWI in various stages of endovascular interventions lacks systematic integration, while the clinical application indication is not yet clear. Therefore, focusing on cerebrovascular diseases such as symptomatic intracranial atherosclerotic stenosis (sICAS) and intracranial aneurysm (IA), this article reviews the advances of MR-VWI in preoperative assessment, postoperative monitoring, and long-term follow-up, analyzes the limitations of current studies, and proposes future research directions, in order to provide a reference for the clinical use of MR-VWI in formulating precise interventional treatment strategies and monitoring patient prognosis.
[Keywords] high-resolution vessel wall imaging；magnetic resonance imaging；atherosclerosis；intracranial aneurysm；endovascular procedures；prognosis prediction；preoperative assessment；postoperative follow-up

FU Xiaoju1, 2   ZENG Li1, 2   WANG Yuting1, 2*  

1 Department of Radiology, Affiliated Hospital of Southwest Medical University, Luzhou 646000, China

2 Department of Radiology, Sichuan Academy of Medical Sciences & Sichuan Provincial People's Hospital, Chengdu 610072, China

Corresponding author: WANG Y T, E-mail: wangyuting_330@163.com

Conflicts of interest   None.

Received  2026-02-04
Accepted  2026-05-13
DOI: 10.12015/issn.1674-8034.2026.06.023
Cite this article as FU X J, ZENG L, WANG Y T. Advances of intracranial high-resolution magnetic resonance-vessel wall imaging for precise assessment and prognostic prediction in cerebrovascular disease endovascular interventions[J]. Chin J Magn Reson Imaging, 2026, 17(6): 180-187. DOI:10.12015/issn.1674-8034.2026.06.023.

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