Application of high-resolution magnetic resonance vessel wall imaging in evaluation of intracranial arterial dissection according to stage

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• CLINICAL ARTICLE •

FENG Qin BAI Yan WANG Mengke ZHANG Menghuan WANG Meiyun

Cite this article as: Feng Q, Bai Y, Wang MK, et al. Application of high-resolution magnetic resonance vessel wall imaging in evaluation of intracranial arterial dissection according to stage[J]. Chin J Magn Reson Imaging, 2021, 12(2): 6-9, 14. DOI:10.12015/issn.1674-8034.2021.02.002.

Abstract

[Abstract] Objective High resolution magnetic resonance vessel wall imaging (HRMR-VWI) was used to evaluate the imaging characteristics of intracranial arterial dissection according to stages. Materials andMethods Retrospective analysis was performed on 45 patients with intracranial arterial dissection from August 2018 to August 2020. All patients underwent conventional MRI and HRMR-VWI examination in Siemens 3.0 T MRI, The imaging features of intimal flap, lumen, aneurysmal dilatation, intramural hematoma and vessel wall enhancement in patients with intracranial arterial dissection at different stages were analyzed in double blindness, and the relative signal strength of intramural hematoma was quantitatively evaluated by Image J.Results Ten patients in the acute stage, 10 in the early subacute stage, 12 in the late subacute stage and 13 in the chronic stage were included. The detection rate of intimal flap, double lumen, intramural hematoma and vessel wall enhancement was higher than that of chronic phase (P=0.006, 0.023, 0.004, 0.022), and there was no significant difference in the detection rate of aneurysmal dilatation (P=0.094). The relative signal strength of intramural hematoma and the degree of vascular wall enhancement were both lower in the chronic stage compared with subacute stage (P=0.007, 0.023).Conclusions HRMR-VWI can effectively evaluate intracranial arterial dissection and provide important information for the staging of intracranial arterial dissection.

[Keywords] magnetic resonance imaging；high resolution magnetic resonance vessel wall imaging；intracranial arterial dissection；intimal flap；double lumen；aneurysmal dilatation；intramural hematoma；vessel wall enhancement

Contributor Information

FENG Qin^{1,
2}   BAI Yan^{1,
2}   WANG Mengke^{1,
2}   ZHANG Menghuan^{1,
2}   WANG Meiyun^{1,
2*}

¹ Department of Medical Imaging, Zhengzhou University People's Hospital, Henan Province People's Hospital, Zhengzhou 450003, China

² Henan Provincial People's Hospital, Henan Key Laboratory of Neurological Imaging, Zhengzhou 450003, China

Wang MY, E-mail: mywang@ha.edu.cn

Conflicts of interest None.

Publication Information

ACKNOWLEDGMENTS This work was part of National Key R&D Program of China (No.2017YFE0103600); National Natural Science Foundation of China (No.81720108021); Zhongyuan Thousand Talents Plan Project (No.ZYQR201810117); Scientific and Technological Research Project of Henan Province (No.182102310496); Medical Science and Technology Research Project of Henan Province (No.2018020403).

Received 2020-10-23

Accepted 2021-01-12

DOI: 10.12015/issn.1674-8034.2021.02.002

Text

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