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CC BY-NC-ND 4.0 · Arq Neuropsiquiatr 2020; 78(10): 642-650
DOI: 10.1590/0004-282X20200044
Articles

Current uses of intracranial vessel wall imaging for clinical practice: a high-resolution MR technique recently available

Usos atuais do estudo de parede vascular intracraniana na prática clínica: uma técnica de RM de alta resolução recentemente disponível
Felipe Torres PACHECO 
1   Irmandade da Santa Casa de Misericórdia de São Paulo, Departamento de Radiologia, São Paulo SP, Brazil.
2   Diagnósticos da América S.A., Departamento de Imagens Médicas, Divisão de Neurorradiologia, São Paulo SP, Brazil.
,
Luiz Celso Hygino da CRUZ  JUNIOR
2   Diagnósticos da América S.A., Departamento de Imagens Médicas, Divisão de Neurorradiologia, São Paulo SP, Brazil.
,
Igor Gomes PADILHA 
1   Irmandade da Santa Casa de Misericórdia de São Paulo, Departamento de Radiologia, São Paulo SP, Brazil.
2   Diagnósticos da América S.A., Departamento de Imagens Médicas, Divisão de Neurorradiologia, São Paulo SP, Brazil.
,
Renato Hoffmann NUNES 
1   Irmandade da Santa Casa de Misericórdia de São Paulo, Departamento de Radiologia, São Paulo SP, Brazil.
2   Diagnósticos da América S.A., Departamento de Imagens Médicas, Divisão de Neurorradiologia, São Paulo SP, Brazil.
,
Antônio Carlos Martins MAIA  JUNIOR
1   Irmandade da Santa Casa de Misericórdia de São Paulo, Departamento de Radiologia, São Paulo SP, Brazil.
3   Fleury Medicina e Saúde, Departamento de Neurorradiologia, São Paulo, Brazil.
,
Christiane Monteiro Siqueira CAMPOS 
4   Hospital Beneficência Portuguesa de São Paulo, BP Medicina Diagnóstica, Departamento de Neurorradiologia, São Paulo SP, Brazil.
,
Lázaro Luís Faria do AMARAL 
4   Hospital Beneficência Portuguesa de São Paulo, BP Medicina Diagnóstica, Departamento de Neurorradiologia, São Paulo SP, Brazil.
,
Ayrton Roberto MASSARO 
5   Hospital Sírio-Libanês, São Paulo SP, Brazil.
,
Antônio José da ROCHA 
1   Irmandade da Santa Casa de Misericórdia de São Paulo, Departamento de Radiologia, São Paulo SP, Brazil.
2   Diagnósticos da América S.A., Departamento de Imagens Médicas, Divisão de Neurorradiologia, São Paulo SP, Brazil.
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ABSTRACT

Intracranial vessel wall imaging plays an increasing role in diagnosing intracranial vascular diseases. With the growing demand and subsequent increased use of this technique in clinical practice, radiologists and neurologists should be aware of the choices in imaging parameters and how they affect image quality, clinical indications, methods of assessment, and limitations in the interpretation of these images. Due to the improvement of the MRI techniques, the possibility of accurate and direct evaluation of the abnormalities in the arterial vascular wall (vessel wall imaging) has evolved, adding substantial data to diagnosis when compared to the indirect evaluation based on conventional flow analyses. Herein, the authors proposed a comprehensive approach of this technique reinforcing appropriated clinical settings to better use intracranial vessel wall imaging.

RESUMO

O estudo angiográfico intracraniano não invasivo está sendo amplamente utilizado no diagnóstico de doenças vasculares intracranianas. Com a crescente demanda e o aumento subsequente do uso dessa técnica na prática clínica, radiologistas e neurologistas devem estar cientes das opções nos parâmetros de imagem e como estes afetam a qualidade da imagem, as indicações clínicas, os métodos de avaliação e as limitações na interpretação dessas imagens. Devido ao aprimoramento das técnicas de imagem por RM, a possibilidade de avaliação precisa e direta das anormalidades na parede vascular arterial (vessel wall imaging) evoluiu, agregando dados substanciais ao diagnóstico quando comparados à avaliação indireta baseada em análises de fluxo convencionais. Neste artigo, os autores discorrem sobre a avaliação e interpretação dos achados de imagem desta nova técnica e suas aplicações clínicas.

Keywords:

Magnetic Resonance Imaging - Stroke - Intracranial Arteriosclerosis - Vasculitis

Palavras-chave:

Imagem por Ressonância Magnética - Acidente Vascular Cerebral - Arteriosclerose Intracraniana - Vasculite

Authors’ contributions:

FTP: First draft and final revision; LCHC: First draft; IGP: First draft; RHN: Concept and discussion; ACMMJ: Discussion; CMSC: Discussion; LLFA: Discussion; ARM: Discussion, AJR: Concept and final revision.




Publikationsverlauf

Eingereicht: 11. März 2020

Angenommen: 05. April 2020

Artikel online veröffentlicht:
13. Juni 2023

© 2020. Academia Brasileira de Neurologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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