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01-06-2015 | Magnetic Resonance

Distribution and natural course of intracranial vessel wall lesions in patients with ischemic stroke or TIA at 7.0 tesla MRI

Authors: Anja G. van der Kolk, Jaco J. M. Zwanenburg, Manon Brundel, Geert Jan Biessels, Fredy Visser, Peter R. Luijten, Jeroen Hendrikse

Published in: European Radiology | Issue 6/2015

Abstract

Objectives

Previous studies using intracranial vessel wall MRI techniques showed that over 50 % of patients with ischemic stroke or TIA had one or more intracranial vessel wall lesions. In the current study, we assessed the preferential location of these lesions within the intracranial arterial tree and their potential changes over time in these patient groups.

Methods

Forty-nine patients with ischemic stroke (n = 25) or TIA (n = 24) of the anterior cerebral circulation underwent 7.0 T MRI, including a T₁-weighted magnetization-preparation inversion recovery turbo-spin-echo (MPIR-TSE) sequence within one week and approximately one month after symptom onset. Intracranial vessel wall lesions were scored for multiple locations within the arterial tree and differences between one-week and one-month images.

Results

At baseline, 132 intracranial vessel wall lesions were found in 41 patients (84 %), located primarily in the anterior cerebral circulation (74 %), with a preferential location in the distal internal carotid artery and M1 and M2 segments of the middle cerebral artery. During follow-up, presence or enhancement patterns changed in 14 lesions (17 %).

Conclusions

A large burden of intracranial vessel wall lesions was found in both the anterior and posterior cerebral circulation. Most lesions were found to be relatively stable, possibly indicating a more generalized atherosclerotic process.

Key points

• Intracranial vessel wall lesions are present in patients with varying cerebrovascular diseases.

• Intracranial vessel wall 7.0 T MRI provides information on preferential location and natural course.

• Distal ICA and M1 and M2 segments of MCA are predilection sites.

• 83 % of lesions found remained stable, possibly indicating more generalized atherosclerosis.

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Title: Distribution and natural course of intracranial vessel wall lesions in patients with ischemic stroke or TIA at 7.0 tesla MRI
Authors: Anja G. van der Kolk
Jaco J. M. Zwanenburg
Manon Brundel
Geert Jan Biessels
Fredy Visser
Peter R. Luijten
Jeroen Hendrikse
Publication date: 01-06-2015
Publisher: Springer Berlin Heidelberg
Published in: European Radiology / Issue 6/2015
Print ISSN: 0938-7994
Electronic ISSN: 1432-1084
DOI: https://doi.org/10.1007/s00330-014-3564-4

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Distribution and natural course of intracranial vessel wall lesions in patients with ischemic stroke or TIA at 7.0 tesla MRI

Abstract

Objectives

Methods

Results

Conclusions

Key points

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Objectives

Methods

Results

Conclusions

Key points

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