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Clinics and Practice
Volume 8
Issue 1
10.4081/cp.2018.1047
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Clinics and Practice is published by MDPI from Volume 11 Issue 1 (2021). Previous articles were published by another publisher in Open Access under a CC-BY (or CC-BY-NC-ND) licence, and they are hosted by MDPI on mdpi.com as a courtesy and upon agreement with PAGEPress.
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Case Report

Aneurysm Treatment Response Prediction in Follow Up Black Blood Magnetic Resonance Imaging. A Case Series Study

by
Athanasios K. Petridis
1,*,
Marian Suresh
1,
Jan F. Cornelius
1,
Angelo Tortora
1,
Hans Jakob Steiger
1,
Bernd Turowski
2 and
Rebecca May
2
1
Department of Neurosurgery, Duesseldorf, Germany
2
Institute of Neuroradiology, Heinrich Heine University, Duesseldorf, Germany
*
Author to whom correspondence should be addressed.
Clin. Pract. 2018, 8(1), 1047; https://doi.org/10.4081/cp.2018.1047
Submission received: 29 November 2017 / Revised: 9 January 2018 / Accepted: 23 January 2018 / Published: 6 March 2018

Abstract

Black blood magnetic resonance imaging (MRI)is a promising imaging tool in predicting aneurysm rupture. Could it be also valuable in evaluating the treatment effect of endovascular and conservative treated aneurysms? Two patients were treated with stent and coil and one with Aspirine (ASS). Correlation of treatment response and contrast enhancement of the aneurysm wall is examined. In the first case stenting failed to treat the aneurysm and contrast enhancement in the wall did never subside during follow up black blood MRI. In the second case the aneurysm responded well to stenting and decreased in size, which was correlating significantly with attenuation of contrast enhancement in black blood MRI. In the third case the aneurysm responded to ASS treatment by decreasing in size as shown in follow up MR-angiography and the contrast enhancement in its wall decreased after 8 months of therapy. Black blood MRI seems to be a promising tool not only in predicting aneurysms at risk of rupture, but also in observing treatment responses after endovascular procedures or even Aspirine administration. When contrast enhancement decreases, aneurysm treatment seems to be successful as can be shown in decreasing size in the follow up angiography.
Keywords: black blood MRI; brain aneurysms; endovascular therapy; inflammation; aneurysm wall black blood MRI; brain aneurysms; endovascular therapy; inflammation; aneurysm wall

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MDPI and ACS Style

Petridis, A.K.; Suresh, M.; Cornelius, J.F.; Tortora, A.; Steiger, H.J.; Turowski, B.; May, R. Aneurysm Treatment Response Prediction in Follow Up Black Blood Magnetic Resonance Imaging. A Case Series Study. Clin. Pract. 2018, 8, 1047. https://doi.org/10.4081/cp.2018.1047

AMA Style

Petridis AK, Suresh M, Cornelius JF, Tortora A, Steiger HJ, Turowski B, May R. Aneurysm Treatment Response Prediction in Follow Up Black Blood Magnetic Resonance Imaging. A Case Series Study. Clinics and Practice. 2018; 8(1):1047. https://doi.org/10.4081/cp.2018.1047

Chicago/Turabian Style

Petridis, Athanasios K., Marian Suresh, Jan F. Cornelius, Angelo Tortora, Hans Jakob Steiger, Bernd Turowski, and Rebecca May. 2018. "Aneurysm Treatment Response Prediction in Follow Up Black Blood Magnetic Resonance Imaging. A Case Series Study" Clinics and Practice 8, no. 1: 1047. https://doi.org/10.4081/cp.2018.1047

APA Style

Petridis, A. K., Suresh, M., Cornelius, J. F., Tortora, A., Steiger, H. J., Turowski, B., & May, R. (2018). Aneurysm Treatment Response Prediction in Follow Up Black Blood Magnetic Resonance Imaging. A Case Series Study. Clinics and Practice, 8(1), 1047. https://doi.org/10.4081/cp.2018.1047

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