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Clinics and Practice
Volume 8
Issue 3
10.4081/cp.2018.1089
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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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Brief Report

Aneurysm Wall Enhancement in Black Blood Mri Correlates with Aneurysm Size. Black Blood Mri Could Serve As an Objective Criterion of Aneurysm Stability in Near Future

by
Athanasios K. Petridis
1,*,
Andreas Filis
2,
Elias Chasoglou
1,
Igor Fischer
3,
Maxine Dibué-Adjei
1,4,
Richard Bostelmann
1,
Hans Jakob Steiger
1,
Bernd Turowski
5 and
Rebecca May
5
1
Department of Neurosurgery, Heinrich Heine University Duesseldorf, Germany
2
Department of Neurosurgery, Imland Hospital Rendsburg, Germany
3
Division of Informatics and Data Science, Department of Neurosurgery, University Hospital Duesseldorf, Germany
4
Department of Neurosurgery, Heinrich Heine University Duesseldorf; LivaNova Deutschland GmbH (a LivaNova PLC-owned subsidiary), Munich, Germany
5
Diagnostic and Interventional Neuroradiology, Heinrich Heine University Duesseldorf, Germany
*
Author to whom correspondence should be addressed.
Clin. Pract. 2018, 8(3), 1089; https://doi.org/10.4081/cp.2018.1089
Submission received: 8 June 2018 / Revised: 8 June 2018 / Accepted: 4 July 2018 / Published: 27 July 2018

Abstract

The increasing number of incidental intracranial aneurysms creates a dilemma of which aneurysms to treat and which to observe. Clinical scoring systems consider risk factors for aneurysm rupture however objective parameters for assessment of aneurysms stability are needed. We retrospectively analysed contrast enhancing behaviour of un-ruptured aneurysms in the black blood magnetic resonance imaging (MRI) in N=71 patients with 90 aneurysms and assessed correlation between aneurysm wall contrast enhancement (AWCE) and aneurysm anatomy and clinical scoring systems. AWCE is associated with aneurysm height and height to width ratio in ICA aneurysms. AWCE is correlated to larger aneurysms in every anatomical location evaluated. However the mean size of the contrast enhancing aneurysms is significantly different between anatomical localizations indicating separate analyses for every artery. Clinical scoring systems like PHASES and UIATS correlate positively with AWCE in black blood MRI. MRI aneurysm wall contrast enhancement is a positive predictor for aneurysm instability and should be routinely assessed in follow up of incidental aneurysms. Aneurysms smaller than 7 mm with AWCE should be followed closely with focus on growth, as they may be prone to growth and rupture.
Keywords: black blood MRI; intracranial aneurysm; aneurysm wall inflammation; unruptured intracranial aneurysm black blood MRI; intracranial aneurysm; aneurysm wall inflammation; unruptured intracranial aneurysm

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MDPI and ACS Style

Petridis, A.K.; Filis, A.; Chasoglou, E.; Fischer, I.; Dibué-Adjei, M.; Bostelmann, R.; Steiger, H.J.; Turowski, B.; May, R. Aneurysm Wall Enhancement in Black Blood Mri Correlates with Aneurysm Size. Black Blood Mri Could Serve As an Objective Criterion of Aneurysm Stability in Near Future. Clin. Pract. 2018, 8, 1089. https://doi.org/10.4081/cp.2018.1089

AMA Style

Petridis AK, Filis A, Chasoglou E, Fischer I, Dibué-Adjei M, Bostelmann R, Steiger HJ, Turowski B, May R. Aneurysm Wall Enhancement in Black Blood Mri Correlates with Aneurysm Size. Black Blood Mri Could Serve As an Objective Criterion of Aneurysm Stability in Near Future. Clinics and Practice. 2018; 8(3):1089. https://doi.org/10.4081/cp.2018.1089

Chicago/Turabian Style

Petridis, Athanasios K., Andreas Filis, Elias Chasoglou, Igor Fischer, Maxine Dibué-Adjei, Richard Bostelmann, Hans Jakob Steiger, Bernd Turowski, and Rebecca May. 2018. "Aneurysm Wall Enhancement in Black Blood Mri Correlates with Aneurysm Size. Black Blood Mri Could Serve As an Objective Criterion of Aneurysm Stability in Near Future" Clinics and Practice 8, no. 3: 1089. https://doi.org/10.4081/cp.2018.1089

APA Style

Petridis, A. K., Filis, A., Chasoglou, E., Fischer, I., Dibué-Adjei, M., Bostelmann, R., Steiger, H. J., Turowski, B., & May, R. (2018). Aneurysm Wall Enhancement in Black Blood Mri Correlates with Aneurysm Size. Black Blood Mri Could Serve As an Objective Criterion of Aneurysm Stability in Near Future. Clinics and Practice, 8(3), 1089. https://doi.org/10.4081/cp.2018.1089

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