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Research ArticleAdult Brain

Blood Flow Mimicking Aneurysmal Wall Enhancement: A Diagnostic Pitfall of Vessel Wall MRI Using the Postcontrast 3D Turbo Spin-Echo MR Imaging Sequence

E. Kalsoum, A. Chabernaud Negrier, T. Tuilier, A. Benaïssa, R. Blanc, S. Gallas, J.-P. Lefaucheur, A. Gaston, R. Lopes, P. Brugières and J. Hodel
American Journal of Neuroradiology June 2018, 39 (6) 1065-1067; DOI: https://doi.org/10.3174/ajnr.A5616
E. Kalsoum
aFrom the Departments of Neuroradiology (E.K., A.C.N., T.T., A.B., S.G., A.G., P.B., J.H.)
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  • ORCID record for E. Kalsoum
A. Chabernaud Negrier
aFrom the Departments of Neuroradiology (E.K., A.C.N., T.T., A.B., S.G., A.G., P.B., J.H.)
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  • ORCID record for A. Chabernaud Negrier
T. Tuilier
aFrom the Departments of Neuroradiology (E.K., A.C.N., T.T., A.B., S.G., A.G., P.B., J.H.)
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A. Benaïssa
aFrom the Departments of Neuroradiology (E.K., A.C.N., T.T., A.B., S.G., A.G., P.B., J.H.)
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R. Blanc
cDepartment of Interventional Neuroradiology (R.B.), Rothschild Foundation Hospital, Paris, France
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S. Gallas
aFrom the Departments of Neuroradiology (E.K., A.C.N., T.T., A.B., S.G., A.G., P.B., J.H.)
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J.-P. Lefaucheur
bNeurophysiology (J.-P.L.), Centre Hospitalier Universitaire Henri Mondor, Créteil, France
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  • ORCID record for J.-P. Lefaucheur
A. Gaston
aFrom the Departments of Neuroradiology (E.K., A.C.N., T.T., A.B., S.G., A.G., P.B., J.H.)
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R. Lopes
dNeuroradiology Department (R.L.), Univ. Lille, INSERM, CHU Lille, U1171 - Degenerative and Vascular Cognitive Disorders, Lille, France.
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P. Brugières
aFrom the Departments of Neuroradiology (E.K., A.C.N., T.T., A.B., S.G., A.G., P.B., J.H.)
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J. Hodel
aFrom the Departments of Neuroradiology (E.K., A.C.N., T.T., A.B., S.G., A.G., P.B., J.H.)
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    Fig 1.

    Saccular intracranial aneurysm in a 63-year-old patient. DSA angiogram (A, from left to right: early arterial phase, arterial phase, and venous phase) shows a 14-mm right internal carotid artery aneurysm with intrasaccular slow flowing/stagnant blood (arrowheads) and irregular shape (arrow). With conventional SPACE imaging (B), extensive AWE is visible, more prominent at the apex and at the lateral portion of the aneurysm (B, arrows). Note the enhancement within the aneurysm lumen visible only using conventional SPACE imaging (B, arrowhead), matching the stagnant blood on DSA (A, arrowheads). With MSDE SPACE imaging, AWE is only visible at the apex (C, arrow).

  • Fig 2.
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    Fig 2.

    Saccular intracranial aneurysm in a 42-year-old patient. DSA angiogram shows an 11-mm aneurysm (A, star) arising from the M1 segment of the right middle cerebral artery. AWE is visible on the conventional SPACE image (B, arrow), while there is no enhancement visible on the corresponding MSDE SPACE image (C). Enhancement within the aneurysm lumen was also visible using a conventional SPACE image (B, arrowhead).

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American Journal of Neuroradiology: 39 (6)
American Journal of Neuroradiology
Vol. 39, Issue 6
1 Jun 2018
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E. Kalsoum, A. Chabernaud Negrier, T. Tuilier, A. Benaïssa, R. Blanc, S. Gallas, J.-P. Lefaucheur, A. Gaston, R. Lopes, P. Brugières, J. Hodel
Blood Flow Mimicking Aneurysmal Wall Enhancement: A Diagnostic Pitfall of Vessel Wall MRI Using the Postcontrast 3D Turbo Spin-Echo MR Imaging Sequence
American Journal of Neuroradiology Jun 2018, 39 (6) 1065-1067; DOI: 10.3174/ajnr.A5616

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Blood Flow Mimicking Aneurysmal Wall Enhancement: A Diagnostic Pitfall of Vessel Wall MRI Using the Postcontrast 3D Turbo Spin-Echo MR Imaging Sequence
E. Kalsoum, A. Chabernaud Negrier, T. Tuilier, A. Benaïssa, R. Blanc, S. Gallas, J.-P. Lefaucheur, A. Gaston, R. Lopes, P. Brugières, J. Hodel
American Journal of Neuroradiology Jun 2018, 39 (6) 1065-1067; DOI: 10.3174/ajnr.A5616
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