Traditional vascular imaging focuses on non-invasive cross-sectional imaging to assess luminal morphology; however, the vessel wall itself may be specifically involved in many diseases. Newer pulse sequences, and particularly black blood MRI of intracranial vessels, have brought a paradigm shift in understanding the pathophysiology of many vasculopathies. Black blood MRI of intracranial vessel walls can help in a range of pathologies with differing pathophysiology, including intracranial atherosclerosis, aneurysms, vasculitis and vasculopathy, moyamoya disease, dissection and vertebrobasilar hypoplasia. This review highlights how vessel wall imaging can contribute to the clinical diagnosis and management of patients with intracranial vascular pathology.

中文翻译：

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颅内血管壁黑血成像


传统血管成像侧重于无创横截面成像来评估管腔形态；然而，血管壁本身可能与许多疾病有关。较新的脉冲序列，特别是颅内血管的黑血 MRI，为理解许多血管病的病理生理学带来了范式转变。颅内血管壁的黑血 MRI 有助于治疗具有不同病理生理学的一系列病理，包括颅内动脉粥样硬化、动脉瘤、血管炎和血管病变、烟雾病、夹层和椎基底动脉发育不全。本综述强调了血管壁成像如何有助于颅内血管病理患者的临床诊断和治疗。