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High-Resolution Vessel Wall MR Imaging as an Alternative to Brain Biopsy

High-Resolution Vessel Wall MR Imaging as an Alternative to Brain Biopsy LETTERS High-ResolutionVesselWallMRImagingasanAlternativeto BrainBiopsy 1 2 e commend Zeiler et al for their study entitled “Vessel picious cases if possible. However, these articles were published WWall MRI for Targeting Biopsies of Intracranial Vasculi- when high-resolution vessel wall MR imaging was an emergent tis,” recently published in American Journal of Neuroradiology,in technique and larger studies examining it had yet to be reported. which the authors tested the applicability of contrast-enhanced, Since then, vessel wall imaging has become an important tool for high-resolution 3D vessel wall MR imaging for the detection of evaluating vascular diseases and physicians are becoming increas- vascular inflammation and assistance with direct open biopsies of ingly familiar with changes revealed by this technique. Further- intracranial vessels and adjacent brain parenchyma. The authors more, an open cranium operation, even for a simple biopsy, has concluded that this MR imaging technique could be used to iden- serious risks, including infection, skull fracture, and hemorrhage. tify inflamed intracranial vessels, enabling precise biopsy localiza- Such complications can increase the morbidity and mortality tion guidance. risks, prolong postoperative recovery, and delay treatment. Traditionally, biopsy is considered essential for a definitive Avoiding an operation eliminates the risk of surgical complica- diagnosis of central nervous http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png American Journal of Neuroradiology American Journal of Neuroradiology

High-Resolution Vessel Wall MR Imaging as an Alternative to Brain Biopsy

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Publisher
American Journal of Neuroradiology
ISSN
0195-6108
eISSN
1936-959X
DOI
10.3174/ajnr.A5950
Publisher site
See Article on Publisher Site

Abstract

LETTERS High-ResolutionVesselWallMRImagingasanAlternativeto BrainBiopsy 1 2 e commend Zeiler et al for their study entitled “Vessel picious cases if possible. However, these articles were published WWall MRI for Targeting Biopsies of Intracranial Vasculi- when high-resolution vessel wall MR imaging was an emergent tis,” recently published in American Journal of Neuroradiology,in technique and larger studies examining it had yet to be reported. which the authors tested the applicability of contrast-enhanced, Since then, vessel wall imaging has become an important tool for high-resolution 3D vessel wall MR imaging for the detection of evaluating vascular diseases and physicians are becoming increas- vascular inflammation and assistance with direct open biopsies of ingly familiar with changes revealed by this technique. Further- intracranial vessels and adjacent brain parenchyma. The authors more, an open cranium operation, even for a simple biopsy, has concluded that this MR imaging technique could be used to iden- serious risks, including infection, skull fracture, and hemorrhage. tify inflamed intracranial vessels, enabling precise biopsy localiza- Such complications can increase the morbidity and mortality tion guidance. risks, prolong postoperative recovery, and delay treatment. Traditionally, biopsy is considered essential for a definitive Avoiding an operation eliminates the risk of surgical complica- diagnosis of central nervous

Journal

American Journal of NeuroradiologyAmerican Journal of Neuroradiology

Published: Mar 1, 2019

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