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http://dx.doi.org/10.13104/imri.2018.22.4.266

Magnetization Transfer Contrast Angiography for Organized Thrombosed Intracranial Aneurysm in TOF MR Angiography: a Case Report  

Kang, Dong-Hun (Department of Neurosurgery, Kyungpook National University, School of Medicine)
Lee, Hui Joong (Department of Radiology, Kyungpook National University, School of Medicine)
Publication Information
Investigative Magnetic Resonance Imaging / v.22, no.4, 2018 , pp. 266-271 More about this Journal
Abstract
A 66-year-old woman was referred for treatment of incidental detection of two intracranial aneurysms. Time-of-flight MR angiography (TOF MRA) revealed two aneurysms at the M1 segment of the right middle cerebral artery, and clinoid segment of left internal carotid artery, respectively. On digital subtraction angiography, there was a saccular aneurysm on the left internal carotid artery, but the other aneurysm was not detected on the right middle cerebral artery. Based on comprehensive review of imaging findings, organized thrombosed aneurysm was judged as the most likely diagnosis. In the presented report, magnetization transfer (MT) pulse to TOF MRA was used, to differentiate aneurysm-mimicking lesion on TOF MRA. We report that MT technique could be effective in differentiating true aneurysm, from possible T1 high signal artifact on TOF MRA.
Keywords
Aneurysm; TOF MR angiography; Artifact; Magnetization transfer;
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