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Black blood imaging of intracranial vessel walls
  1. Joga Chaganti1,2,
  2. Hannah Woodford2,
  3. Susan Tomlinson3,
  4. Sophie Dunkerton3,
  5. Bruce Brew3
  1. 1Department of Radiology, St Vincent's Hospital Sydney, Darlinghurst, New South Wales, Australia
  2. 2Department of Radiology, Nepean Hospital, Penrith, New South Wales, Australia
  3. 3Department of Neurology, St Vincent's Hospital Sydney, Darlinghurst, New South Wales, Australia
  1. Correspondence to Dr Joga Chaganti, Department of Radiology, St Vincent's Hospital Sydney, Darlinghurst, New South Wales, Australia; joga.chaganti{at}


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.

  • vasculitis
  • stroke
  • neuroradiology
  • MRI
  • cerebrovascular disease

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  • Correction notice This article has been corrected since it was published Online First. Affiliations for HW and ST were interchanged and have been amended accordingly.

  • Contributors JC and BB conceived and wrote the review. JC, BB and HW prepared the document. ST reviewed the document and offered input on the included topics. ST contributed to the literature review.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Not required.

  • Provenance and peer review Not commissioned; externally peer reviewed by Josh Klein, Boston, USA.

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  • Editors’ commentary
    Phil E M Smith Geraint N Fuller

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