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Possibilities of Magnetic Resonance Imaging in the Diagnosis of Changes in the «Vascular Wall» in Giant Cell Arteritis

https://doi.org/10.52560/2713-0118-2021-2-25-40

Abstract

The aim of the study: to identify features of extracranial carotid and vertebral arteries vessel wall MRI in norm and pathology using layer-by-layer analysis of the arterial wall components. MRI results were compared at the same anatomical level with data of ultrasound examination of vertebral arteries in patients with giant cell arteritis and in health individuals. It was revealed that in normal arteries MRI signal from the vessel wall mainly formed by vascularized adventitia and venous plexuses. Media and intima visualization becomes possible in cases of their pathological transformation. Thus, it was defined which structures of the vessel wall take part in MRI signal forming in health individuals and patient with pathology. Also MRI patterns of different stages of large arteries vasculitis were identified.

About the Authors

T. A. Lesnykh
Research Center of Neurology
Russian Federation

Lesnykh Tatyana Aleksandrovna, Radiologist, Neuroradiology Department

80, Volokolamskoe shosse, Moscow, 125367
Phone number: +7 (916) 017-49-13 



M. A. Kravchenko
Research Center of Neurology
Russian Federation

Kravchenko Mikhail Andreevich, Ph. D. Med., Senior Researcher, Department of Ultrasound Diagnostics

80, Volokolamskoe shosse, Moscow, 125367
Phone number: +7(916) 167-54-79 



R. N. Konovalov
Research Center of Neurology
Russian Federation

Konovalov Rodion Nikolaevich, Ph. D. Med., Senior Researcher, Department of Neuroradiology

80, Volokolamskoe shosse, Moscow, 125367
Phone number: +7 (906) 701-27-92 



M. V. Dreval'
Research Center of Neurology
Russian Federation

Dreval' Marina Vladimirovna, Ph. D. Med., Researcher, Department of Neuroradiology

80, Volokolamskoe shosse, Moscow, 125367
Phone number: +7 (915) 466-02-55 



M. V. Krotenkova
Research Center of Neurology
Russian Federation

Krotenkova Marina Viktorovna, M. D. Med., Head of Department of Neuroradiology

80, Volokolamskoe shosse, Moscow, 125367
Phone number: +7 (916) 381-64-77 



A. O. Chechetkin
Research Center of Neurology
Russian Federation

Chechetkin Andrey Olegovich, M. D. Med., Head of Department of Utrasound Diagnostics

80, Volokolamskoe shosse, Moscow, 125367
Phone number: +7 (916) 543-74-60 



L. A. Kalashnikova
Research Center of Neurology
Russian Federation

Kalashnikova Lyudmila Andreevna, M. D. Med., Professor, Principal Researcher Research, the 3 Department of Neuroradiology

80, Volokolamskoe shosse, Moscow, 125367
Phone number: +7 (910) 432-88-24 



L. A. Dobrynina
Research Center of Neurology
Russian Federation

Dobrynina Larisa Anatol'evna, M.D. Med., Head 3 Department of Neurology

80, Volokolamskoe shosse, Moscow, 125367
Phone number: +7 (916) 383-86-42 



References

1. Dreval' M. V., Kalashnikova L. A., Dobrynina L. A. et al. Diagnosis of spontaneous internal carotid and vertebral arteries dissection. Radiologiya — praktika. 2016. No. 3. P. 35–49 (in Russian).

2. Arai D., Satow T., Komuro T. et al. Evaluation of the arterial wall in vertebrobasilar artery dissection using high-resolution magnetic resonance vessel wall imaging. Stroke Cerebrovasc. Dis. 2016. V. 25. No. 6. P. 1444–1450.

3. Bhadkaria V., Chawre H., Joshi S. Histological variations in various segments of vertebral artery. J. Evolution Med. Dent. Sci. 2016. V. 5. No. 2. P. 120–126.

4. Hartman J., Watase H., Sun J. et al. Intracranial aneurysms at higher clinical risk for rupture demonstrate increased wall enhancement and thinning on multicontrast 3D vessel wall MRI. Br. J. Radiol. 2019. V. 1096. No. 92. P. 20180950.

5. Kalsoum E., Chabernaud Negrier A., Tuilier T. et al. Blood flow mimicking aneurysmal wall enhancement: a diagnostic pitfall of vessel wall MRI using the postcontrast 3D turbo spin-echo MR imaging sequence. AJNR. Am. J. Neuroradiol. 2018. V. 39. No. 6. P. 1065–1067.

6. Kerwin W. S., Miller Z., Yuan C. Imaging of the high-risk carotid plaque: magnetic resonance imaging. Semin. Vasc. Surg. 2017. V. 30. No. 1. P. 54–61.

7. Schmidt W. A. Ultrasound in the diagnosis and management of giant cell arteritis. Rheumatol. (Oxford). 2018. V. 57. No. 2. P. 22–31.

8. Seo W. K., Oh K., Suh S. I., Seol H. Y. Clinical significance of wall changes after recanalization therapy in acute stroke: high-resolution vessel wall imaging. Stroke. 2017. V. 48. No. 4. P. 1077–1080.

9. Xia Z., Yang H., Yuan X. et al. Highresolution magnetic resonance imaging of carotid atherosclerotic plaques — a correlation study with histopathology. Vasa. 2017. V. 46. No. 4. P. 283–290.


Review

For citations:


Lesnykh T.A., Kravchenko M.A., Konovalov R.N., Dreval' M.V., Krotenkova M.V., Chechetkin A.O., Kalashnikova L.A., Dobrynina L.A. Possibilities of Magnetic Resonance Imaging in the Diagnosis of Changes in the «Vascular Wall» in Giant Cell Arteritis. Radiology - Practice. 2021;(2):25-40. (In Russ.) https://doi.org/10.52560/2713-0118-2021-2-25-40

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ISSN 2713-0118 (Online)