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Current Imaging Approaches and Challenges in the Assessment of the Intracranial Vasculature

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Book cover Vessel Based Imaging Techniques

Abstract

Luminal imaging techniques, including CTA, MRA, and catheter digital subtraction angiography, currently serve as the primary imaging techniques used for the evaluation of intracranial vasculopathies. CTA has become the primarily used technique due to the combination of ease of access, lower cost, and noninvasive nature. Catheter angiography, however, remains the reference standard for vasculopathy characterization, differentiation, and lesion detection. This is due to the superior spatial and temporal resolution of catheter angiography. Catheter angiography permits for more accurate depiction of the morphology of vascular lesions, luminal effects related to the lesion, the relationship of the vascular abnormality to surrounding and originating structures, and the lesion’s temporal characteristics. While cross-sectional imaging continues to improve in spatial resolution, with new time-resolved techniques also available, the capabilities and resolution of catheter angiography also continue to improve, maintaining its position as the reference standard for luminal imaging techniques. In the current chapter, we discuss current standard vascular imaging techniques as well as newer luminal imaging techniques, their advantages and disadvantages, and their application to the assessment of intracranial vasculopathies.

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Authors and Affiliations

  1. University of Washington, Department of Radiology, Seattle, WA, USA

    Justin E. Vranic

  2. University of Washington, Seattle, WA, USA

    Mahmud Mossa-Basha

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  1. Justin E. Vranic
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  2. Mahmud Mossa-Basha
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Correspondence to Mahmud Mossa-Basha .

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Editors and Affiliations

  1. University of Washington, Seattle, WA, USA

    Chun Yuan

  2. University of Washington, Seattle, WA, USA

    Thomas S. Hatsukami

  3. University of Washington, Seattle, WA, USA

    Mahmud Mossa-Basha

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Vranic, J.E., Mossa-Basha, M. (2020). Current Imaging Approaches and Challenges in the Assessment of the Intracranial Vasculature. In: Yuan, C., Hatsukami, T., Mossa-Basha, M. (eds) Vessel Based Imaging Techniques . Springer, Cham. https://doi.org/10.1007/978-3-030-25249-6_2

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  • DOI: https://doi.org/10.1007/978-3-030-25249-6_2

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