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Research ArticleTechnical Note

3D Fast Spin-Echo T1 Black-Blood Imaging for the Diagnosis of Cervical Artery Dissection

M. Edjlali, P. Roca, C. Rabrait, O. Naggara and C. Oppenheim
American Journal of Neuroradiology September 2013, 34 (9) E103-E106; DOI: https://doi.org/10.3174/ajnr.A3261
M. Edjlali
aFrom the Department of Neuroradiology, Université Paris-Descartes, Sorbonne Paris Cité, INSERM UMR 894, Centre Hospitalier Sainte-Anne, Paris, France.
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P. Roca
aFrom the Department of Neuroradiology, Université Paris-Descartes, Sorbonne Paris Cité, INSERM UMR 894, Centre Hospitalier Sainte-Anne, Paris, France.
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C. Rabrait
aFrom the Department of Neuroradiology, Université Paris-Descartes, Sorbonne Paris Cité, INSERM UMR 894, Centre Hospitalier Sainte-Anne, Paris, France.
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O. Naggara
aFrom the Department of Neuroradiology, Université Paris-Descartes, Sorbonne Paris Cité, INSERM UMR 894, Centre Hospitalier Sainte-Anne, Paris, France.
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C. Oppenheim
aFrom the Department of Neuroradiology, Université Paris-Descartes, Sorbonne Paris Cité, INSERM UMR 894, Centre Hospitalier Sainte-Anne, Paris, France.
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    Fig 1.

    A, CUBE T1 consecutive axial views (thickness, 0.5 mm) covering the V3 vertebral segment. A bright crescentic signal (mural hematoma) surrounds the dark arterial lumen of the right vertebral artery. B and D, CUBE T1 coronal and sagittal views show the head and neck coverage and the mural hematoma. C, CUBE T1 oblique view centered on the V3-V4 junction shows that the vertebral dissection thinly extends intradurally. E, Contrast-enhanced MRA (CE-MRA) shows irregularity without stenosis of the right V3 segment lumen. F, CUBE T1 sagittal view fused with CE-MRA shows the bright T1 hematoma surrounding an irregular arterial lumen. G, Standard axial T1 BB image with fat saturation shows that the hematoma is also seen surrounding the right V3 segment.

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    Fig 2.

    A, CUBE T1 consecutive axial views (thickness, 0.5 mm) covering the dissected right carotid artery show a bright crescentic signal surrounding the dark arterial lumen of the internal carotid artery. B, CUBE T1 oblique view oriented along the common carotid axis shows the dark lumen of the artery and the bright crescent signal of the hematoma. C, Standard axial T1 BB image with fat saturation shows that the hematoma is also seen surrounding the right internal carotid artery, but only on 2 sections. D, Contrast-enhanced MRA shows irregularity with stenosis of the suprabulbar internal carotid artery.

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    Fig 3.

    3D T1 sagittal views of 2 MR imaging acquisitions in the same patient without (A) and with (B) a dielectric pad.

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American Journal of Neuroradiology: 34 (9)
American Journal of Neuroradiology
Vol. 34, Issue 9
1 Sep 2013
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Cite this article
M. Edjlali, P. Roca, C. Rabrait, O. Naggara, C. Oppenheim
3D Fast Spin-Echo T1 Black-Blood Imaging for the Diagnosis of Cervical Artery Dissection
American Journal of Neuroradiology Sep 2013, 34 (9) E103-E106; DOI: 10.3174/ajnr.A3261

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3D Fast Spin-Echo T1 Black-Blood Imaging for the Diagnosis of Cervical Artery Dissection
M. Edjlali, P. Roca, C. Rabrait, O. Naggara, C. Oppenheim
American Journal of Neuroradiology Sep 2013, 34 (9) E103-E106; DOI: 10.3174/ajnr.A3261
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