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Thirty-seven patients who had undergone both high-resolution MR imaging and DSA for intracranial artery disease were evaluated. The degree of stenosis and the minimal luminal diameter were independently measured by 2 observers on both DSA and high-resolution MR imaging, and the results were compared. The 2 observers independently diagnosed intracranial artery diseases on DSA and high-resolution MR imaging. High-resolution MR imaging showed moderate-to-excellent agreement and significant correlations with DSA on the degree of stenosis and minimal luminal diameter. The authors conclude that high-resolution MR imaging may be an imaging method comparable with DSA for the characterization and diagnosis ofvarious intracranial artery diseases.