Veeturi Sricharan S, Hall Samuel, Fujimura Soichiro, Mossa-Basha Mahmud, Sagues Elena, Samaniego Edgar A, Tutino Vincent M
Canon Stroke and Vascular Research Center, Clinical and Translational Research Center, University at Buffalo, 875 Ellicott Street, Buffalo, NY, 14214, USA.
Department of Neurosurgery, University at Buffalo, Buffalo, NY, USA.
Transl Stroke Res. 2025 Jun;16(3):1016-1027. doi: 10.1007/s12975-024-01261-w. Epub 2024 Jun 10.
The treatment of intracranial aneurysms is dictated by its risk of rupture in the future. Several clinical and radiological risk factors for aneurysm rupture have been described and incorporated into prediction models. Despite the recent technological advancements in aneurysm imaging, linear length and visible irregularity with a bleb are the only radiological measure used in clinical prediction models. The purpose of this article is to summarize both the standard imaging techniques, including their limitations, and the advanced techniques being used experimentally to image aneurysms. It is expected that as our understanding of advanced techniques improves, and their ability to predict clinical events is demonstrated, they become an increasingly routine part of aneurysm assessment. It is important that neurovascular specialists understand the spectrum of imaging techniques available.
颅内动脉瘤的治疗取决于其未来破裂的风险。已经描述了几种动脉瘤破裂的临床和影像学风险因素，并将其纳入预测模型。尽管动脉瘤成像技术最近取得了进展，但临床预测模型中使用的唯一影像学测量方法是线性长度和带有小泡的可见不规则性。本文的目的是总结标准成像技术（包括其局限性）以及正在实验中用于动脉瘤成像的先进技术。预计随着我们对先进技术的理解不断提高，并且其预测临床事件的能力得到证实，它们将越来越成为动脉瘤评估的常规组成部分。神经血管专家了解可用的成像技术范围非常重要。
