Editor’s Choices for April 2015

van der Kolk AG, Zwanenburg JJM, Denswil NP, et al. Imaging the Intracranial Atherosclerotic Vessel Wall Using 7T MRI: Initial Comparison with Histopathology. http://www.ajnr.org/content/36/4/694.full

In this preliminary study, 7T imaging was capable of identifying not only intracranial wall thickening but different plaque components such as foamy macrophages and collagen. Signal heterogeneity was typical of advanced atherosclerotic disease.

Ohta T, Nakahara I, Ishibashi R, et al. The Maze-Making and Solving Technique for Coil Embolization of Large and Giant Aneurysms. http://www.ajnr.org/content/36/4/744.full

These authors describe the use of 2 intra-aneurysmal catheters to deploy first large coils and then smaller, more traditional coils that ultimately fill the interstices left by the larger coils until aneurysms are tightly packed. When this technique was used to occlude large/giant aneurysms, follow-up angiography revealed no recurrences compared with nearly 40% in a group of similar lesions treated in conventional fashion.

Brinjikji W, Luetmer PH, Comstock B, et al. Systematic Literature Review of Imaging Features of Spinal Degeneration in Asymptomatic Populations. http://www.ajnr.org/content/36/4/811.full

This meta-analysis of the literature reveals that imaging findings of spine degeneration are present in high proportions of asymptomatic individuals, increasing with age. Many imaging-based degenerative features are likely part of normal aging and unassociated with pain.

Editor’s Choices for April 2015
Mauricio Castillo
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