The Radiopaedia Reading Room Podcast 66. Neurovascular MRI update with Christine Glastonbury
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Jul 1, 2025 Join Christine Glastonbury, a neuroradiologist from UCSF, as she dives into the fascinating world of neurovascular MRI. She discusses the cutting-edge advancements in techniques such as vessel wall imaging and the challenges of interpreting incidental findings. The conversation highlights the significance of black blood imaging and the complexities of diagnosing conditions like vasculitis. Plus, enjoy some light-hearted banter about fake meat, ensuring a delightful mix of science and humor throughout!
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Use MRI and 3D Reformats
- Use MR/MRA instead of CT angiography whenever possible to avoid radiation, especially in younger patients.
- Always perform 3D reformation of CTA and MRA images to better visualize vessels and detect stenosis or aneurysms.
Prefer MRV for Venous Thrombosis
- For suspected cortical vein thrombosis, choose MR venogram over CT venogram for better visualization of veins and parenchymal changes.
- Use post-contrast 3D spoiled gradient T1 imaging rather than phase contrast MRV to assess venous abnormalities.
Managing Infundibulum Findings
- When confident that a lesion is an infundibulum, report it and state it does not require follow-up.
- If unsure, recommend follow-up imaging with a higher field strength MRI (e.g., 3T).