Cerebellovascular Disease: Magnetic Resonance Imaging

Journal of the Belgian Society of Radiology
Laurens Jaak De Cocker

Abstract

The goal of this thesis was to elucidate the details of cerebellovascular diseases with advanced magnetic resonance (MR) imaging (MRI) and to translate the findings to routine clinical MRI. The first aim was to image cerebellar arterial perfusion territories, which was achieved by applying super-selective arterial spin labelling (ASL) MRI with labelling of both vertebral arteries in addition to the carotid arteries. The second aim was to unravel the imaging patterns of cerebellar infarctions with 7T post-mortem MRI in addition to volume (3D) clinical MRI. This research led to the description of "cerebellar cortical infarct cavities", an incidental imaging finding that proved to be the most frequent manifestation of cerebellar ischemia as well as a marker of atherosclerotic and thromboembolic cerebrovascular disease. Finally, we found that almost all patients with such cavities lack a clinical history of vertebrobasilar transient ischemic attack (TIA) or stroke, disclosing the still very high incidence of clinically occult ischemia in the posterior fossa.

References

Sep 14, 2013·Cerebrovascular Diseases·Laurens J L De CockerJeroen Hendrikse
Aug 30, 2014·Cerebrovascular Diseases·Laurens J L De CockerJaco J M Zwanenburg
Jun 25, 2015·NeuroImage. Clinical·Laurens J L De CockerUNKNOWN SMART study group
Sep 19, 2015·Stroke; a Journal of Cerebral Circulation·Laurens J L De CockerUNKNOWN SMART Study Group
May 30, 2016·Neuroradiology·Laurens J L De CockerH B Van der Worp
Jul 29, 2016·Journal of Neurology, Neurosurgery, and Psychiatry·Nolan S HartkampReinoud P H Bokkers

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Citations

Feb 27, 2017·Journal of the Belgian Society of Radiology·Piet Vanhoenacker
Aug 1, 2020·AJNR. American Journal of Neuroradiology·K V AnninkM J N L Benders

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Methods Mentioned

BETA
imaging technique

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