Three-dimensional turbo-spin-echo (3D-TSE) is increasingly being used in black-blood imaging of intracranial aneurysms. In this study, we optimized the protocol of T1-weighted (T1w) 3D-TSE to reach a high isotropic resolution of 0.40 mm. The inner wall thickness and enhancement ratio were analyzed in sections from ten aneurysms. The segments of aneurysmal walls with a higher wall thickness tend to represent a higher enhancement ratio (Pearson correlation, r = 0.32, p < 0.001). The wall thickness and enhancement ratio should be comprehensively considered to predict the prognosis of intracranial aneurysms.