Cervical artery dissection (CAD) is a significant cause of ischemic stroke in young adults. As a result, the early and accurate diagnosis of CAD is helpful for appropriate treatment decision-making to prevent stroke. Traditional imaging methods, such as CTA, MRA or DSA are difficult to differentiate CAD from other mimics because of similar luminal findings1,2. 3D T1-weighted black blood sequence would demonstrate the abnormality of vessel wall and could potentially provide diagnosis information for vasculopathy patients. This study aims at introducing a 3D black-blood sequence’s application in the diagnosis of CAD, as well as atypical artery dissection.