Abstract #4827

Unruptured Intracranial Aneurysms: Relationship between Wall Enhancement and Rupture Risk Factors Based on High-resolution Magnetic Resonance Imaging

Chengcheng Zhu¹, Xinrui Wang², Qi Liu², Christopher Hess¹, David Saloner¹, and Jianping Lu²

¹Radiology, University of California, San Francisco, San Francisco, CA, United States, ²Radiology, Changhai Hospital, Shanghai, China

Wall enhancement (AWE) of intracranial aneurysms (IAs) on high-resolution black blood MRI has been described in ruptured aneurysms. This study investigated 103 unruptured saccular IAs and aims to assess the association between AWE and traditional risk factors and estimated one-year and five-year rupture risk estimated from previous large trails. We found aneurysms with AWE had more than 3 times higher estimated rupture risk (one-year and 5-year, 2.2% and 6.7%) than aneurysms without AWE (0.6% and 2.0%), and AWE was associated with traditional risk factors (size, location, symptoms). Identifying AWE may improve the risk assessment of IAs.

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