PT - JOURNAL ARTICLE AU - Hoffmann, Angelika AU - Almiri, Willian AU - Mordasini, Pasquale AU - Bähler, Alexandrine AU - Seiffge, David J. AU - Göldlin, Martina B. AU - Jäger, Eugen AU - Muresan, Ioan-Paul AU - Christ, Lisa AU - Heldner, Mirjam R. AU - Wiest, Roland AU - Radojewski, Piotr TI - 7T MRI as a powerful tool to detect small and medium size vessel CNS vasculitis AID - 10.3174/ajnr.A8627 DP - 2024 Dec 17 TA - American Journal of Neuroradiology PG - ajnr.A8627 4099 - http://www.ajnr.org/content/early/2024/12/17/ajnr.A8627.short 4100 - http://www.ajnr.org/content/early/2024/12/17/ajnr.A8627.full AB - Imaging can help to diagnose CNS vasculitis. Yet so far, no imaging studies of CNS vasculitis at 7T are available. We share our experience of vessel wall imaging (VWI) at 7T in patients with suspected vasculitis. All included patients (n=45) underwent a clinically approved 7T MRI comprising high resolution arterial TOF angiography as well as high resolution VWI with T1SPACE and T1SE acquired pre-and post-contrast. 23 patients showed negative and 22 patients positive VWI at 7T. Ten out of 22 7T VWI positive cases were suggestive of vasculitis with 9 patients showing VWI of large and medium size vessels and one patient VWI of small vessels. Small vessel vasculitis was only depicted with 7T VWI, but not 3T VWI. Our work demonstrates that diagnosing CNS vasculitis, especially small vessel vasculitis, is feasible at 7T and highlights the potential of high field VWI encouraging further studies in this field.ABBREVIATIONS: FS= fat-saturated, SNR= signal-to-noise ratio, VWI= vessel wall imaging