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Silent MRA is a procedure using an ultrashort TE and arterial spin-labeling techniques, which efficiently visualizes the status after the treatment of intracranial aneurysms. In Silent MRA, the 3D image is reconstructed by subtracting the control image from the image obtained by the labeling pulse. Seventy-eight large, unruptured internal carotid aneurysms in 78 patients were the subjects of this study. After 6 months of treatment, they underwent follow-up digital subtraction angiography, Silent MRA, and TOF-MRA, performed simultaneously. The authors found Silent MRA is superior for visualizing blood flow images inside flow-diverter devices compared with TOF-MRA. Furthermore, Silent MRA enables the assessment of aneurysmal embolization status. Silent MRA is useful for assessing the status of large and giant unruptured internal carotid aneurysms after flow-diverter placement.