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AJNR Awards, New Junior Editors, and more. Read the latest AJNR updates

Table of Contents

June 01, 2025; Volume 46,Issue 6

Editorial

  • Editorial
    You have access
    Supporting Imaging Research: A Framework for Equity and Excellence in Neuroradiology
    Max Wintermark, Rahul Bhala, Julie Bykowski, Petrice M. Cogswell, Todd Emch, Ellen Hoeffner, John Huston, Ho-Ling Liu, Rupa Radhakrishnan, Javier M. Romero, Gaurav Saigal, Johnny Sandhu, Maria V. Spampinato, Jody Tanabe, Manoj Tanwar, Behroze Vachha, Matthew L. White, Greg Zaharchuk, David Zander and Tabassum Kennedy
    American Journal of Neuroradiology June 2025, 46 (6) 1065-1068; DOI: https://doi.org/10.3174/ajnr.A8744

Review Articles

  • Neurovascular/Stroke Imaging
    You have access
    Role of Hypoperfusion Intensity Ratio in Vessel Occlusions: A Review on Safety and Clinical Outcomes
    Sana Rehman, Arsalan Nadeem, Arbab Burhan Uddin Kasi, Ali Husnain, Summaiyya Waseem, Sohail Kumar, Syed Muhammad Owais, Nasreen Banu, Dhairya A. Lakhani, Hamza A. Salim, Risheng Xu, Vaibhav S. Vagal, Yasmin N. Aziz, Argye E. Hillis, Victor C. Urrutia, Rafael H. Llinas, Elisabeth B. Marsh, Richard Leigh, Hanzhang Lu, Adam A. Dmytriw, Adrien Guenego, Gregory W. Albers, Jeremy J. Heit, Tobias D. Faizy and Vivek S. Yedavalli
    American Journal of Neuroradiology June 2025, 46 (6) 1069-1081; DOI: https://doi.org/10.3174/ajnr.A8557
  • FELLOWS' JOURNAL CLUBNeuroimaging Physics/Functional Neuroimaging/CT and MRI Technology
    You have access
    A Review of Intracranial Aneurysm Imaging Modalities, from CT to State-of-the-Art MR
    Sammy Allaw, Kameel Khabaz, Tyler C. Given, Dominic Montas, Roberto J. Alcazar-Felix, Abhinav Srinath, Tareq Kass-Hout, Timothy J. Carroll, Michael C. Hurley and Sean P. Polster
    American Journal of Neuroradiology June 2025, 46 (6) 1082-1092; DOI: https://doi.org/10.3174/ajnr.A8549

    This review article covers the established imaging modalities (eg, CT, CTA, DSA, FLAIR, 3D TOF-MRA, contrast-enhanced MRA) and novel MR techniques (MR vessel wall imaging, dynamic contrast-enhanced MRI, computational fluid dynamics) of intracranial aneurysm evaluation. Artificial intelligence software and its integration into diagnostic and risk-stratification pipelines for intracranial aneurysms are also discussed.

General Contents

  • Health Policies/Quality Improvement/Evidence-Based Neuroimaging
    You have access
    Gender Differences in Medicare Practice and Payment of Neuroradiologists
    Ajay Malhotra, Chris Lee, Mihir Khunte, Dheeman Futela, Raj Moily, Seyedmehdi Payabvash, Dheeraj Gandhi and Max Wintermark
    American Journal of Neuroradiology June 2025, 46 (6) 1093-1099; DOI: https://doi.org/10.3174/ajnr.A8633
  • Health Policies/Quality Improvement/Evidence-Based Neuroimaging
    You have access
    Accuracy of Financial Disclosures by Scientific Presenters/Authors at the ASNR 2024 Annual Meeting
    Ajay Malhotra, Dheeman Futela, Varun Sheoran, Keervani Kandala, Mihir Khunte, Chris Lee, Seyedmehdi Payabvash and Dheeraj Gandhi
    American Journal of Neuroradiology June 2025, 46 (6) 1100-1102; DOI: https://doi.org/10.3174/ajnr.A8600
  • EDITOR'S CHOICENeurovascular/Stroke Imaging
    You have access
    Deep Medullary Vein Integrity and Relationships with Small Vessel Disease and Interstitial Diffusivity Measures in Patients with a Recent Small Subcortical Infarct
    Carla Brenlla, Caterina Sozzi, Andrés Girona, Emma Muñoz-Moreno, Carlos Laredo, Alejandro Rodríguez-Vázquez, Sergio Amaro, Arturo Renú, Antonio Doncel-Moriano, Laura Llull, Xabier Urra, Salvatore Rudilosso and Ángel Chamorro
    American Journal of Neuroradiology June 2025, 46 (6) 1103-1111; DOI: https://doi.org/10.3174/ajnr.A8591

    In this retrospective observational study, the authors assessed how DMV integrity relates to MRI-based SVD severity markers and glymphatic function assessed by DTI measures in patients with a recent small subcortical infarct. DMV disruption demonstrated a weak association with SVD, influenced by confounding factors, and a strong relationship with microstructural WM integrity and free water content, suggesting the potential involvement of extracellular fluid in mechanisms leading to vein disruption.

  • Neurovascular/Stroke Imaging
    You have access
    Decreased Visibility of Deep Medullary Vein Associated with Cerebral Small Vessel Disease Burden through Increased Interstitial Fluid in White Matter
    Zhihua Xu, Haiyuan Lan, Xinjun Lei, Hongxia Zhang, Fanfan Xiong and Lebing Wang
    American Journal of Neuroradiology June 2025, 46 (6) 1112-1119; DOI: https://doi.org/10.3174/ajnr.A8632
  • Neurointervention
    You have access
    Safety and Efficacy of the Neuroform Atlas Stent for Treatment of Intracranial Aneurysms: A Systematic Review, Meta-Analysis, and Meta-Regression
    Umar Akram, Shahzaib Ahmed, Zain Ali Nadeem, Mona Shahriari, Hamza Ashraf, Haider Ashfaq, Eeshal Fatima, Ahmed Raza, Aimen Nadeem, Zuha Majid, Arsalan Nadeem, Tayyab Ahmed, Ammara Akram, Sana Rehman, Abeer Sarwar, Janet Mei, Francis Deng, Licia Pacheco-Luna, Nathan Hyson and Vivek S. Yedavalli
    American Journal of Neuroradiology June 2025, 46 (6) 1120-1129; DOI: https://doi.org/10.3174/ajnr.A8593
  • Neurointervention
    You have access
    Effectiveness and Safety of Mechanical Thrombectomy in Mild Stroke due to Large-Vessel Occlusion: Insights from the ASSIST Registry
    Sophia Hohenstatt, Dominik F. Vollherbst, Salvador Miralbés, Bharath Naravetla, Alejandro Spiotta, Christian Loehr, Mario Martínez-Galdámez, Ryan McTaggart, Luc Defreyne, Pedro Vega, Osama O. Zaidat, Paul Jenkins, Sergio Lucio Vinci, David S. Liebeskind, Rishi Gupta, Markus A. Möhlenbruch and Agostino Tessitore
    American Journal of Neuroradiology June 2025, 46 (6) 1130-1136; DOI: https://doi.org/10.3174/ajnr.A8613
  • Neurointervention
    You have access
    Flow Diversion for the Treatment of Distal Circulation Aneurysms: A Randomized Comparison
    William Boisseau, Tim E. Darsaut, Robert Fahed, Brian Drake, Howard Lesiuk, Jeremy L. Rempel, Cian J. O’Kelly, Michael M.C. Chow, Daniela Iancu, Daniel Roy, Alain Weill, Ruby Klink and Jean Raymond
    American Journal of Neuroradiology June 2025, 46 (6) 1137-1142; DOI: https://doi.org/10.3174/ajnr.A8620
  • Neurointervention
    Open Access
    Factors Associated with Major Re-Recanalization following Second Coiling for Recanalized Aneurysms: A Multicenter Experience over 20 Years during Long-Term Follow-up
    Michiyasu Fuga, Toshihiro Ishibashi, Issei Kan, Ken Aoki, Rintaro Tachi, Koreaki Irie, Naoki Kato, Shunsuke Hataoka, Gota Nagayama, Tohru Sano, Toshihide Tanaka and Yuichi Murayama
    American Journal of Neuroradiology June 2025, 46 (6) 1143-1151; DOI: https://doi.org/10.3174/ajnr.A8671
  • Neurointervention
    You have access
    Low- and Intermediate-Grade Lateral Sinus Dural Arteriovenous Fistulas: Factors Affecting the Outcome of Endovascular Treatment over 18-Year Experience in a High-Volume Neurovascular Center
    Guoli Duan, Yuhang Zhang, Yang Wang, Zhe Li, Chenghao Shang, Rundong Chen, Rui Zhao, Pengfei Yang, Dongwei Dai, Yibin Fang, Qinghai Huang, Bo Hong, Yi Xu, Qiang Li and Jianmin Liu
    American Journal of Neuroradiology June 2025, 46 (6) 1152-1158; DOI: https://doi.org/10.3174/ajnr.A8622
  • Neurointervention
    You have access
    Transophthalmic Artery Embolization of Anterior Skull Base Meningiomas: Technical Case Series
    Muhammed Amir Essibayi, Amanda Baker, Jessica Ryvlin, Isabella Pecorari, Addison Fortunel, Mousa Hamad, Deepak Khatri, Celina Crisman, Emad N. Eskandar, Neil Haranhalli, Vijay Agarwal and David J. Altschul
    American Journal of Neuroradiology June 2025, 46 (6) 1159-1165; DOI: https://doi.org/10.3174/ajnr.A8624
  • Neurointervention
    You have access
    Comprehensive Analysis of Neurologic Complications following Transradial Cerebral Angiography
    Hoon Kim, Hyeong Jin Lee, Seon Woong Choi, Sunghan Kim, Seong-Rim Kim and Ik Seong Park
    American Journal of Neuroradiology June 2025, 46 (6) 1166-1172; DOI: https://doi.org/10.3174/ajnr.A8625
  • Neurointervention
    You have access
    Optimizing Image Quality in Cerebral 3D Rotational Angiography: A Study on the Impact of Voxel Size
    Seongsik Han, Byung Jun Kim, Pae Sun Suh, Hye Hyeon Moon, So-Yeon Kim, Jong-Tae Yoon, Boseong Kwon, Deok Hee Lee and Yunsun Song
    American Journal of Neuroradiology June 2025, 46 (6) 1173-1179; DOI: https://doi.org/10.3174/ajnr.A8672
  • EDITOR'S CHOICEArtificial Intelligence
    You have access
    Enhancing Lesion Detection in Inflammatory Myelopathies: A Deep Learning–Reconstructed Double Inversion Recovery MRI Approach
    Qiang Fang, Qing Yang, Bao Wang, Bing Wen, Guangrun Xu and Jingzhen He
    American Journal of Neuroradiology June 2025, 46 (6) 1180-1187; DOI: https://doi.org/10.3174/ajnr.A8582

    This observational study compared the acquisition time, image quality, diagnostic confidence, and lesion detection rates among sagittal T2WI, standard DIR, and DL-reconstructed DIR in patients with inflammatory myelopathies. It was found that DL-reconstructed DIR significantly reduced acquisition time and improved image quality. DL-reconstructed DIR also improved lesion detection, showing superior diagnostic performance in inflammatory myelopathies without compromising diagnostic confidence.

  • Artificial Intelligence
    You have access
    Ultra-High-Resolution Photon-Counting-Detector CT with a Dedicated Denoising Convolutional Neural Network for Enhanced Temporal Bone Imaging
    Shaojie Chang, John C. Benson, John I. Lane, Michael R. Bruesewitz, Joseph R. Swicklik, Jamison E. Thorne, Emily K. Koons, Matthew L. Carlson, Cynthia H. McCollough and Shuai Leng
    American Journal of Neuroradiology June 2025, 46 (6) 1188-1195; DOI: https://doi.org/10.3174/ajnr.A8572
  • Neuroimaging Physics/Functional Neuroimaging/CT and MRI Technology
    You have access
    Neuroimaging Reader Study on Clinical Sensitivity and Specificity Using Synthetic MRI Based on MR Quantification
    J.H. Miller, D. Lefkowitz, G. Maulsby, L. Mechtler, N. Pinter, T. Snyder, L. Hayes, J. Carpenter, K. Koral, P. Cornejo, S.R. Levendovszky, J.B.M. Warntjes, P. Johansson and E. Lange
    American Journal of Neuroradiology June 2025, 46 (6) 1196-1202; DOI: https://doi.org/10.3174/ajnr.A8631
  • Neuroimaging Physics/Functional Neuroimaging/CT and MRI Technology
    You have access
    Delta Wave MRI: fMRI of Electrophysiologic Activity
    Jeffrey I. Berman, Luke Bloy, Shana Ward and Timothy P.L. Roberts
    American Journal of Neuroradiology June 2025, 46 (6) 1203-1207; DOI: https://doi.org/10.3174/ajnr.A8618
  • EDITOR'S CHOICEMolecular Neuroimaging/Nuclear Medicine
    You have access
    Dissociation of Structural and Functional Connectivity and Metabolism in the Neocortex of Idiopathic Generalized Epilepsy: A Simultaneous PET/MRI Multimodal Study
    Chenyang Yao, Jie Hu, Bixiao Cui, Jingjuan Wang, Zhen-Ming Wang, Yaqin Hou, Kharel Sudeep, Hongwei Yang, Yihe Wang, Yongzhi Shan and Jie Lu
    American Journal of Neuroradiology June 2025, 46 (6) 1208-1215; DOI: https://doi.org/10.3174/ajnr.A8612

    This study uses simultaneous PET/MRI, which integrates structural connectivity, functional connectivity, and glucose metabolism in IGE to elucidate abnormalities of the neocortex and to analyze the correlations between these abnormalities and clinical presentations. The results show dissociated patterns of abnormalities: structural connectivity abnormalities in the limbic and visual networks, functional connectivity deficits in the default mode network, and metabolic reductions in the frontoparietal and somatomotor networks.

  • Neuropsychiatric Imaging
    You have access
    Effects of Psilocybin on Mouse Brain Microstructure
    Paloma C. Frautschi, Ajay P. Singh, Nicholas A. Stowe, Sean M. Grady, Zarmeen Zahid, Matthew I. Banks and John-Paul J. Yu
    American Journal of Neuroradiology June 2025, 46 (6) 1216-1222; DOI: https://doi.org/10.3174/ajnr.A8634
  • Neurodegenerative Disorder Imaging
    Open Access
    The Inferior Cerebellar Peduncle Sign: A Novel Imaging Marker for Differentiating Multiple System Atrophy Cerebellar Type from Spinocerebellar Ataxia
    Chae Y. Lim, Yujin Seo, Beomseok Sohn, Minjung Seong, Sung T. Kim, Sungjun Hong, Jinyoung Youn and Eung Y. Kim
    American Journal of Neuroradiology June 2025, 46 (6) 1223-1230; DOI: https://doi.org/10.3174/ajnr.A8623
  • Brain Tumor Imaging
    You have access
    Diagnostic Confidence of Contrast-Enhanced T1-Weighted MRI for the Detection of Brain Metastases: 3D FSE versus 3D GRE–Based Sequences
    Maria Gule-Monroe, Nathan Chasen, James P. Long, Vinodh A. Kumar, Komal Shah, Melissa Chen, Jason Stafford, Caroline Chung, Max Wintermark, Ping Hou, Ekta Sura, Chenyang Wang, Jeffrey Weinberg and Ho-Ling Liu
    American Journal of Neuroradiology June 2025, 46 (6) 1231-1237; DOI: https://doi.org/10.3174/ajnr.A8590
  • FELLOWS' JOURNAL CLUBBrain Tumor Imaging
    You have access
    Cognitive Control Network and Language Reorganization in Patients with Brain Tumors
    Luca Pasquini, Antonio Napolitano, Leonardo Spitoni, Maurizio Schmid, Francesco Dellepiane, Mehrnaz Jenabi, Kyung Peck and Andrei Holodny
    American Journal of Neuroradiology June 2025, 46 (6) 1238-1248; DOI: https://doi.org/10.3174/ajnr.A8638

    The authors investigated the participation of cognitive control network (CCN) in tumor-induced language reorganization. The results showed that the CCN is involved in language reorganization and is associated with improved speech after surgery.

  • Head and Neck Imaging
    You have access
    Evaluation of Vestibular Schwannoma Size across Time: How Well Do the Experts Perform and What Can Be Improved?
    Girish Bathla, Parv M. Mehta, Neetu Soni, Mathew Johnson, John C. Benson, Steven A. Messina, Paul Farnsworth, Amit Agarwal, Matthew L. Carlson and John I. Lane
    American Journal of Neuroradiology June 2025, 46 (6) 1249-1254; DOI: https://doi.org/10.3174/ajnr.A8614
  • Head and Neck Imaging
    Open Access
    Contrast-Enhanced CISS/FIESTA Imaging for Increased Conspicuity of Pituitary Microadenomas in Cushing Disease
    Ian T. Mark, Jamie Van Gompel, Maria Peris Celda, Eric Stinson, Irina Bancos, Lucinda Gruber, Jason Little, Derek R. Johnson and Steven A. Messina
    American Journal of Neuroradiology June 2025, 46 (6) 1255-1259; DOI: https://doi.org/10.3174/ajnr.A8596
  • Head and Neck Imaging
    You have access
    [18F]-FDG Uptake as a Marker of Residual Anaplastic and Poorly Differentiated Thyroid Carcinoma following BRAF-Targeted Therapy
    Samir A. Dagher, Kim O. Learned, Richard Dagher, Jennifer Rui Wang, Xiao Zhao, S. Mohsen Hosseini, Anastasios Maniakas, Maria E. Cabanillas, Naifa L. Busaidy, Ramona Dadu, Priyanka Iyer, Mark E. Zafereo and Alexander M. Khalaf
    American Journal of Neuroradiology June 2025, 46 (6) 1260-1267; DOI: https://doi.org/10.3174/ajnr.A8588
  • Head and Neck Imaging
    You have access
    Normal Facial Nerve Enhancement on Volumetric Interpolated Breath-Hold Examination MRI Sequence
    Nanjiba Nawaz, Amit B. Desai and Alok A. Bhatt
    American Journal of Neuroradiology June 2025, 46 (6) 1268-1271; DOI: https://doi.org/10.3174/ajnr.A8592
  • FELLOWS' JOURNAL CLUBPediatric Neuroimaging
    You have access
    Single Large-Scale Mitochondrial Deletion Syndromes: Neuroimaging Phenotypes and Longitudinal Progression in Pediatric Patients
    Cesar A.P.F. Alves, Maria Camilla Rossi-Espagnet, Francisco Perez, Amirreza Manteghinejad, James T. Peterson, Rebecca Ganetzky, Antonio Napolitano, Francesco Grassi, Ibrahim George-Sankoh, Harun Yildiz, Colleen Muraresku, Marni J. Falk, Diego Martinelli, Daniela Longo, Adeline Vanderver, Carlo Gandolfo, Russell P. Saneto, Amy Goldstein and Arastoo Vossough
    American Journal of Neuroradiology June 2025, 46 (6) 1272-1281; DOI: https://doi.org/10.3174/ajnr.A8670

    This retrospective observational study is a longitudinal analysis of the neuroimaging pattern of single large-scale mitochondrial deletion syndrome, which is often classified into 3 major clinical syndromes: Kearns-Sayre syndrome, chronic progressive external ophthalmoplegia, and Pearson syndrome. Early findings typically involve the brainstem and basal ganglia with the supratentorial subcortical white matter changes and spinal cord involvement as the disease progresses.

  • Spine Imaging and Spine Image-Guided Interventions
    You have access
    Conebeam CT Myelography for the Detection of Spinal CSF Leaks
    Ajay A. Madhavan, Michelle L. Kodet, Waleed Brinjikji, Ian T. Mark and Wouter I. Schievink
    American Journal of Neuroradiology June 2025, 46 (6) 1282; DOI: https://doi.org/10.3174/ajnr.A8820
  • Ultra-High-Field MRI/Imaging of Epilepsy/Demyelinating Diseases/Inflammation/Infection
    Open Access
    7T MRI as a Powerful Tool to Detect Small- and Medium-Size Vessel CNS Vasculitis
    Angelika Hoffmann, William Almiri, Pasquale Mordasini, Alexandrine Bähler, David J. Seiffge, Martina B. Göldlin, Eugen Jäger, Ioan-Paul Muresan, Lisa Christ, Mirjam R. Heldner, Roland Wiest and Piotr Radojewski
    American Journal of Neuroradiology June 2025, 46 (6) 1283-1286; DOI: https://doi.org/10.3174/ajnr.A8627

Memorial

  • Memorial
    You have access
    A Tribute to Apostolos John Tsiouris, MD, January 12, 1972 – March 11, 2025, Recipient of the ASNR’s 2025 Outstanding Contributions in Neuroradiology Education Award
    Jana Ivanidze and Pina C. Sanelli
    American Journal of Neuroradiology June 2025, 46 (6) 1287-1288; DOI: https://doi.org/10.3174/ajnr.A8752
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American Journal of Neuroradiology: 46 (6)
American Journal of Neuroradiology
Vol. 46, Issue 6
1 Jun 2025
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