Development of quantitative vessel analysis platform based on MR angiography to assess reversible cerebral vasoconstriction syndrome

Reversible cerebral vasoconstriction syndrome (RCVS) shows reversible diffuse constriction of the cerebral arteries. Previous studies proposed manual measurement of vasoconstriction. However, the stenosis estimated by comparing the stenosed with proximally normal diameter might result in an underestimate of vasoconstriction for the long-segmental stenosis. Accordingly, we developed a quantitative vessel analysis platform to measure the vasoconstriction rate by comparing vessel diameters between acute and remission MR angiography. Our platform provided objective measures of vasoconstriction and further confirmed that acute RCVS presented not only local vasoconstriction but a large portion of short- and long-segmental vasoconstriction in all artery segments.