Advances in technology and innovation in radiology has enhanced and expanded the role of radiology in clinical practice and research. Radiology itself has developed further subspecialisation and this issue of Annals highlights the subspecialty field of Neuroradiology. There has been tremendous growth in the development of new tools for...

Mechanical methods for the acute management of severe large vessel ischaemic stroke have become established over the years as a viable option in addition to systemic or local intra-arterial thrombolytic therapy.1-11 Mechanical methods offer the advantage of getting directly at the target, which in situations of severe ischaemic stroke...

The NASCET1,2 and ESCT3,4 randomised controlled trials established benefits of carotid endarterectomy (CEA) over medical therapy in a selected group of patients with symptomatic high grade extracranial carotid artery stenosis. Building on these results, the findings of the Carotid and Vertebral Artery Transluminal Angioplasty Study (CAVATAS)5 and SAPPHIRE6 trials...

Therapeutic sacrifice of major craniocervical arteries is a common and well-established neurointerventional procedure in the treatment of fusiform giant cerebral aneurysms, direct caroticocavernous fistulae and the control of torrential head and neck haemorrhage from a variety of causes, including carotid artery blowout.1-6 The procedure is also indicated preoperatively in...

Digital subtraction angiography (DSA) has historically been considered the standard of reference in the diagnostic evaluation of patients acutely suspected of having intracranial aneurysm rupture.1 However, DSA is an invasive, resource intensive and costly procedure, which may not be readily available on a 24-hour basis. It is also associated...