Letter to the Editor
Copyright ©The Author(s) 2025. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Feb 26, 2025; 13(6): 98606
Published online Feb 26, 2025. doi: 10.12998/wjcc.v13.i6.98606
Advancements and challenges in neuroimaging for the diagnosis of intracranial aneurysms: Addressing false positive diagnoses and emerging techniques
Nanthida Arora, Sombat Muengtaweepongsa
Nanthida Arora, Center of Excellence in Stroke, Thammasat University, Pathum Thani 12120, Thailand
Sombat Muengtaweepongsa, Center of Excellence in Stroke, Division of Neurology, Department of Medicine, Faculty of Medicine, Thammasat University Rangsit Campus, Klonglaung 12120, Pathum Thani, Thailand
Author contributions: Arora N and Muengtaweepongsa S investigated, generated the conception and designed the study; Arora N prepared the original draft; Muengtaweepongsa S reviewed and edited the draft.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Sombat Muengtaweepongsa, MD, Professor, Center of Excellence in Stroke, Division of Neurology, Department of Medicine, Faculty of Medicine, Thammasat University Rangsit Campus, No. 99/209 Paholyothin Road, Klonglaung 12120, Pathum Thani, Thailand. musombat@tu.ac.th
Received: June 30, 2024
Revised: October 16, 2024
Accepted: November 12, 2024
Published online: February 26, 2025
Processing time: 147 Days and 17.6 Hours
Core Tip

Core Tip: Effective differentiation between true and false positive diagnoses of intracranial aneurysms is crucial to minimize unnecessary surgical risks. While advanced neuroimaging techniques like computer tomography angiogram and magnetic resonance angiography offer significant advantages, including lower costs and reduced procedural risks, understanding their limitations and continuing to rely on the gold standard, digital subtraction angiogram, where appropriate, remains essential for accurate diagnosis and treatment planning.