A member asked:

Would cerebral small vessel disease be seen on mri without contrast?

3 doctors weighed in across 2 answers

Usually yes: Longstanding cerebral small vessel disease (due, for example, to diabetes, rare genetic conditions, uncontrolled hypertension, stroke) can be seen on non-contrast MRI sequences. Controlling your risk factors for small vessel disease is the best prevention. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3714437/

Answered 2/3/2015

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Dr. Peter Nefcy answered

Specializes in Radiology

Possibly: Small vessel disease can at times be seen with MRI, and sometimes there are additional focal changes in the deep white matter strongly suggestive of small vessel disease. Other time, contrast is needed. For example, a cluster of very small vessels and some developmental vascular lesions are only seen with contrast. The lack of findings on MRI does not exclude small vessel disease.

Answered 2/3/2015

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