Motivation: During magnetic resonance imaging for myocardial viability, the bright blood within the heart chambers can significantly diminish the apparent volume of myocardial scars or obscure the visualization of cardiac masses.

Goal(s): An imaging technique that can reduce the signal from the blood pool and highlight the signal of the scar tissue or cardiac masses is needed to increase diagnostic accuracy.

Approach: Subjects are randomized to undergo gray blood and bright blood late gadolinium enhancement (LGE) imaging using phase-sensitive inversion recovery technique to compare the diagnostic differences for scar tissue or cardiac masses.

Results: Gray blood LGE reveals more myocardial scars or cardiac masses.

Impact: Gray blood LGE enhances the detection of myocardial scars and intracavitary cardiac masses, especially those showing enhancement after contrast injection, facilitating clinical decisions and improving patient outcomes. Additionally, the PSIR-based gray blood approach offers greater adaptability and ease of use.

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Motivation: Headaches associated with intracranial aneurysms are often misdiagnosed and poorly understood in the Ghanaian population.

Goal(s): Our goal was to use gadolinium-enhanced MR angiography to radiologically describe features of intracranial berry aneurysm (IBA) in a clinically asymptomatic patient presenting with right-sided headaches.

Approach: Axial, sagittal and coronal brain MR angiography was conducted with 50 mg/ml gadolinium contrast and radiologically evaluated.

Results: A right posterior communicating artery aneurysm was found, suggesting compression of the oculomotor nerve which is characteristic of IBA.

Impact: The imaging findings could help physicians to better understand, diagnose and treat the underlining causes of constant right-sided headaches which may otherwise be poorly managed by patients themselves through self-medication as is the current practice in the Ghanaian setting.