Objectives:To explore the optimal method of spiral CT angiography and MPVR in the detection of intracranial aneurysms. Methods:Eleven patients with clinical suspicion of intracranial aneurysms underwent spiral CT angiography, then postprocessed with MPVR. Results:,Five anterior communicating aneurysms,1 posterior communicating aneurysm and 1 base aneurysm were found with MPVR. Conclusions: Lesions at the circle of Willis, the main trunk of the carotid and the vertebrobasilar arteries, including their branches could be visualized perfectly with MPVR by optimizing the thickness, center, angle of rotation and window level, by which more intracranial aneurysms could be found.