中国卒中杂志
中國卒中雜誌
중국졸중잡지
CHINESE JOURNAL OF STROKE
2014年
2期
123-128
,共6页
赵锡海%宋焱%李飞宇%苑纯
趙錫海%宋焱%李飛宇%苑純
조석해%송염%리비우%원순
颈动脉%粥样硬化斑块%磁共振成像
頸動脈%粥樣硬化斑塊%磁共振成像
경동맥%죽양경화반괴%자공진성상
Carotid artery%Atherosclerotic plaque%Magnetic resonance imaging
磁共振斑块成像技术已被广泛应用于颈动脉粥样硬化斑块特征的研究中。经组织学验证,这些技术能够准确评价斑块负荷、组织成分、纤维帽完整性和炎症反应。本综述将从以下几个方面阐述磁共振斑块成像技术在临床实践中的潜在应用价值:①在易损斑块表面破裂前,磁共振斑块成像能够对其进行早期识别,从而预防缺血性卒中;②颈动脉斑块磁共振特征可能有助于制订临床治疗策略;③磁共振斑块成像是监测颈动脉粥样硬化病变他汀类药物治疗效果的有效手段。
磁共振斑塊成像技術已被廣汎應用于頸動脈粥樣硬化斑塊特徵的研究中。經組織學驗證,這些技術能夠準確評價斑塊負荷、組織成分、纖維帽完整性和炎癥反應。本綜述將從以下幾箇方麵闡述磁共振斑塊成像技術在臨床實踐中的潛在應用價值:①在易損斑塊錶麵破裂前,磁共振斑塊成像能夠對其進行早期識彆,從而預防缺血性卒中;②頸動脈斑塊磁共振特徵可能有助于製訂臨床治療策略;③磁共振斑塊成像是鑑測頸動脈粥樣硬化病變他汀類藥物治療效果的有效手段。
자공진반괴성상기술이피엄범응용우경동맥죽양경화반괴특정적연구중。경조직학험증,저사기술능구준학평개반괴부하、조직성분、섬유모완정성화염증반응。본종술장종이하궤개방면천술자공진반괴성상기술재림상실천중적잠재응용개치:①재역손반괴표면파렬전,자공진반괴성상능구대기진행조기식별,종이예방결혈성졸중;②경동맥반괴자공진특정가능유조우제정림상치료책략;③자공진반괴성상시감측경동맥죽양경화병변타정류약물치료효과적유효수단。
Magnetic resonance (MR) plaque imaging techniques have been widely used to characterize carotid atherosclerotic plaques. These techniques are capable of accurately evaluating plaque burden measurements, tissue compositions, integrity of fibrous cap and inflammation with histological validation. This review will describe the potential roles of MR plaque imaging techniques in clinical practice from the following aspects: for prevention of ischemic stroke, MR plaque imaging can be used to early detect vulnerable plaques prior to surface disruption;characteristics of carotid plaques determined by MR plaque imaging might be helpful in making strategy of carotid revascularization;MR plaque imaging is a useful tool for monitoring treatment effect of statin in carotid atherosclerosis.