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中华诊断学电子杂志 ›› 2017, Vol. 05 ›› Issue (04) : 240 -242. doi: 10.3877/cma.j.issn.2095-655X.2017.04.006

所属专题: 文献

心脑血管疾病诊治

颈动脉粥样硬化斑块磁共振影像研究的进展
徐夏荫1, 李建军2,(), 赵效新1   
  1. 1. 274031 菏泽市立医院影像科
    2. 272067 济宁医学院临床学院
  • 收稿日期:2017-05-06 出版日期:2017-11-26
  • 通信作者: 李建军

Advances in MRI of carotid atherosclerotic plaque

Xiayin Xu1, Jianjun Li2,(), Xiaoxin Zhao1   

  1. 1. Department of Imaging, Heze Municipal Hospital, Heze 274031, China
    2. Jining Medical University, Jining 272067, China
  • Received:2017-05-06 Published:2017-11-26
  • Corresponding author: Jianjun Li
  • About author:
    Corresponding author: Li Jianjun, Email:
引用本文:

徐夏荫, 李建军, 赵效新. 颈动脉粥样硬化斑块磁共振影像研究的进展[J/OL]. 中华诊断学电子杂志, 2017, 05(04): 240-242.

Xiayin Xu, Jianjun Li, Xiaoxin Zhao. Advances in MRI of carotid atherosclerotic plaque[J/OL]. Chinese Journal of Diagnostics(Electronic Edition), 2017, 05(04): 240-242.

临床上常以颈动脉狭窄程度作为缺血性脑卒中风险和干预的标准,并已建立了指南。研究发现,有些患者颈动脉粥样硬化的斑块致动脉狭窄并不重,但由于斑块易损不稳定,造成脑梗死的发生率较高,达50%以上,因此易损斑块风险诊断及评估具有重大的临床意义。磁共振检查(MRI)是颈动脉斑块最有效的影像学检查,不同的MRI序列对显示斑块的形态、成分及确定易损程度各有优势。笔者就颈动脉斑块MRI检查推荐的使用序列、易损斑块MRI影像学特点、MRI斑块成像技术的临床应用价值作一综述。

Clinically carotid artery stenosis degree is often used as a standard for ischemic stroke risk and intervention, the guidelines have been established.The study found that the lumen of artery was not severely stenosis in some patients with carotid atherosclerosis, which is due to the unstable plaque vulnerability.But the incidence of cerebral infarction is more than 50% due to the unstability of plaques.Thus diagnosis and risk assessment of the vulnerable plaque have significantly clinical significance.Magnetic resonance imaging (MRI) is the most effective imaging examinations of carotid plaques.Different MRI sequences tended to have different strengths in showing the morphology, composition and fragility of the plaques.The purpose of this paper is to make a brief summary of the recommended sequences of MRI plaque imaging, MRI imaging features of vulnerable plaques and the clinical application values of MRI plaque imaging.

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