Advantage in Bright-blood and Black-blood Magnetic Resonance Imaging with High-resolution for Analysis of Carotid Atherosclerotic Plaques  

作　　者：Mei Li Wei-Jie Le Xiao-Feng Tao Ming-Hua Li Yue-Hua Li Nan Qu 

机构地区：[1]Department of Radiology, Shanghai Sixth People's Hospital, Affiliated to Shanghai Jiao Tong University, Shanghai 200233, China [2]Department of Radiology, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200011, China

出　　处：《Chinese Medical Journal》2015年第18期2478-2484,共7页中华医学杂志（英文版）

摘　　要：Background： About 50% of the cerebral ischemia events are induced by intracranial and extracranial atheroscterosis. This study aimed to evaluate the feasibility and accuracy for displaying atherosclerotic plaques in carotid arteries and analyzing their ingredients by using high-resolution new magnetic resonance imaging （MRI） techniques. Methods： Totally, 49 patients suspected ofextracranial carotid artery stenosis were subjected to cranial MRI scan and magnetic resonance angiography （MRA） examination on carotid arteries, and high-resolution bright-blood and black-blood MRI analysis was carried out within 1 week. Digital subtraction angiography （DSA） examination was carried out for 16 patients within I month. Results： Totally, 103 plaques were detected in the 49 patients, which were characterized by localized or diffusive thickening of the vessel wall, with the intrusion of crescent-shaped abnormal signal into lumens. Fibrous cap was displayed as isointensity in T I -weighted image （T I WI） and hyperintensities in proton density weighted image （PDWI） and T2-weighted image （T2WI）, lipid core was displayed as isointensity or slight hyperintensities in T1WI, isointensity, hyperintensities or hypointensity in PDWI, and hypointensity in T2WI. Calcification in plaques was detected in 11 patients. Eight patients were detected with irregular plaque surface or ulcerative plaques, which were characterized by irregular intravascular space surface in the black-blood sequences, black hypointensity band was not detected in three-dimensional time-of-flight, or the hypointensity band was not continuous, and intrusion of hyperintensities into plaques can be detected. Bright-blood and black-blood techniques were highly correlated with the diagnosis of contrast-enhanced MRA in angiostenosis degree, Rs 0.97, P 〈 0.001. In comparison to DSA, the sensitivity, specificity, and accuracy of MRI diagnosis of stenosis for ≥50% were 88.9%. 100%, and 97.9%, respectively. Conclusions： High-resolution bright-Background： About 50% of the cerebral ischemia events are induced by intracranial and extracranial atheroscterosis. This study aimed to evaluate the feasibility and accuracy for displaying atherosclerotic plaques in carotid arteries and analyzing their ingredients by using high-resolution new magnetic resonance imaging （MRI） techniques. Methods： Totally, 49 patients suspected ofextracranial carotid artery stenosis were subjected to cranial MRI scan and magnetic resonance angiography （MRA） examination on carotid arteries, and high-resolution bright-blood and black-blood MRI analysis was carried out within 1 week. Digital subtraction angiography （DSA） examination was carried out for 16 patients within I month. Results： Totally, 103 plaques were detected in the 49 patients, which were characterized by localized or diffusive thickening of the vessel wall, with the intrusion of crescent-shaped abnormal signal into lumens. Fibrous cap was displayed as isointensity in T I -weighted image （T I WI） and hyperintensities in proton density weighted image （PDWI） and T2-weighted image （T2WI）, lipid core was displayed as isointensity or slight hyperintensities in T1WI, isointensity, hyperintensities or hypointensity in PDWI, and hypointensity in T2WI. Calcification in plaques was detected in 11 patients. Eight patients were detected with irregular plaque surface or ulcerative plaques, which were characterized by irregular intravascular space surface in the black-blood sequences, black hypointensity band was not detected in three-dimensional time-of-flight, or the hypointensity band was not continuous, and intrusion of hyperintensities into plaques can be detected. Bright-blood and black-blood techniques were highly correlated with the diagnosis of contrast-enhanced MRA in angiostenosis degree, Rs 0.97, P 〈 0.001. In comparison to DSA, the sensitivity, specificity, and accuracy of MRI diagnosis of stenosis for ≥50% were 88.9%. 100%, and 97.9%, respectively. Conclusions： High-resolution bright-

关 键 词：Atherosclcrosis BLACK-BLOOD Bright-blood Carotid Arteries Magnetic Resonance Image 

分 类 号：TP274.1[自动化与计算机技术—检测技术与自动化装置] TH83[自动化与计算机技术—控制科学与工程]