颅内动脉粥样硬化斑块易损性的影像学评价  

Imaging evaluation of vulnerability of intracranial atherosclerotic plaques

作　　者：胡雅南 赵振[2] 丁洁[3] 张毅[1] Hu Ya’nan;Zhao Zhen;Ding Jie;Zhang Yi(Center of Interventional Radiology and Vascular Surgery,Department of Radiology,Zhongda Hospital,Southeast University,Nanjing 210009,China;Department of Radiology,Zhongda Hospital,Southeast University,Nanjing 210009,China;School of Medicine,Southeast University,Nanjing 210009,China)

机构地区：[1]东南大学附属中大医院介入与血管外科,南京210009 [2]东南大学附属中大医院放射科,南京210009 [3]东南大学医学院,南京210009

出　　处：《国际脑血管病杂志》2022年第12期927-933,共7页International Journal of Cerebrovascular Diseases

摘　　要：颅内动脉粥样硬化性疾病(intracranial atherosclerotic disease,ICAD)是缺血性卒中的重要病因,精准的临床和影像学评估有助于其分层管理和个体化治疗。随着颅内动脉管壁成像技术逐渐成熟,可通过斑块易损特征进一步了解ICAD的卒中机制并制定最佳的卒中预防策略。文章对颅内动脉粥样硬化性斑块的不同易损特征、评价方法以及当前研究进展进行了综述。Intracranial atherosclerotic disease(ICAD)is an important cause of ischemic stroke.Accurate clinical and imaging evaluation is helpful to its hierarchical management and individualized treatment.With the gradual maturation of intracranial artery wall imaging technology,the stroke mechanism of ICAD can be further understood through plaque vulnerability characteristics and the optimal stroke prevention strategy can be developed.This article reviews the different vulnerable characteristics,evaluation methods and current research progress of intracranial atherosclerotic plaques.

关 键 词：颅内动脉硬化 斑块 动脉粥样硬化 卒中 脑缺血 磁共振成像 体层摄影术 光学相干 超声检查 介入性 

分 类 号：R743.3[医药卫生—神经病学与精神病学]