基于多模态MRI对颅内动脉粥样硬化的斑块特征、血流动力学、侧支循环及临床疗效评估的应用进展  

Progress in the application of multimodal MRI in the assessment of plaque characteristics,hemodynamics,collateral circulation and clinical efficacy of intracranial atherosclerosis

作　　者：陈禹 沈龙山[1,2,3] 程雯 陈刘成 王震寰[2,6] CHEN Yu;SHEN Longshan;CHENG Wen;CHEN Liucheng;WANG Zhenhuan(Department of Radiology,the Second Affiliated Hospital of Bengbu Medical College,Bengbu 233040,China;Key Laboratory of Digital Medicine and Intelligent Health in Anhui Universities(Bengbu Medical College),Institute of Clinical Applied Anatomy,Bengbu Medical College,Bengbu 233004,China;School of Medical Imaging,Bengbu Medical College,Bengbu 233030,China;School of Literature and Education,Bengbu University,Bengbu 233000,China;Department of Radiology,the First Affiliated Hospital of Bengbu Medical College,Bengbu 233004,China;Department of Human Anatomy,Bengbu Medical College,Bengbu 233030,China)

机构地区：[1]蚌埠医学院第二附属医院放射科,安徽蚌埠233040 [2]数字医学与智慧健康安徽普通高校重点实验室(蚌埠医学院),蚌埠医学院临床应用解剖研究所,安徽蚌埠233004 [3]蚌埠医学院医学影像学院,安徽蚌埠233030 [4]蚌埠学院文学与教育学院,安徽蚌埠233000 [5]蚌埠医学院第一附属医院放射科,安徽蚌埠233004 [6]蚌埠医学院人体解剖教研室,安徽蚌埠233030

出　　处：《分子影像学杂志》2023年第3期566-570,共5页Journal of Molecular Imaging

基　　金：蚌埠医学院转化医学重点项目(BYTM2019045);数字医学与智慧健康安徽普通高校重点实验室(蚌埠医学院)一般项目(AHCM2022W001)。

摘　　要：颅内动脉粥样硬化疾病是导致全球缺血性卒中最常见的原因之一,且其具有较高的复发风险。在脑卒中的影像学诊断、风险分层、治疗方式的选择及预后评估等方面,多模态MRI技术有着其他影像学技术难以具有的空间分辨率、脑脊液抑制等优势。本文从斑块的影像学特征、血流动力学及侧支代偿状态等多个维度对多模态MRI在评估脑卒中风险中的应用价值进行综述,旨在为脑卒中精准风险分层及预后评估等方面提供参考。Intracranial atherosclerosis is one of the most common causes of global ischemic stroke,and it has a high risk of recurrence.In terms of imaging diagnosis,risk stratification,treatment selection,and prognosis evaluation of stroke,multimodal MRI technology has advantages such as spatial resolution and cerebrospinal fluid suppression that other imaging technologies cannot.This article will review the application value of multimodal MRI in assessing stroke risk from multiple dimensions such as the imaging characteristics of plaques,hemodynamics and collateral compensation status,aiming to provide reference for research on precise risk stratification and prognosis evaluation of stroke.

关 键 词：高分辨磁共振 血管壁成像 颅内动脉粥样硬化 缺血性事件 高危因素 

分 类 号：R743.3[医药卫生—神经病学与精神病学] R445.2[医药卫生—临床医学]