颈动脉易损斑块的MRI研究进展  

Study progress of MRI on vulnerable plaques in carotid arteries

作　　者：周婷婷 康立清 宋彦澄[2] ZHOU Tingting;KANG Liqing;SONG Yancheng(Department of Magnetic Resonance Imaging,Cangzhou Central Hospital,Hebei Medical University,Cangzhou 061000,China;Department of Magnetic Resonance Imaging,Cangzhou Central Hospital,Cangzhou 061000,China)

机构地区：[1]河北医科大学附属沧州市中心医院磁共振成像科,沧州061000 [2]沧州市中心医院磁共振成像科,沧州061000

出　　处：《磁共振成像》2024年第9期167-171,188,共6页Chinese Journal of Magnetic Resonance Imaging

基　　金：河北省医学科学研究课题计划项目(编号:20240870)。

摘　　要：颈动脉易损斑块是引起急性缺血性卒中(acute ischemic stroke,AIS)的重要危险因素,与AIS的发生、进展及复发密切相关。准确评估颈动脉易损斑块对改进AIS的危险分层、指导临床治疗并改善预后有重要意义。MRI高分辨率血管壁成像、MRI影像组学与四维血流磁共振成像可在不同方面对颈动脉易损斑块进行评估。本文综述MRI评估颈动脉易损斑块的常用技术和应用进展,以期为临床选择针对性措施,预防卒中发生、进展及复发提供更好的影像学指导。Vulnerable carotid artery plaque is an important risk factor for acute ischemic stroke,which is closely related to the occurrence,development and recurrence of acute ischemic stroke.Accurate assessment of carotid vulnerable plaque is important for improving risk stratification,guiding clinical treatment and improving prognosis of AIS.High-resolution vessel wall imaging,MRI radiomics and 4D flow magnetic resonance imaging can be used to assess vulnerable carotid plaque in different ways.This article reviews the progress of common techniques and values of MRI in evaluating vulnerable carotid artery plaques,so as to provide imaging guidance for the selection of targeted measures to prevent the occurrence,progression and recurrence of stroke.

关 键 词：易损斑块 缺血性卒中 磁共振成像 血管壁成像 影像组学 四维血流动力学 

分 类 号：R445.2[医药卫生—影像医学与核医学] R743.3[医药卫生—诊断学]