评估颈动脉狭窄程度的影像学技术和超声新技术的研究进展  

Research Progress on Medical Imaging and New Ultrasound Techniques for Assessing the Degree of Carotid Artery Stenosis

作　　者：杜宜纲 王胜利 陆兆龄 刘彦伯 郭跃新 安兴 李双双 朱磊 DU Yigang;WANG Shengli;LU Zhaoling;LIU Yanbo;GUO Yuexin;AN Xing;LI Shuangshuang;ZHU Lei(Shenzhen Mindray Bio-Medical Electronics Co.,Ltd.,Shenzhen,518057,China;Beijing Shenmindray Medical Electronics Technology Academy Co.,Ltd.,Beijing,100085,China;Mindray Innovation Center,San Jose,CA 95002,USA)

机构地区：[1]深圳迈瑞生物医疗电子股份有限公司,深圳市518057 [2]北京深迈瑞医疗电子技术研究院有限公司,北京市100085 [3]迈瑞创新中心,圣何塞,加利福尼亚,美国

出　　处：《中国医疗器械杂志》2024年第6期624-630,共7页Chinese Journal of Medical Instrumentation

摘　　要：该文总结了颈动脉狭窄程度的影像学评估方法,结合现有的指南和共识,分析了不同影像学技术血管成像各自独有的优势和局限性。文章重点回顾了几个超声新技术的临床应用情况,包括血流离散度(Tur)、血管壁剪切力(wall shear stress, WSS)等高级血流动力学参数的应用。颈动脉狭窄与心血管疾病密切相关,无创且无辐射的超声技术虽然当前在一定程度上还存在诊断精度的局限,但随着超声血流动力学和血管弹性等高级功能的不断涌现以及超声多模态多参数的联合,未来有望成为动脉狭窄程度高效诊断的重要方法之一。The paper summarizes the imaging evaluation methods for assessing the degree of carotid artery stenosis and analyzes the unique advantages and limitations of various imaging techniques in vascular imaging based on existing guidelines and consensus.The paper focuses on reviewing the clinical applications of several novel ultrasound technologies,including the use of advanced hemodynamic parameters such as blood flow dispersion(Tur index)and wall shear stress(WSS).Carotid artery stenosis is closely associated with cardiovascular disease.Although non-invasive and radiation-free ultrasound technology has certain limitations in diagnostic accuracy to a certain extent,with the continuous emergence of advanced functions such as ultrasound hemodynamics and vascular elasticity,the combination of multi-modality and multi-parameter ultrasound is expected to become an important method for efficient diagnosis of arterial stenosis in the future.

关 键 词：颈动脉狭窄 影像学 超声技术 

分 类 号：R197.39[医药卫生—卫生事业管理] TH77[医药卫生—公共卫生与预防医学]