CCTA成像中冠周脂肪应用于冠状动脉高危斑块的研究进展  

Advances in the application of pericoronal fat in coronary artery high-risk plaques in CCTA imaging

作　　者：李育昌 杨卫东 李旋 吴赛月 LI Yuchang;YANG Weidong;LI Xuan;WU Saiyue(Department of Radiology,Midu County People's Hospital,Dali,Yunnan 675600,China;Department of Imaging,Yunnan Maternal and Child Health Care Hospital,Kunming,Yunnan 650032,China)

机构地区：[1]弥渡县人民医院放射科,云南大理675600 [2]云南省妇幼保健院影像科,云南昆明650032

出　　处：《影像研究与医学应用》2025年第4期4-6,9,共4页Journal of Imaging Research and Medical Applications

摘　　要：目前,心血管疾病是城乡居民总死亡原因的首位,主要致死原因为高危斑块破裂、侵蚀及血栓形成导致的急性冠脉综合征(ACS),故高危斑块的识别、诊断和及时处理是避免心血管事件和降低死亡率的关键。血管炎症可促进冠状动脉粥样硬化的进展,并可诱导高危斑块破裂,导致ACS的发生,而冠状动脉炎症与冠状动脉周围脂肪可以通过双向作用互相影响。本文就冠状动脉周围脂肪的研究进展、冠状动脉周围脂肪在高危斑块中的应用展开综述。Currently,cardiovascular disease is the leading cause of death among both urban and rural residents,with acute coronary syndrome(ACS)resulting from rupture,erosion,and thrombosis of high-risk plaques being the primary cause of fatality.Therefore,the identification,diagnosis,and timely management of high-risk plaques are crucial for preventing cardiovascular events and reducing mortality.Vascular inflammation can accelerate the progression of coronary atherosclerosis and induce the rupture of high-risk plaques,leading to the occurrence of ACS.Moreover,coronary artery inflammation and pericoronary adipose tissue can influence each other through bidirectional interactions.This article reviews the research progress on pericoronary adipose tissue and its application in the context of high-risk plaques.

关 键 词：冠状动脉粥样硬化性心脏病 急性冠脉综合征 脂肪衰减指数 高危斑块 CT CT血管造影 

分 类 号：R445.2[医药卫生—影像医学与核医学]