冠状动脉易损斑块的影像学研究进展  

Advances in Imaging of Coronary Artery Vulnerable Plaques

作　　者：刘东 郭明燕 

机构地区：[1]西安医学院研究生工作部,陕西 西安

出　　处：《临床医学进展》2024年第5期1720-1728,共9页Advances in Clinical Medicine

摘　　要：近几年,人们对于冠状动脉易损斑块这一导致急性心血管事件的罪魁祸首的研究日益深入,为了准确识别易损斑块协助临床医生早期诊断和精准治疗高危患者,各种影像学诊断方法日趋多样化和精细化,其中应用最广泛的腔内影像学技术主要有冠状动脉血管成像(CCTA)、核磁共振成像(MRI)、光学相干断层扫描(OCT)、血管内超声(IVUS)、正电子发射计算机断层显像(PET)、近红外光谱(NIRS)、人工智能(Artificial Intelligence, AI)及多模态成像等,这些诊断易损斑块的影像学方法各有优势,又存在一定不足,故有人提出可以联合使用多种影像学方法来提高易损斑块的检出率。本文希望通过对以上内容的总结,来让人们认识和了解现阶段对冠状动脉易损斑块的诊疗进展,并对在易损斑块诊断上的新技术的研究进展进行综述。In recent years, people have been conducting increasingly in-depth research on coronary vulnerable plaques, which are the main culprit of acute cardiovascular events. To accurately identify vulnerable plaques and assist clinicians in early diagnosis and precise treatment of high-risk patients, various imaging diagnostic methods have become increasingly diverse and sophisticated. Among them, the most widely used intraluminal imaging techniques mainly include coronary computed tomography angiography (CCTA), magnetic resonance imaging (MRI), optical coherence tomography (OCT), intravascular ultrasound (IVUS), positron emission tomography (PET), near-infrared spectroscopy (NIRS), artificial intelligence (AI), and multimodal imaging. These imaging methods for diagnosing vulnerable plaques have their own advantages and certain limitations. Therefore, some experts have proposed that a combination of multiple imaging methods can be used to improve the detection rate of vulnerable plaques. This article aims to summarize the current progress in the diagnosis and treatment of coronary vulnerable plaques, and to review the research progress of new technologies in the diagnosis of vulnerable plaques.

关 键 词：冠状动脉粥样硬化 易损斑块 影像学 

分 类 号：R54[医药卫生—心血管疾病]