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颈动脉易损斑块的MRI研究进展

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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.
Study progress of MRI on vulnerable plaques in carotid arteries
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.

vulnerable plaqueischemic strokemagnetic resonance imagingvascular wall imagingradiomicsfour dimensional hemodynamics

周婷婷、康立清、宋彦澄

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河北医科大学附属沧州市中心医院磁共振成像科,沧州 061000

沧州市中心医院磁共振成像科,沧州 061000

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

河北省医学科学研究课题计划项目

20240870

2024

磁共振成像
中国医院协会 首都医科大学附属北京天坛医院

磁共振成像

CSTPCD北大核心
影响因子:1.38
ISSN:1674-8034
年,卷(期):2024.15(9)