摘要
动脉粥样硬化是缺血性脑卒中发生及发展的主要病因,早期识别不稳定斑块对缺血性脑卒中的防治至关重要。高分辨率磁共振血管壁成像(high resolution magnetic resonance imaging vascular wall imaging,HR-VWI)不仅可以直观评估管腔狭窄及血管重构状况,还可以定性或定量评估斑块成分及斑块负荷等,判断缺血性脑卒中的病因及发病机制,识别与缺血性脑卒中发生及复发关系密切的斑块高危特征。进而指导临床积极干预,防止缺血性脑卒中的发生及复发。本文将从HR-VWI识别高危斑块及其对缺血性脑卒中病因识别、预防发生、预测复发方面进行论述。
Atherosclerosis is a major cause of the occurrence and development of ischemic stroke.Early identification of unstable plaque is very important for the prevention and treatment of ischemic stroke.High resolution magnetic resonance imaging vascular wall imaging(HR-VWI) not only can directly evaluate the condition of lumen stenosis and vascular remodeling,but also can qualitatively or quantitatively evaluate the plaque composition and plaque load,judge the etiology and pathogenesis of ischemic stroke,identify the high-risk characteristics of plaque closely related to the occurrence and recurrence of ischemic stroke.Then it can guide clinical active intervention and prevent the occurrence and recurrence of ischemic stroke.This review will discuss the identification of high-risk plaques by HR-VWI and its role in the etiology identification,prevention and recurrence prediction of ischemic stroke.
作者
杨丽
王效春
YANG Li;WANG Xiaochun(Department of Medical Imaging,Shanxi Medical University,Taiyuan 030001,China;Department of Radiology,First Hospital of Shanxi Medical University,Taiyuan 030001,China)
出处
《磁共振成像》
CAS
CSCD
北大核心
2022年第5期136-139,共4页
Chinese Journal of Magnetic Resonance Imaging
基金
国家自然科学基金(编号:81971592)
北京医学奖励基金(编号:YXJL-2021-0353-0604)。
关键词
磁共振成像
血管壁成像
缺血性卒中
动脉粥样硬化
magnetic resonance imaging
vascular wall imaging
atherosclerosis
ischemic stroke
