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HR-MRI在颅内动脉粥样硬化斑块风险评估中的应用

Application of HR-MRI in Risk Assessment of Atherosclerotic Plaques in the Middle Cerebral Artery
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摘要 缺血性脑卒中重要病因之一就是颅内动脉粥样硬化(intracranial atherosclerosis,ICAS),其中易损斑块可能会引起严重的后果,其危险程度可能会超过预期,因此如何识别易损斑块显得尤为重要。现有大部分影像检查方法仅能显示血管腔的情况,而高分辨率磁共振成像(high resolution magnetic resonance imaging,HR-MRI)的特点是在显示血管腔信息的同时可以显示血管壁的情况,应用此项技术,在显示颅内动脉时能够更全面地显示血管病变情况。这种技术能够从多个方面分析和评估血管斑块的特征,如斑块的负荷、重构模式、斑块内出血、强化模式和分布等。它能够帮助医生早期发现颅内易受损的斑块,对于控制和预防脑卒中具有重要的意义。 One of the important causes of ischemic stroke is intracranial atherosclerosis.Vulnerable plaque may cause serious consequences,and its risk may exceed expectations.Therefore,how to identify vulnerable plaque is particularly important.Most imaging techniques only show the state of the vascular lumen,however,high-resolution magnetic resonance imaging has the ability to show both the vascular lumen′s and the vascular wall′s condition.The article can provide a more comprehensive display of vascular lesions when displaying intracranial arteries.HRMRI imaging technology can clearly display blood vessel walls,analyze and evaluate plaque characteristics from aspects such as plaque load,reconstruction mode,intra plaque bleeding,plaque enhancement mode,and plaque distribution.The early detection of vulnerable intracranial plaques is of great importance for the prevention and regulation of stroke.
作者 徐行茹 陈新建 徐敏 赵建丽 周建国 XU Xingru;CHEN Xinjian;XU Min;ZHAO Jianli;ZHOU Jianguo(Department of Radiology,Lianyungang Hospital of Traditional Chinese Medicine,Jiangsu Province,Lianyungang Jiangsu 222004,China)
出处 《中国卫生标准管理》 2025年第2期195-198,共4页 China Health Standard Management
基金 南京医科大学康达学院2021年度科研发展基金课题(KD2021KYJJZD069) 连云港市卫生科技项目(202215)。
关键词 颅内动脉粥样硬化 卒中 高分辨率磁共振成像 血管壁 重构模式 易损斑块 intracranial atherosclerosis stroke high resolution magnetic resonance imaging vascular wall reconstruction mode vulnerable plaque
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