高分辨磁共振血管壁成像在颅内动脉狭窄病因鉴别中研究进展

林小翼; 蒋宁平

doi:10.15953/j.ctta.2022.215

高分辨磁共振血管壁成像在颅内动脉狭窄病因鉴别中研究进展

doi: 10.15953/j.ctta.2022.215

林小翼,
蒋宁平^,

重庆市沙坪坝区陈家桥医院放射科, 重庆401331

基金项目: 重庆医药高等专科学校校级项目（颅内椎—基底动脉血管壁粥样斑块特征分析与后循环缺血的相关性：4D-ASL与HR-VWI的联合应用研究（ygz2021131））；重庆市沙坪坝区科学技术局2022年决策咨询与管理创新项目（Jcd202221）。

详细信息

作者简介:
林小翼：男，重庆理工大学药学与生物工程学院非全日制药学专业在读硕士研究生，重庆市沙坪坝区陈家桥医院放射科主治医师，主要从事医学影像诊断工作，E-mail：642727203@qq.com

蒋宁平：男，主治医师，重庆市沙坪坝区陈家桥医院放射科主治医师，主要从事医学影像诊断工作，E-mail：305864402@qq.com

通讯作者:
蒋宁平*，

中图分类号: R445.2
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- 文章访问数: 30
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- 被引次数: 0
出版历程
- 收稿日期: 2022-11-04
- 修回日期: 2023-01-11
- 录用日期: 2023-01-12
- 网络出版日期: 2023-02-22

Research Progress of High-resolution Magnetic Resonance Vessel Wall Imaging in the Identification of Intracranial Arterial Stenosis Etiology

LIN Xiaoyi,
JIANG Ningping^,

Department of Radiology, Chenjiaqiao Hospital, Shapingba District, Chongqing 401331, China

摘要

摘要: 颅内动脉狭窄（ICAS）导致的缺血性脑卒中，具有高致残率和致死率的特点。临床上常规检查方法包括经颅多普勒超声、CT血管造影、磁共振血管造影和X射线数字减影血管造影等。上述方法都是针对血管狭窄，不能显示血管壁病变。高分辨磁共振血管壁成像技术（HR-VWI）是一种新出现的影像学检查手段，能够无创性显示血管壁病变，对判断ICAS病变性质具有重要价值。本文针对HR-VWI在ICAS病因鉴别中的应用研究进展进行综述。
- 高分辨率 /
- 磁共振血管壁成像 /
- 颅内动脉狭窄 /
- 脑卒中
Abstract: Ischemic stroke caused by intracranial arterial stenosis (ICAS) is characterized by high morbidity and mortality. Conventional clinical examination methods include transcranial Doppler ultrasound, CT angiography, magnetic resonance angiography, and X-ray digital subtraction angiography. These methods are aimed at vascular stenosis and do not show vascular wall lesions. High-resolution magnetic resonance vessel wall imaging (HR-VWI) is a new imaging method that can non-invasively display vascular wall lesions and has important value in judging the nature of ICAS lesions. In this paper, the application of HR-VWI in the identification of ICAS etiology is reviewed.
- high-resolution /
- magnetic resonance vessel wall imaging /
- intracranial artery stenosis /
- stroke

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表 1 动脉粥样硬化斑块的HR-VWI信号特征

Table 1. HR-VWI signal characteristics of atherosclerotic plaque

成分	T₁WI	T₂WI	增强T₁WI	PDWI	3D-TOF
急性出血（Acute Hemorrhage）	高	等/低	无强化	等/高	高
钙化（Calcifications）	低	低	无强化	低	低
脂质核心（LRNC）	等/高	等/高	无强化	等/高	等
疏松的间质（Loose Stroma）	低/等	高	有强化	低/等	等
纤维化组织（Fibrotic Tissue）	等	等/高	有强化	等/高	等
纤维帽（Fiber Cap）	等/高	等/高	无强化	等/高	等

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